title: [Expert assessment within the scope of legal social determination of the extent of economic responsibility of insurance for analytic psychotherapy].
abstract: Expert Opinions and Social Insurance Tribunal Rulings on the Scope of Medical Insurance Cover for Analytic Psychotherapy.--In Germany at present medical insurance cover is more or less automatic for a bone-marrow transplant costing anything up to 100,000 dollars--an operation where the death of the patients is by no means infrequent. In view of this state of affairs it is hard to comprehend the refusal on the part of insurance cover reviewers to approve ongoing cover for analytic psychotherapy beyond the 240-hour limit. In the case presented here, privately financed continuation by some 180 hours demonstrated that this prolongation and intensification of therapy was in fact essential to ensure the success of the treatment.
authors.affiliation: Univ. Ulm, Abt. Psychotherapie.
authors.forename: H
authors.initials: H
authors.lastname: Kächele
authors.forename: F
authors.initials: F
authors.lastname: Pfäfflin
authors.forename: C
authors.initials: C
authors.lastname: Simons
mesh_terms: D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005858:Germany; D006801:Humans; D007342:Insurance Benefits / Q000191:economics / Q000331:legislation & jurisprudence; D007358:Insurance, Psychiatric / Q000191:economics / Q000331:legislation & jurisprudence; D016365:Liability, Legal; D011575:Psychoanalytic Therapy / Q000191:economics* / Q000331:legislation & jurisprudence; D012943:Social Security / Q000191:economics* / Q000331:legislation & jurisprudence
vernacular_title: Fachgutachten im Rahmen sozialgerichtlicher Klärung des Umfangs der Leistungspflicht einer Krankenkasse für analytische Psychotherapie.