Weighted Blankets in Austria: Coverage by the Austrian Health Insurance Fund (ÖGK)
Weighted blankets are increasingly recognized for their therapeutic benefits, and in Austria, they are classified as Class I medical devices when sold for medical purposes under the medical Devices Act (MPG 2021). This classification opens the possibility for reimbursement by the Austrian Health Insurance Fund (ÖGK) under specific circumstances.
ÖGK Reimbursement eligibility
The ÖGK may cover the costs of weighted blankets when they are deemed necessary medical aids.However, securing coverage requires adherence to a defined process:
- Medical Prescription: A valid prescription from a qualified specialist is mandatory. This typically includes specialists in psychiatry or pediatrics, who can assess the patient’s need for a weighted blanket as part of a broader treatment plan.
- Prior Authorization: As weighted blankets are not always included in standard ÖGK tariffs, prior authorization from the ÖGK Medical Service is generally required.This involves submitting a detailed justification for the blanket’s necessity.
- Cost Sharing (Deductible): Individuals covered by the ÖGK typically contribute 10% of the blanket’s cost as a deductible. As of 2026, the minimum deductible amount is 46.20 EUR.
- Deductible Exemptions: Certain groups are exempt from the deductible requirement. This includes children under the age of 15 and individuals receiving increased family allowance (erhöhte Familienbeihilfe).
Navigating the reimbursement process can be complex.Patients are encouraged to consult with their healthcare provider and the ÖGK directly to understand the specific requirements and documentation needed for a accomplished claim.
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