General Terms and Conditions (GTC)

Dear Patient,

The staff of the clinic are dedicated to treating you with their utmost effort—providing qualified and comprehensive care based on the latest medical, therapeutic, and nursing insights—as well as to supporting you to the best of their ability in all other matters. To ensure the smooth operation of the clinic and to define the rights and obligations of patients, the clinic has established the following General Terms and Conditions.

General Terms and Conditions (GTC)

of Max Grundig Klinik GmbH, Schwarzwaldhochstraße 1, 77815 Bühl, effective as of January 1, 2026

Preliminary Remark:

Founded in 1988, Max Grundig Klinik is a privately operated hospital licensed in accordance with Section 30 of the German Trade Regulation Act (Gewerbeordnung). Its medical services are eligible for reimbursement under Section 107 of the German Social Code Book V (SGB V).

1. Scope of Application

Unless otherwise agreed, these General Terms and Conditions (GTC) govern the contractual relationship between Max Grundig Klinik GmbH and its patients with respect to inpatient and outpatient medical services, as well as accommodation, catering, nursing care, and any other services offered by the Clinic for remuneration.

2. Legal Relationship

The legal relationship between the Clinic and the patient is governed by private law.
These GTC also apply to the patient’s legal representative and to any person who concludes a contract with the Clinic on behalf of the patient.

3. Scope of Services and Remuneration

The Clinic provides medical services, accommodation, meals, nursing care, and other services to patients on a fee-paying basis. The Clinic’s contractual services are limited to those for which it is appropriately staffed and equipped in accordance with its medical objectives.
As a private hospital licensed pursuant to Section 30 of the German Trade Regulation Act (Gewerbeordnung), the Clinic does not distinguish between general hospital services and optional services (Wahlleistungen). Furthermore, the Clinic is not subject to the provisions of the German Hospital Remuneration Act (Krankenhausentgeltgesetz). A separate written agreement for optional services is therefore not required for the billing of medical services. Medical services provided by the Department of Internal Medicine are rendered by physicians employed by the Clinic and are billed in accordance with the fee schedules of the German Medical Fee Schedule (Gebührenordnung für Ärzte – GOÄ). Physical therapy services are billed according to the current price list. Services provided by the Department of Psychosomatic Medicine are billed in accordance with the PEPP system (Prospective Payment System for Psychiatry and Psychosomatic Medicine).In addition to medical and therapeutic services, patients will be charged for accommodation, meals, and nursing care upon completion of treatment. Billing is based on a daily care rate (Pflegesatz) defined by the Clinic for each day of treatment. Unless otherwise agreed in writing, all aforementioned services are deemed covered by payment of the applicable daily care rate.
The daily care rates are as follows:
- - - Acute medical treatment
      
      905,00 EUR
    - Follow-up rehabilitation treatment (AHB)
      
      450,00 EUR
    - Follow-up rehabilitation treatment under cooperation agreements
    - for the stay in psychosomatics, in accordance with the PEPP system, with a base case value of EUR 542.00
Additional costs incurred during an inpatient stay, such as external specialist consultations, medical transport services, or other third-party services, will be invoiced separately by the respective service provider.
In the event of short-notice cancellation of a scheduled admission (less than three days before the agreed admission date) for reasons attributable to the patient, the Clinic reserves the right to charge for the services booked.
Invoices become due upon receipt.
Interim invoices may be issued for medical services as well as accommodation, meals, and nursing care. A final invoice will be issued after completion of treatment.
The Clinic reserves the right to subsequently invoice services omitted from the final invoice and to correct billing errors.
The recipient of an invoice shall be deemed in default no later than 30 days after the due date and receipt of the invoice if payment has not been made (Section 286(3) German Civil Code – BGB). This notice will be included in the invoice in accordance with statutory requirements. In the event of default, the Clinic is entitled to charge interest at a rate of five percentage points above the applicable base interest rate (Section 288 BGB). The Clinic reserves the right to claim additional damages resulting from late payment.
Services arranged by the Clinic but provided by third parties will be invoiced directly by the respective provider. Responsibility for the correctness of such invoices rests solely with the third-party provider.
Set-off is permitted only against claims that have been acknowledged by the Clinic or established by a final court judgment.

4. Relationship with Private Health Insurance

The Clinic’s entitlement to remuneration for medical and physical therapy services exists regardless of whether, and to what extent, such services are reimbursable by the patient’s private health insurance provider. Medical services are billed exclusively to the patient. Direct billing to private health insurers is excluded.
If the patient does not have private health insurance, or if no confirmation of cost coverage has been provided by the insurer prior to the commencement of treatment, the patient shall be responsible as a self-paying patient for settlement of all invoices. The patient shall be expressly informed of this prior to conclusion of the contract.
In such cases, the Clinic may require a reasonable advance payment. From the eighth day of hospitalization onward, the Clinic may request an appropriate interim payment based on services already rendered and anticipated future charges, analogous to Section 8 (7) of the German Hospital Remuneration Act (KHEntgG).

Admission and Discharge

As a private hospital licensed pursuant to Section 30 of the German Trade Regulation Act, the Clinic is free to decide with whom it enters into a treatment agreement.
The Clinic may refuse admission, in particular, to individuals whose conduct is considered inappropriate, who have outstanding unpaid charges from previous treatments, or who are unable to demonstrate adequate financial coverage.
The Clinic’s obligations under the treatment agreement end upon discharge of the patient unless post-discharge treatment has been initiated.
- Patients will be discharged when:
  - In the opinion of the attending physician, inpatient treatment is no longer medically necessary; or
  - The patient expressly requests discharge.
Patients who leave the Clinic against medical advice do so at their own risk. Where a private insurer or public aid authority (Beihilfe) has approved coverage for a specified treatment period, such coverage generally presupposes uninterrupted continuation of treatment. Inquiries by the payer may result in termination of coverage and significant additional costs for the patient.

Medical Records and Data Protection

Medical records, including patient files, examination findings, radiological images, and other documentation, remain the property of the Clinic.
Patients are not entitled to the release of original records.
The patient’s right, or the right of an authorized representative, to inspect records, obtain copies at their own expense, and receive information from the treating physician remains unaffected.
All processing and disclosure of personal data shall be carried out in accordance with applicable laws, including data protection regulations, medical confidentiality obligations, and social confidentiality requirements.
The following personal and treatment-related data pursuant to Section 301 SGB V may be transmitted to third parties, such as cost bearers, where required for the intended purpose:
- First and last name
- Date of birth
- Address
- Health insurance number
- Insurance status
- Date, time, and reason for admission
- Referring diagnosis and admission diagnosis
- Expected duration of hospitalization and, where applicable, medical justification for any extension
- Date, time, and reason for discharge or transfer
- Discharge or transfer diagnosis
- Details of rehabilitation measures carried out
- Recommendations regarding further treatment and suitable facilities

Medical Procedures

Medical procedures affecting the patient’s physical integrity shall only be performed after appropriate information has been provided regarding their nature and implications and after informed consent has been obtained.
Where the patient is unable to provide consent, treatment may proceed without consent if, in the opinion of the responsible physician, immediate intervention is necessary to avert a life-threatening situation or prevent serious harm to the patient’s health.
The same applies where a legal representative of a minor or legally incapacitated person cannot be reached in time.

Personal Belongings and Liability

Patients should bring only necessary clothing and personal items.
Money and valuables should be deposited with the administration where reasonably possible. The administration may refuse custody for valid reasons.
The Clinic shall only be liable for loss of items entrusted to its administration in cases of intent or gross negligence. No liability shall be assumed for money or valuables not deposited with the administration.
The Clinic shall only be liable for personal belongings remaining in the patient’s possession, or for vehicles parked on Clinic premises or designated parking facilities, in cases of intent or gross negligence.
Claims relating to the loss or damage of deposited valuables or estate property held by the administration must be submitted in writing within three months of becoming aware of the loss or damage. This period shall not commence before the date of the patient’s discharge.

House Rules

The Clinic has established house rules that are binding on all patients, visitors, and employees. The house rules, which are displayed prominently throughout the wards, form an integral part of these General Terms and Conditions.

Place of Payment

The patient shall perform all payment obligations at their own risk and expense in Bühl/Bühlerhöhe, Germany.

Entry into Force and Miscellaneous

These General Terms and Conditions enter into force on 1 January 2026.

Should any provision of these GTC become invalid or unenforceable due to changes in legislation or case law, the validity of the remaining provisions shall remain unaffected.