At a glance
Practice decides
Medical necessity is assessed individually.
Muster 4
The prescription records details of the planned patient transport.
Clarifications
Clarify prior approval and cost questions in good time.
What is a German transport prescription?
A transport prescription is issued on the German form known as Muster 4. It records the medical decision about whether transport is necessary and which type is required. According to the German National Association of Statutory Health Insurance Physicians (KBV), authorised physicians and certain psychotherapists can issue Muster 4.
How to obtain a prescription
- Discuss the need for transport with the treating practice before the journey.
- Describe the appointment, mobility needs and why suitable transport is required.
- The practice assesses medical necessity and the required type of transport.
- Clarify whether the health insurer must approve the prescription before the journey.
Patients do not choose the medical fields themselves and should not fill Muster 4 on their own.
What information is on Muster 4?
The form contains information about the treatment, reason for travel, type of transport and any required approval. It is completed for the individual case. The German Patient Transport Directive governs the requirements and selection; it does not replace advice from the practice or health insurer.
Date, route, mobility aids and access to buildings must be provided in full, regardless of the form.
What to clarify before booking
- Is the prescription complete and valid for the appointment?
- Is prior approval required, and has it been obtained?
- Which mobility aid, wheelchair or building access must be considered?
- Who is the contact person for appointment changes?
A prescription is not an automatic cost commitment
A prescription alone does not always mean that all costs will be covered. The legal requirements and the payer's individual decision are decisive. Read our guide to cost coverage and co-payments.
