G-BA approves four Long Covid drugs for insurance coverage

Germany's Gemeinsamer Bundesausschuss (G-BA) decided on Thursday to allow health insurers to cover four drugs that alleviate certain Long Covid symptoms. Previously, patients had to pay for these off-label uses themselves. The ruling eases access for the country's 74 million statutory insurees.

In Berlin, the G-BA, which regulates benefits for 74 million statutory health insurees, issued the ruling on Thursday. Long Covid patients have faced high costs, as no drugs are officially approved for the condition.

Martin Walter, a clinic director in Leipzig and head of the Post-Covid Task Force of the German Society for Psychiatry and Psychotherapy, welcomed the decision. "A situation in which no single drug had been specifically recommended, approved, and reimbursable until now, although there was partial international evidence and use in other countries," he told the Science Media Center.

Walter highlighted the need: "Patients no longer have to resort to expensive, unfunded, and unproven over-the-counter preparations." The measure addresses a key frustration in treating post-Covid complaints.

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Press conference photo of health insurance chief Andreas Gassen calling for abolition of voluntary services to save 1 billion euros amid 12 billion euro gap.
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Health insurers' chief demands abolition of voluntary services

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German Health Minister Nina Warken is calling for swift implementation of a new law allowing annual prescriptions for chronically ill patients. The measure aims to cut unnecessary doctor visits without raising costs for insurers or contributors. Yet, no concrete agreement on the details has been reached so far.

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Andreas Gassen, head of the Kassenärztlicher Bundesverband, advocates for closing more hospitals and expanding ambulatory care in Germany. He criticizes health insurers' cost-cutting plans and demands higher taxes on tobacco and alcohol, plus a sugar tax. The revenues should be earmarked for the health system.

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A team of microbiologists suggests that infections occurring alongside SARS-CoV-2 may contribute to some cases of long COVID, potentially by reactivating latent pathogens such as Epstein–Barr virus or altering the course of tuberculosis. Their perspective, published in eLife, stresses that this remains a hypothesis and calls for large studies and better animal models to test whether these co-infections help drive persistent symptoms like fatigue and brain fog.

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