Information for psychotherapists

With the change in the law that came into effect on 1 July 2022 allowing psychological psychotherapy to be reimbursed under mandatory healthcare insurance (OKP), it is now easier for all insured persons to access affordable, quality-assured psychotherapeutic services. SWICA is committed to helping customers who have mental health problems by providing them with quick and easy access to psychotherapy from qualified professionals. It should be possible to access this therapy under both basic insurance and supplementary insurance.

Frequently asked questions about basic insurance

As psychological psychotherapy is a mandatory KVG benefit as of 1 July 2022, supplementary insurance will no longer cover such services after that date. Under Art. 44 para. 1 KVG (rate protection), it is not permissible to invoice for additional services outside the applicable KVG tariffs. Psychological psychotherapy services can only be covered under supplementary insurance if the therapist is not authorised to invoice under the KVG or has opted out of basic insurance pursuant to Art. 44 para. 2 of the KVG.

Frequently asked questions about supplementary insurance

Federally recognized psychotherapist
No authorisation to invoice under basic insurance pursuant to Art. 36 of the KVG
SASIS paying agent number for psychotherapy VVG

Important: SWICA approval is personal and non-transferable. The services cannot be delegated. All services billed for under a therapist's own accreditation must be provided personally by the registered or approved individual.

The prerequisite for SWICA approval within the framework of psychotherapy VVG is possession of a PAR number for psychotherapy VVG.
You can apply for the PAR number for supplementary insurance directly with SASIS. Details can be found here (in German).
After approval is submitted by means of a PAR number for psychotherapy VVG, no further steps are necessary. SWICA regularly receives current data from SASIS. Any name or address changes should be reported directly to the registration offices.
SWICA does not issue PAR numbers.

There could be various reasons why the policyholder did not receive a reimbursement:

At the time of the treatment, the customer in question may not have had supplementary insurance cover for psychotherapy treatment (Completa Top/Completa Forte and/or Optima).
The customer in question may have an insurance exclusion in respect of the symptoms treated (agreed when the insurance cover was concluded).
The customer in question may be subject to a benefit block at SWICA (unpaid invoices).

For data protection reasons , we are not permitted to share information on the reasons for non-payment with service providers. We will be happy to assist our customers with any questions they may have regarding reimbursement.

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Information for psychotherapists

Frequently asked questions about basic insurance

How will the cost of psychotherapy services be paid for under basic insurance?

Can services also be covered under supplementary insurance if the therapist has OKP authorisation?

Why can't services be covered under supplementary insurance if the therapist has OKP authorisation?

What rate will be paid for psychological psychotherapy?

How can I get KVG authorisation / a payment account reference (PAR) number?

Will my patients need a doctor's prescription to be covered under basic insurance?

Frequently asked questions about supplementary insurance

What conditions have to be met for accreditation as a SWICA-approved psychotherapist?

How can I apply for the SASIS paying agent number for psychotherapy VVG?

Why am I no longer a SWICA-approved psychotherapist, even though I was one in spring 2024?

Is inclusion for the first time on the SWICA list of approved psychotherapists possible without the PAR number for psychotherapy VVG?

Under what conditions will psychotherapy be covered under supplementary insurance?

How can psychotherapy services be invoiced under supplementary insurance?

As a SWICA-approved psychotherapist, am I free to set the prices of the psychotherapy services I provide, even if I apply tariff 20S?

Is there an invoice template for billing?

How much will SWICA pay for psychotherapy under supplementary insurance plans?

I am a psychologist. Can I be added to the list of SWICA-approved psychotherapists?

Does SWICA contribute to the costs of psychological counselling or coaching?

Will my patient need a doctor's prescription to be covered under supplementary insurance?

Why was my client's treatment not reimbursed?

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