General Terms and Conditions (GTC) of Midwife Annika Brock, hereinafter referred to as “the Midwife”.
Unless otherwise agreed, these General Terms and Conditions apply to the contractual relationship between Midwife Annika Brock and the service recipient.
The legal relationship between the Midwife and the service recipient is of a private-law nature.
The services are provided on the basis of the contract for the provision of midwifery care pursuant to §134a SGB V, which was concluded between the midwives’ professional associations and the German National Association of Statutory Health Insurance Funds (GKV-Spitzenverband).
For self-paying clients, the scope of services is based on the private fee schedule of the federal state in which the service is provided.
Services provided by physicians consulted by the Midwife or by medical transport services are not part of the Midwife’s services. Services provided by such physicians or medical transport providers are invoiced separately by them.
For agreed appointments that are not kept by the service recipient and not cancelled at least 24 hours in advance, the Midwife will invoice the service recipient for the lost remuneration.
The following optional services may be agreed upon:
a) Services not covered by the contract for the provision of midwifery care pursuant to §134a SGB V and for which no supplementary agreement has been concluded with individual health insurance funds, e.g.:
Laboratory tests (excluding those covered by the Maternity Guidelines)
Taping
Acupuncture
b) Services for statutory health insurance beneficiaries that exceed the limits defined in the contract for the provision of midwifery care pursuant to §134a SGB V, e.g.:
More than 12 telephone consultations during pregnancy
More than 16 contact days (in person or by phone) between the 11th day postpartum and 12 weeks postpartum
More than 8 contact days (in person or by phone) after the child’s 12th week of life until the end of breastfeeding
Travel costs for distances beyond what the responsible health insurance covers (more than 25 km one way)
The Midwife undertakes to inform the service recipient of any costs before an optional service is used.
For statutory health insurance beneficiaries, the Midwife bills the services directly to the responsible statutory health insurance provider. Optional services are not included and must be paid for by the service recipients as self-payers.
Service recipients whose services during pregnancy and maternity are covered by a public-law corporation, institution, or foundation (e.g., those entitled to free medical care) must provide a cost coverage declaration from their payer that includes the Midwife’s services under Section 3 of these GTC. If no such declaration is provided, or if it does not cover the services used, the service recipients must pay the fees themselves.
Self-paying clients are obligated to pay the fees for the Midwife’s services under these GTC. For self-payers, the reimbursable scope of services is determined by the private fee schedule of the federal state in which the service is provided. The service recipient is responsible for clarifying the reimbursability of services with her health insurance.
The invoice amount becomes due upon receipt of the invoice. In the event of late payment, interest on arrears may be charged in accordance with § 288 BGB, as well as reminder fees of a flat rate of 5 euros.
Offsetting against disputed or non-finally determined claims is excluded.
If the service recipient has agreed upon optional services with the Midwife, an appropriate advance payment may be requested.
6. These General Terms and Conditions enter into force on January 1, 2024.
7. Should individual provisions be invalid, the validity of the remaining provisions shall not be affected. The invalid provision shall be replaced by one that most closely approximates the intent of the invalid provision.
Status: 01.01.2024