this post was submitted on 21 Jul 2025
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ADHD
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It's 17% of income, capped at 1.1k, including nursing care insurance. So it sounds like you need to make good money, before you even reach the 1.1k. But the problem is that you can't write off a lot here. E. g. I pay for my own meds, doctor and therapy entirely out of pocked, since I can't get appointments in my insurance network, which is an additional 600 per month. And that is not a write-off, so it doesn't reduce taxes or the 1.1k insurance. Also, you can get unlucky with other things. I have a child, but they said there was a formal error with the city-run daycare receipt, so they counted daycare costs at 0 for calculating taxes.
So what I expect is that they move heaven and hell to make the 40 cent pill for my son available, even on a health ministry level.
I'm German, I know the system. I'm going to be honest, I have no idea what you're saying. Why do you have to pay for your own meds? "Insurance network"? Does your insurance company only allow certain doctors (change to a different company then, that sounds stupid as fuck)? I would assume they'd be obligated to either make sure you can get appointments or reimburse you. If there was an error in your Steuerbescheid, why wouldn't you go back and ask for a revaluation using the correct figures?
I haven't had any problems getting my Medikinet, ever, so I'm baffled at what happened there. Try a different pharmacy I suppose?
Sorry, I'm generally confused about your entire situation.
Did you get diagnosed recently? It's now very hard to find a therapist or psychiatrist for treatment with a "Kassensitz", even when already diagnosed. For diagnostic, it was truly hopeless; however, I should be able to switch to a psychiatrist within 6 months and a therapist within 9 months when I really try. 5 or 10 years ago, it was much easier. With a therapist, people wait many months, and if it turns out to be a bad fit, the wait starts all over.
The many contradicting experiences are just chance, I think. For example for my kid, I did ONE single call and got an appointment for ADHD diagnostic within 4 months. But I am fully aware that this is was very lucky. For his occupational therapy, I did about 10 calls, until I found one who is just opening a new practice, which was also very lucky. Paid 0 out of pocket for very good treatment. If you say it can get better than that, you are lying.
My own experience was the other extreme so far, but you are right that it is absolutely possible to get it paid for on insurance IF already diagnosed.