Praxisgebühr (in English, practice fee) is a term used in the context of healthcare financing in Germany.

It refers to a nominal fee charged to patients for every doctor's visit, excluding preventative and follow-up appointments. The introduction of this fee was part of the Health Care Reform Act implemented on January 1, 2004. The Praxisgebühr was primarily designed to reduce patient utilization of medical services by discouraging unnecessary visits and promoting responsible use of the healthcare system. It aimed to alleviate the financial burden on the statutory health insurance system while ensuring that individuals remained accountable for their healthcare consumption. To understand the Praxisgebühr more comprehensively, it is crucial to delve into its structure. The fee amounts to €10 per quarter and is capped at €40 annually for each patient. However, it applies only to doctor visits within outpatient care. In cases where specialized doctors such as dentists, ophthalmologists, or gynecologists directly refer patients to other specialists, the fee is not applicable. Moreover, if patients visit a doctor in the same specialty, practice fee payments need only be made once within a three-month period. From a legislative perspective, the introduction of the Praxisgebühr aimed to balance the interests of patients and the healthcare system. By implementing this fee, a mechanism was established to alleviate excessive utilization of medical services and ensure every interaction with the healthcare system was meaningful and necessary. Critics argue that the Praxisgebühr may be a barrier to accessing healthcare for socially disadvantaged individuals, as the payment obligation remains regardless of income level. Nonetheless, it has been successful in reducing the number of unnecessary doctor visits and mitigating healthcare spending in Germany. In conclusion, the Praxisgebühr is a nominal fee imposed on patients for doctor visits within the outpatient care setting in Germany. Designed to reduce healthcare utilization, it serves as a financial deterrent for unnecessary visits and encourages responsible use of the healthcare system. While contentious, the fee has shown effectiveness in reducing excessive utilization and alleviating the strain on the statutory health insurance system.