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German Medical Bodies Propose Per-Visit Fees, Face Rapid Political Pushback

The ideas will now be weighed by a government expert commission after the health minister rejected reviving the old blanket practice fee.

Overview

  • KBV chair Andreas Gassen proposed a €3–4 "contact fee" for each doctor visit, to be collected by insurers and paired with a digital "doctor guide" via 116 117 to coordinate care.
  • DKG chief Gerald Gaß called for doubling hospital copayments to €20 per inpatient day and imposing a €30–40 charge for emergency visits without prior telephone triage, estimating roughly €800 million in added annual revenue.
  • Supporters argue the fees would curb multiple consultations and strengthen the finances of statutory health insurance.
  • SPD, Greens, the Left, the house‑doctors' association, patient advocates and the GKV umbrella labeled the proposals unsocial, ineffective and bureaucratic.
  • No changes have been adopted, and the ministry pointed to the expert panel reporting by March 2026, with the 2004–2012 practice fee experience cited for limited impact and high administrative burden.