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HEALTH

EXPLAINED: The new rules around getting a sick note over the phone in Germany

Due to high Covid infection numbers throughout the summer, it’s now possible to get a sick note from a doctor over the phone again for some illnesses. Here’s what you need to know.

An employee of a doctor's office notes something on a certificate of incapacity for work.
An employee of a doctor's office notes something on a certificate of incapacity for work. Photo: picture alliance/dpa/dpa-Zentralbild | Paul Zinken

What’s happened?

In spring 2020, German authorities changed the law so that people with a mild upper respiratory tract illness, such as the common cold, were able to get an incapacity to work certificate or AU-Bescheinigung by simply calling and speaking to their GP.

The rule was extended several times and finally reversed on June 1st this year due to falling infection figures. Since then people have had to go back to the practice – or do a video call if the doctor’s office has that system in place – to get a sick note.

Now, due to a decision by the Joint Federal Committee, the regulation has been reintroduced and patients can call their GP again for a sick note.

Can I get a sick note over the phone for any illness?

No. As before, the regulation only applies to patients suffering from a mild upper respiratory tract illness. Though Covid has not explicitly been named in the announcement, it seems that it is intended to be covered by the regulation.

If the doctor is convinced that the patient is unfit for work after a telephone consultation, then they can issue a sick note for up to seven days.

READ ALSO: EXPLAINED: The changes around doctor’s notes in Germany you should know

If the symptoms persist after seven days, the certificate can be extended once more for another week.

Why now?

According to the Chairman of the G-BA, Josef Hecken, the regulation has been introduced now as a response to rising Covid numbers and in anticipation of the cold and flu season in the coming months: “We want to avoid full waiting rooms in doctors’ offices and the emergence of new infection chains,” he said.

The telephone sick leave rule is a simple, proven and uniform nationwide solution for that, he said. The rule is also necessary because video consultation hours are not yet available everywhere.

What else should I know?

The health insurer DAK is calling for telephone sick leave in the case of light respiratory diseases to be made possible on a permanent basis in Germany. DAK’s CEO Andreas Storm said that this should “not always be up for debate, because it has proven itself.” 

READ ALSO: Everything you need to know about making a doctor’s appointment in Germany

The social association VdK also welcomed the reintroduction of the rule. The VdK’s President Verena Bentele said that the regulation would help to protect high-risk groups in particular from potential infections.

What are the rules to know about sick notes in Germany?

Germany has a strict system in place. If you are sick, you need to give your employer a Krankmeldung (notification of sickness) before the start of work on the first day (of your illness).

However, you also need to hand in a Krankschreibung (doctor’s note) on the fourth day of your illness. Some employments contracts, however, require you to submit a sick not earlier than the fourth day so check with your boss or HR on that point. 

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HEALTH

The vocab you need for a trip to the dentist in Germany

Going to the dentist can be daunting at the best of times and being unsure of the language can make things ten times worse. We’ve put together a guide of the German words and phrases you need to help take some of the pain away.

The vocab you need for a trip to the dentist in Germany

When you arrive at the dentist, you’ll usually be asked if you’re gesetzlich or privat versichert (if you have state or private health insurance) and asked to present your health insurance card. However, for most procedures, you will still have to pay something extra on top. 

The most common reason for a trip to the dentist (Zahnarzt) is having eine Vorsorgeuntersuchung (check-up) or a cleaning appointment (eine Zahnreinigung or eine Prophylaxe) which most dentists recommend having twice a year.

Most health insurers won’t reimburse the full cost of teeth cleaning – so make sure you check beforehand with your Krankenkasse which costs are covered.

In a cleaning appointment, the dentist will remove plaque (der Zahnbelag) and check the health of your teeth (die Zähne) and gums (das Zahnfleisch). If they tell you that they see Karies (tooth decay) then you may be told to come back for another appointment to get a filling (eine Zahnfüllung or eine Plombe).

READ ALSO: Everything you need to know about making a doctor’s appointment in Germany

They will certainly remind you at the end of the appointment to use Zahnseide (dental floss) on a daily basis (täglich) and also recommend that you use Interdentalbürsten (interdental brushes) for cleaning in between the teeth.

In the chair

When you actually get into the hot seat, you will be usually asked to do certain things by your dentist or dental assistant (Zahntechniker) so they can do what they need to do.

The first thing you’ll usually be asked to do is ausspülen bitte – to rinse your mouth with mouthwash (die Mundspülung) usually in a plastic cup in a little sink next to the dental chair. They might ask you to keep the liquid in your mouth for a certain number of seconds until they tell you to ausspucken (spit it out).

A woman undergoes a dental examination. Photo: picture alliance/dpa/dpa-tmn | Markus Scholz

When you’re lying down, you’ll inevitably be told Mund öffnen bitte or aufmachen bitte (open your mouth) and likewise, you might be asked to zumachen (close) your mouth at some point. Other typical instructions in the dentist’s chair are: Mundlocker lassen (relax your mouth), Kopf zu mir drehen (turn your head towards me) and Kinn nach oben (chin upwards).

Types of dental issues

There are numerous complaints that could compel you to pay a visit to the dentist, but one of the most common is having a filling (eine Zahnfüllung) or having a crown (eine Zahnkrone).Your health insurance will cover the cost of the most basic kind of material for filling up a cavity, but you will be presented with a price list (or if you aren’t – ask) for the different types of materials for crowns or fillings.

READ ALSO: EXPLAINED: How dental care works in Germany

Another common complaint is having to have a tooth removed (eine Zahnextraction) – a particularly common procedure for a wisdom tooth (der Weisheitszahn). A more serious extraction procedure is a root canal treatment (eine Wuzelkanalbehandlung).

If you have this kind of procedure, you will normally be offered a local anaesthetic (örtliche Betäubung or Lokalanästhesie) and you may also need an X-Ray (ein Röntgen).

More useful phrases and vocabulary

Braces – (die) Zahnspangen

Sensitive teeth – empfindliche

ZähneTooth pain – (der) Zahnschmerz

Dentures – (die) ProtheseI have toothache when I chew/drink – Ich habe Zahnschmerzen beim kauen/trinken

I have light/strong pain on this tooth – Ich habe leichte/starke Schmerzen an diesem Zahn

My gums are inflamed – Ich habe eine Entzündung am Zahnfleisch

I am nervous about the treatment – Ich habe Angst vor der Behandlung

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