As an elective doctor I do not have a contract with the health insurance companies. However, every patient can submit the fee note to the health insurance company after payment and will then be reimbursed approx. 80% of the cash tariff (depending on the health insurance company) by the health insurance company. Patients with supplementary insurance for outpatient services can also submit the fee note to the supplementary insurance company after reimbursement of the health insurance company’s share by the compulsory insurance company. Depending on the insurance contract, the supplementary insurance will then cover further portions or the remainder of the fee bill. The remaining deductible is tax deductible.