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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Andreas Gassen, chairman of the Kassenärztliche Bundesvereinigung, calls for the complete elimination of voluntary additional services provided by statutory health insurance funds to achieve savings. He estimates the potential savings at nearly one billion euros per year. This comes amid a looming financing gap of twelve billion euros in the statutory health insurance system.

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.

From January 1, 2027, prescriptions for care and medications by sector 3 liberal doctors will no longer be reimbursed by Assurance-maladie, under the 2026 social security financing law. The measure affects about 1,000 non-conventioned doctors out of more than 200,000 in practice. The profession is voicing anger over this restriction.

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From April, heavy smokers aged 50 to 75 in Germany can access an annual free lung cancer screening. The program uses low-dose computed tomography to detect cancer early. It targets current and former smokers with at least 15 pack-years of smoking.

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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Nature Medicine has selected promising clinical studies for 2026, emphasizing long-lasting vaccines and innovative treatments. Key areas include tuberculosis, HIV, long Covid, stem cells, and cholesterol. These developments could transform the fight against global diseases.

 

 

 

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