title: [Insurance medical consultation in the private health insurance--which questions are asked for to the medical consultant?].
abstract: There have been medical consultants in the insurance business since the 19th century. Still the tasks and competences of the medical consultants in private health insurance in Germany are more or less unknown to the public and among doctors. There are only few publications about this topic. All questions submitted to the medical consultant from 1 January 2011 to 31 December 2011 have been examined and classified. Most of the questions to the medical consultant concern the medical necessity of medications, with life style medication playing an especially important role. Alternative medicine, the classification of cure and rehabilitation measures of hospital medical treatments, out-patient operations, new treatments, the length of hospital treatments and out-patient psychotherapy, medical consultation on artificial insemination and cosmetic surgery intervention give more and more reason for a consultation of the medical examiner. The discussion considers the details of individual insurance medicine blocks of consultation in insurance medicine and explains their significance.
authors.affiliation: HALLESCHE Krankenversicherung, Stuttgart.
authors.forename: R
authors.initials: R
authors.lastname: Hakimi
mesh_terms: D005858:Germany / Q000453:epidemiology; D007348:Insurance, Health / Q000458:organization & administration* / Q000706:statistics & numerical data*; D017149:Private Sector / Q000458:organization & administration* / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000458:organization & administration* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires