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LIVING IN AUSTRIA

EXPLAINED: What you need to know about therapy in Austria

If you want to see a therapist in Austria, you can choose between going private or waiting for a public appointment. Here's what you need to know.

In Austria, you can participate in a wide range of different therapy methods through both public and private practitioners. Here is what you need to know about the different options.

Public Therapy

To access therapy with a public health insurance therapist in Austria, you need a referral from your Hausarzt confirming your need for this kind of service.

The cost of therapy with a public practitioner in Austria can vary depending on factors such as the therapist’s qualifications, location, and your specific insurance fund.

In general, if you are covered by the most common public insurance fund, ÖGK, you can access therapy with a public therapist and receive a reimbursement of around €35 per hourly session. Other funds have different reimbursement scales, and some private healthcare funds may cover more of the cost. It is important for each patient to check with their specific fund.

Regarding availability, it can sometimes be challenging to get an appointment with a public therapist.

Some patients wait for many months, and the waiting time can vary depending on factors such as the urgency of your needs and, of course, the therapist’s availability. If you want to get an appointment as soon as possible, it is a good idea to sign up on the public therapist waiting list. 

READ ALSO: EXPLAINED: How the Austrian healthcare system works

Private Therapy

If you are looking for a private therapist, you are likely to receive help sooner. You do not need a referral and can contact the therapist yourself. This may contribute to more effective care, but it also comes with a higher price.

A one-hour session with a therapist costs around 80-150 euros, the price vary depending on factors such as the therapist’s fees and the type of treatment. If you are insured under the Austrian public health insurance system (ÖGK) and choose to see a private therapist, you typically pay for the sessions entirely yourself.

Some private insurance plans might cover the cost of private therapy sessions, which may make it beneficial to sign up for a private healthcare fund. The degree of coverage often depends on each patient’s specific case and insurance package.

Popular private insurance funds in Austria include Allianz and UNIQA, through which you can request more information about possible coverage.

English-Speaking Therapists

There are many English-speaking therapists in Austria, although they are more common in larger towns and cities.

Unfortunately, in more rural regions, it can be difficult to find an English-speaking therapist. However, many mental health practitioners offer their services online via video calls, a trend that increased during the 2020 pandemic.

When you visit your Hausarzt to discuss your therapy plan, you can ask them to refer you to an English-speaking therapist. If you instead prefer private therapy, you can search online for a therapist speaking your desired language.

READ MORE: Everything foreigners need to know about the Austrian healthcare system

Useful links for finding a therapist in Austria

Below are three organisations in Austria responsible for regulating the practice of psychotherapy and maintaining lists of registered therapists on their websites.

European Association for Psychotherapy

ÖBVP – Österreichischer Bundesverband für Psychotherapie

Professional Association of Austrian Psychologists (BÖP)

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HEALTH

How much can you expect to pay for private healthcare in Vienna?

In recent years, the number of public doctors in Vienna has fallen. As a result, many people have turned to private care. But how much can you expect to pay?

How much can you expect to pay for private healthcare in Vienna?

In Austria, private healthcare works alongside the public healthcare system. If you want private care, you typically need to sign up for private healthcare insurance or pay out of pocket initially and later seek reimbursement.

The cost of private healthcare in Vienna can vary depending on factors such as the type of treatment, the provider, and insurance coverage. In general, private healthcare services tend to be significantly more expensive than the services provided by the public system.

Private healthcare insurance 

The monthly cost for private healthcare insurance in Vienna averages around €30 for children and between €45 and €100 for adults.

The cost is determined by your age, health status, and anticipated healthcare needs. When you apply for private insurance, your health and medical history are usually examined.

Signing up for private healthcare insurance at an early age often means lower costs. Existing health insurance contracts are adjusted annually for inflation only, without further adjustments.

UNIQA, Wiener Städtische, Generali Health Insurance, Mercury, Allianz Health Insurance, and the Danube are among the largest and best-known providers of private healthcare insurance in Vienna.

READ ALSO: EXPLAINED: What is a Wahlartzt in Austria?

How does it work?

Every policy is different, but most private insurance work with the public companies, especially since most workers in Austria are insured with one of the public companies via their work or employment – with the majority of them insured by ÖGK.

When you go to an elective doctor in Austria, you will pay out of pocket for your appointment. Later, you’ll need to ask for reimbursement from your compulsory public insurance company. Once you receive confirmation of the reimbursement,  you’ll send all documents (including doctor fees and the public reimbursement) to your private insurance, which will pay the difference between what you paid at the doctor and what you got back from your public insurance.

This is typically done online and could even be partially automated, with doctors sending their fees and payment notes directly to public insurance.

Pay out-of-pocket

If you do not want to sign up for private healthcare insurance, you can stay with your public one, pay out of pocket if you need private services, and later receive a partial reimbursement. 

In general, a visit to a private practitioner costs between €80 and €120, and a visit to a specialist (orthopaedist, dermatologist, cardiologist) between €150 and €200 in the Austrian capital.

The amount of money you can get back if you go to a private doctor varies depending on several factors, including your health insurance company and the specific services provided by the doctor.

For example, with the most common public insurance, Österreichische Gesundheitskasse, ÖGK, around 80 percent of the amount that ÖGK would have spent if the doctor was linked to the public system is reimbursed. It is important to note that this does not correspond to 80 percent of your medical bill but to 80 percent of what ÖGK would have paid for your treatment at a public doctor, which is significantly lower than the amount listed on your bill.

Fewer public doctors in Vienna

In Vienna, there has recently been a decrease in the number of public doctors and an increase in the number of private ones.

Experts believe the reasons are stressful working conditions and limited numbers of contracts for doctors with public healthcare insurance. Public doctors are said not to take enough time for each patient, as the number of patients determines the profit. 

Over the past six years, the increase in private doctors has been particularly notable for doctors specialising in dermatology (rising from 58 percent to 71 percent) and urology (increasing from 55 percent to 62 percent).

READ NEXT: Healthcare in Austria: Why are there fewer ‘public’ doctors?

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