Medical Supply Store Prequalification

Medical supply stores, orthopedic technicians, hearing aid acousticians, and opticians that want to supply medical aids (Hilfsmittel) at the expense of statutory health insurance must obtain prequalification under Section 126 SGB V. Without prequalification, you cannot bill health insurance funds for medical aids you dispense.

Prequalification is carried out by accredited prequalification bodies that verify your professional expertise, staffing, premises, and organizational setup against criteria set by the GKV-Spitzenverband. After successful prequalification, you receive authorization valid for all statutory health insurance funds for five years. You then negotiate supply contracts with individual insurance funds or their associations to determine pricing and product scope.