Remote Medical Follow-up (Telemedizin) after Treatment in Germany: How Care Continues Legally and Professionally from Abroad
After completing treatment or surgery in Germany, many international patients return home while still requiring close medical follow-up with their German doctor. In such cases, Germany offers a modern telemedicine model ensuring secure and effective communication between patient and doctor online – within strict legal and regulatory frameworks.
What is Telemedizin?
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Video consultations (Videosprechstunde)
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Review of lab results and imaging via secure portals
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Adjustment of treatment plans based on progress
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Recommendations for follow-up or rehabilitation
Legal Framework:
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§ 7 Abs. 4 MBO-Ä: Remote treatment allowed if prior knowledge of the case exists.
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GDPR: Doctors must use secure portals for health data exchange.
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Telematics Infrastructure: German secure system for medical information exchange, mandatory for telemedicine.
Requirements:
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Existing doctor-patient relationship
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Medical records available at the treating institution
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Secure communication platforms (Doctolib, Jameda, RED medical)
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Patient’s written consent
Process:
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Schedule appointment online
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Send updated reports and symptoms
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Video consultation via licensed platform
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Receive medical recommendations (tests, medication instructions)
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Final follow-up report sent to patient or local doctor
Costs:
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100–250 € per session
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Payment via card, transfer, or invoice
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Not covered by German insurance unless resident
Prescriptions:
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No electronic prescriptions valid outside Germany
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Doctor can issue a detailed medical report recommending medication
When not possible:
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If physical examination is required
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If no prior medical record exists with the doctor
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If local laws do not recognize foreign diagnoses
Conclusion: Telemedicine is a modern, regulated solution enabling international patients to continue follow-up care with German quality standards, provided proper preparation and legal compliance.