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The demise of taxi entrepreneurs is not taken seriously by the health insurance funds in Mecklenburg-Vorpommern.
Maik Göricke, also a board member of the state association for the taxi and rental-car trade Mecklenburg-Vorpommern e.V., said at the members' meeting on 29 November 2025:
"In the last 24 years, 70 percent of taxi and rental-car companies in Mecklenburg-Vorpommern have had to give up their businesses because revenues, especially from patient transport, were not sufficient to withstand the cost pressure. In the next three years, according to our forecast, another 30 percent of the remaining operators will give up if nothing changes."
The AOK, Barmer, IKK, etc. demanded that, in rural areas, on average you drive 20 kilometers free of charge to their insured and then transport them at 30 percent below the reimbursement rates of more densely populated federal states, Göricke continued.
"For decades, the health insurance funds in Mecklenburg-Vorpommern have been exploiting the small-scale taxi and rental-car industry to an extreme extent. Negotiations are always tantamount to a dictat," says Christian Teetz, also a board member of the association.
Compared with the previous negotiations, this time we have been technically extremely well prepared and, organizationally, generated a historic consensus. That, of course, does not sit well with the fund representatives, says Göricke.
"They close themselves off to facts, mathematics and claim that our demand would lead to premium increases. Our completely non-negotiated demand would, for example, lead to an increase in total costs at AOK NO of a minimum 0.148 percent. For the other funds, we're talking about 0.05 percent. Whoever wants to pin premium increases on us and at the same time pockets premium revenue increases of 10 percent in the years 2025 and 2026 is lying and thinks the taxi- and rental-car entrepreneurs could not count," says Maik Göricke.
Here, 'apples with pears' would be compared
Press releases indicate that the funds argued that the proposed increase (5.17%) for patient transport would be well above those of the public sector (5.8%). According to Göricke, the pear-and-apple comparison clearly shows that the arguments and objectivity are lacking.
“Apparently also a sign of dissatisfied salary increases within our own house. Furthermore, the funds report that the remuneration in Mecklenburg-Vorpommern, compared with those in Berlin-Brandenburg, is on the same level. That is true, but there too the taxi and rental-car operators have shown solidarity and are demanding significantly more from the funds than are offered. The taxi and rental-car industry has not yet coordinated across borders, but we can all figure it out,” says Maik Göricke.
One would have to imagine this year's negotiations with the funds as the association presenting, professionally and factually, that 1 meter has 100 centimeters and the fund representatives understand that, of course, but for us the meter has only 20 centimeters. Anything else would lead to an extension of the ruler, says the deputy chairperson, Nadja Sabielny.
Insured persons can submit the taxi receipt to their health insurance
„That’s the end of it! From January 1, 2026, we can no longer guarantee that insured persons will be transported under the health-insurance framework contract,” says Christian Teetz. He adds: “We will transport all people. The money paid to us can be reimbursed to the insured by submitting the receipt to their health insurers.”
To our knowledge, the supervisory authorities of the taxi and rental-car industry in Mecklenburg-Vorpommern also view the funds' remuneration critically, as they threaten the existence of the taxi sector.
Content automatically translated.
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