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As soon as pregnancy is suspected visit a gynaecologist (Frauenarzt/Frauenaerztin) for confirmation.
An employer should be verbally informed of the pregnancy as soon as possible. If the employer requires written confirmation of the pregnancy from a doctor (ärztliches Attest) it must be paid for by the employer.
The German health insurance company (Krankenkasse) must also be informed of the pregnancy. The health insurance pays for medical treatment throughout and is also responsible for maternity payments (Mutterschaftsgeld) along with the employer. In general the health insurance will cover all necessary costs of antenatal examinations as well as the cost of prescribed medicines during the pregnancy or at the time of the birth.
Non-German residents are not covered by the health insurance if they don't have a German employer, but women may be covered through their partner's employer.
Six weeks before the baby is due the gynaecologist will provide written confirmation of the expected date of the birth (Bescheinigung zum voraussichtlichen Entbindungstermin) to inform the health insurance company when maternity payments should commence. The employer does not require this confirmation.
Note: There is a difference between the statutory and private health insurance companies. Statutory health insurance companies cover all costs on production of the insurance card (Versicherungskarte). With private health insurance the amount reimbursed depends on the level of cover agreed between the patient and the insurer. If a woman is unable to work due to pregnancy, abortion, miscarriage or as a result of the birth the private insurers do not pay sickness payments. For those who are self-employed, private health insurance does not cover pregnancy.
Following the initial consultation with the gynaecologist all pregnant women are given a mother's passport (Mutterpass). The Mutterpass records the immediate details of the pregnancy, birth and the mother's health in the period following the birth and can be used for up to two pregnancies. This serves as:
The information is also used to assess risks at the time of the birth.