Reasons for this may include:

• We were not aware of your public health insurance at the time of treatment, or incorrect data was recorded. Please provide us with the name of your health insurance company and your insurance number, which begins with a letter followed by nine digits.
• If you did not have public health insurance at the time of the assignment, please send us written confirmation of membership, which you can request from your health insurance company, after clarification with your insurance company.
• If it is a school, work, or commuting accident, we need the name of the responsible accident insurance provider, the file number or accident report, and the date of the accident report.

The reason for this is:

Trips to ambulatory treatments in hospitals/doctor's offices and/or back must be approved in advance by your health insurance company. If approval has not been given in advance, you can request the medical prescription from us for subsequent review of the approval by your health insurance company, also online at www.zast.de/kontakt. If these trips take place frequently, we ask you to obtain approval from your health insurance company in advance and then hand it over to the ambulance service staff before the trip begins.

The doctor's prescription is only valid as a medical basis for entitlement to the necessary emergency transport. It does not guarantee that the costs will be covered by the health insurance company. Approval must also be obtained from the health insurance company.

The number of kilometres for patient transport is calculated as follows: 

• from the nearest available emergency station/vehicle location
• to the deployment location,
• from there to the destination 
• and then back to the emergency station.

As the nearest emergency station is not always available, you may receive invoices for different amounts.

During busy periods in particular, an emergency station based further away from the deployment location may be used. 

The usage fees are calculated on the basis of BayRDG (Bavarian law on emergency rescue services).

The decision regarding which emergency vehicle is used is made exclusively by the Joint Emergency Services Control Centre on the basis of the notified information.

Patient transport: a basic flat rate plus an amount for each kilometer driven is calculated. 

Emergency response: a kilometer-independent flat fee per transported patient is calculated.

Deployment of emergency physician: a transport-independent flat fee per transported patient is calculated. 

For privately insured patients, this usage fee does not include the cost of the physician's services. These are billed by the treating physician directly in accordance with the physicians' fee scale (GOÄ).

When deciding who should bear the costs, it is irrelevant who requested the ground-based emergency vehicle or who was responsible for the incident. The costs must always be borne by the recipient of the service or by their insurance provider. 

Calculating the usage fees on a flat-rate basis helps to avoid a cost differential between urban and rural areas, as well as ensuring consistent provision of emergency services and short response times state-wide.

Please send us your caregiver ID card or power of attorney via our website https://www.zast.de/kontakt/sonstiges or by email to kundenservice(at)zast.de, quoting the current invoice number.

Please use our contact form and we will send you the requested duplicate invoice by post as soon as possible.

Medical prescriptions must be kept on file at the individual rescue stations as part of the public rescue service's medical documentation requirements. We will be happy to send you a copy for billing purposes with your insurance company. This may take up to 14 days after we receive your request. To request a copy, please use the option on our website www.zast.de/kontakt or send us an email to kundenservice(at)zast.de, quoting the invoice number.

We are not allowed to bill private insurance companies directly. As a privately insured person, you are obliged to pay our invoice yourself in advance. You can then check whether your insurance company will cover the costs.

Mountain rescue/water rescue/DLRG services are billed in addition to those of the land rescue services. If further medical treatment has been provided in an approved practice or hospital, your insurance company may cover the cost under certain circumstances. Please contact your insurance company and show them our invoice.

We are pleased that you are committed to social causes. You thereby make an important contribution to the work of the support organisations. However, being a member does not affect the usage fees. 

You can pay your invoice by bank transfer. Unfortunately it is not possible to pay via credit card or cheque. 

Name of the Bank: Bank fuer Sozialwirtschaft
Address of the Bank: Karlsplatz 10, 80335 Muenchen
BIC/SWIFT: BFSWDE33XXX
IBAN-No.: DE13370205000008833300
Recipient: ZAST GmbH
Address: Elsenheimerstr. 41, 80687 Muenchen, Germany
Reference: Invoice Number

If the bank transfer still is not possible directly, please inform your bank about the intermediate transfer bank Landesbank Baden-Wuerttemberg (LBBW), where the payment should be placed vià SOLADEST.

Name of the Bank: Bank fuer Sozialwirtschaft
Address of the Bank: Karlsplatz 10, 80335 Muenchen
BIC/ SWIFT: BFSWDE33XXX
Account-No.: 88 33 300

If you have public health insurance in one of these countries, please send us a photo of the front and back of your European Health Insurance Card (EHIC) valid on the day of your trip or, alternatively, a Provisional Replacement Certificate (PEB) issued by your national health insurance company for the day of your trip. We also ask you to send us the completed declaration form, which you can find here: https://www.zast.de/download. Please include the invoice number when sending the form. We will then check whether the costs can be covered by a German health insurance provider.