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How 116117 Works in Frankfurt: KV Hessen's Own Rules, and the Office Sitting Right Downtown

116117 is Germany's nationwide medical appointment number, and in Frankfurt it is run by the Kassenärztliche Vereinigung Hessen (KVH) as the Terminservicestelle (TSS), an office that happens to sit right in the city itself, at Europa-Allee 90, since that address is also KVH's own headquarters for the entire state. KVH's own published pages are not fully consistent about the phone line's hours, its dedicated TSS page states Monday to Friday, 7:00 to 17:00, while its general 116117 overview page says 8:00 to 16:00, so calling 069 24741-7777 and confirming on the day is more reliable than assuming either window. For most specialists you need a referral (Überweisung), except for Hausarzt, Kinderarzt, Augenarzt, and Frauenarzt visits, plus a first psychotherapy consultation, all of which skip the referral system entirely. Every other referral carries a 12-digit Vermittlungscode, generated in the doctor's practice software per nationwide guidance from the Kassenärztliche Bundesvereinigung (KBV) and valid for 28 days, and if the referral is marked dringend, KVH's own TSS page promises an appointment within a maximum of 35 days, a slightly more generous framing in calendar days than the "4 weeks" language used by federal consumer-protection guidance and other regions' own KV pages for what is fundamentally the same nationwide right. Outside TSS phone hours, the same 116117 number reaches a separate, round-the-clock service, the ärztlicher Bereitschaftsdienst, for something that cannot wait but is not a 112 emergency. Psychotherapy access runs on its own clock: the mandatory first step is a Sprechstunde, and once a case is flagged for Akutbehandlung, KVH's own page states a maximum two-week wait. KVH's own Bedarfsplanung, the state's needs-based practice-admission plan, formally closes a specialty in a given area once local physician density passes 110 percent of the target ratio, but KVH does not publish a single current Frankfurt-wide figure on the pages checked for this guide, so a family weighing whether a specialty is genuinely "full" in their part of the city is better off asking KVH directly than relying on an old or citywide average.

The Official Rule, Run From Its Own Front Door

Getting a specialist appointment as a statutory (GKV) patient in Frankfurt runs through the same nationwide 116117 mechanism as everywhere else in Germany, with one detail that makes Frankfurt’s version slightly different to research: the office running it is not somewhere else in Hesse, it sits right in the city. The Kassenärztliche Vereinigung Hessen (KVH) operates the Terminservicestelle (TSS) for the entire state from its own headquarters at Europa-Allee 90, 60486 Frankfurt am Main, the same address listed for KVH generally.

KVH’s own published pages are not fully consistent about when the TSS phone line is actually staffed. The dedicated Terminservicestelle page states “Montag bis Freitag, 7 bis 17 Uhr,” while KVH’s separate 116117 Patientenservice overview page gives “Montag bis Freitag, 8 bis 16 Uhr” instead. Rather than picking one and hoping, calling 069 24741-7777 and letting the automated system route the call is the more reliable approach. That phone line is only the appointment-mediation side. The ärztlicher Bereitschaftsdienst (on-call medical service), reached on the same 116117 number, runs around the clock every day of the year for something that genuinely cannot wait but is not a 112 emergency.

What 116117 in Frankfurt actually covers, by situation
SituationWhat you needTime promise
Hausarzt, Kinderarzt, Augenarzt, or FrauenarztNo referral or code neededBooked directly
Any other specialist, referral marked dringendÜberweisung with a 12-digit VermittlungscodeKVH's own pledge: within 35 days
First psychotherapy consultation (Sprechstunde)No referral or code neededMediated per federal rules
Acute psychotherapy treatment (Akutbehandlung)Flagged after the SprechstundeMaximum 2 weeks, per KVH
Outside TSS phone hours, or genuinely urgent on-call needsSame number, 116117Routes to the ärztlicher Bereitschaftsdienst instead

Referrals, the Vermittlungscode, and a 35-Day Pledge Worth Knowing By Name

Most specialists still require a referral (Überweisung), with the same short list of exceptions KVH publishes: Hausarzt, Kinderarzt, Augenarzt, and Frauenarzt visits skip the referral system entirely, book those directly. For everything else, the referral carries the one detail 116117 actually needs: a Vermittlungscode, a 12-digit alphanumeric string generated directly in the doctor’s practice management software the moment a referral is issued, per the Kassenärztliche Bundesvereinigung’s own nationwide guidance to practices, the same software every KV region’s member practices run, Hesse’s included. It is valid for 28 days from issuance, so a referral left sitting in a drawer effectively expires as a 116117 fast-track well before the paper itself looks outdated.

When your doctor marks the case dringend, KVH’s own Terminservicestelle page states a promise of a maximum of 35 days to an appointment. That is worth knowing by KVH’s own number specifically, since federal consumer-protection guidance and other regions’ pages often describe the same underlying nationwide right as roughly “4 weeks.” The two framings land within a few days of each other rather than contradicting one another, but if you are budgeting your own timeline against an urgent referral in Frankfurt, KVH’s own 35-day figure is the one to hold the office to.

A hand marking a date on a paper desk calendar with a pen, coffee cup and phone nearby

Photo by Leeloo The First on Pexels

Psychotherapy’s Own, Faster Clock

116117 mediates psychotherapy access too, and it needs no referral or code at all. Per 116117.de’s national psychotherapy rules, which KVH applies the same way every other KV region does, the mandatory first step is a psychotherapeutische Sprechstunde, a consultation that determines what kind of treatment actually fits your situation. If the consulting therapist decides your case needs Akutbehandlung, acute treatment available without separate Krankenkasse pre-approval, KVH’s own page states that window tightens to a maximum of two weeks.

The Oversupply Question, and Why One Citywide Number Rarely Settles It

Bedarfsplanung, Hesse’s official needs-based plan for where new practices may open, formally closes a specialty to new admissions in a planning area once local physician density passes 110 percent of the target ratio under Paragraph 101 SGB V. KVH’s own Bedarfsplanung page confirms the mechanism, but it does not carry one single, current, citywide Frankfurt percentage on the pages checked for this guide, and older figures reported for Frankfurt in the past are not something this research could confirm still holds today. A specialty rated comfortably supplied on paper can still leave an individual family waiting well past what feels reasonable, particularly in a specific neighborhood or during a specific week of the quarter, and that mismatch is precisely the gap 116117’s mediation right exists to bridge. If a specialty you need looks “full” in practice, use the number rather than assuming an old or citywide statistic settles the question either way.

Step by Step

  1. Check whether your appointment even needs a referral firstHausarzt, Kinderarzt, Augenarzt, Frauenarzt, and a first psychotherapy consultation all skip the referral system entirely.
  2. For any other specialist, get an Überweisung with the urgency markedAsk your doctor to mark it dringend if it genuinely applies, since that unlocks KVH's 35-day pledge.
  3. Use the 12-digit Vermittlungscode within 28 days of issuanceIt is generated the moment your referral is created and expires as a 116117 fast-track after that window.
  4. Call 069 24741-7777 rather than assuming a specific set of hoursKVH's own pages disagree slightly on when the phone line is staffed; the automated system will route you correctly either way.
  5. Outside whatever those hours turn out to be, know the same 116117 still worksIt reaches the round-the-clock ärztlicher Bereitschaftsdienst instead, for something urgent that is not a 112 emergency.
  6. If a specialty looks "oversupplied" on paper but you genuinely cannot get seen, use 116117 anywayKVH's own planning figures and the lived reality of getting an appointment do not always line up.

Compliance Note

This page explains the general mechanics of Germany’s 116117 appointment-mediation system as KV Hessen operates it, based on official KVH, KBV, 116117.de, and Verbraucherzentrale guidance current as of mid-2026. It is not medical advice, and specific rules, referral requirements, and phone hours can change. For your own situation, confirm current details directly with your doctor, your Krankenkasse, or KV Hessen’s own Terminservicestelle.

FAQ & Common Pitfalls

Is 116117 reachable around the clock in Frankfurt, like I might have heard about other German cities?

Not for the appointment-booking side specifically, and KVH's own published pages are not even fully consistent with each other about exactly when that side is staffed. The dedicated Terminservicestelle page states phone hours of Montag bis Freitag, 7:00 bis 17:00 Uhr, while KVH's general 116117 patient-service overview page gives 8:00 bis 16:00 Uhr instead. Rather than guessing which one is current, calling 069 24741-7777 and letting the system route you is the safer move. Outside whichever window actually applies, the same 116117 number still connects you, but to the separate ärztlicher Bereitschaftsdienst, the on-call service that runs around the clock every day of the year for something that cannot wait but is not a 112 emergency.

Which appointments can we book without a referral at all in Frankfurt?

Five things skip the referral system entirely, per KVH's own guidance: Hausarzt (GP), Kinderarzt (pediatrician), Augenarzt (ophthalmologist), Frauenarzt (gynecologist), and a first psychotherapeutic Sprechstunde. You can call 116117 or use the eTerminservice for any of these without a Vermittlungscode. Our companion guide to finding a Kinderarzt or Hausarzt in Frankfurt covers the practical side of actually landing one of these appointments locally, without repeating that ground here.

What exactly is the Vermittlungscode, and how long can we actually use it?

It is a 12-digit alphanumeric code your doctor generates directly in their practice management software the moment they issue a referral (Überweisung), per the Kassenärztliche Bundesvereinigung's own nationwide guidance to practices, guidance every KV region's member practices follow, Hesse's included. It is valid for 28 days from issuance. Your doctor also marks the referral dringend or nicht dringend at that point. If it is marked urgent, KVH's own Terminservicestelle page states a maximum of 35 days to an appointment, worth knowing since other sources describe the same underlying right as roughly "4 weeks," a framing that lands within a few days of KVH's own number rather than contradicting it.

Can 116117 actually help with psychotherapy access in Frankfurt?

Yes, and it needs no referral or code at all. The mandatory first step is a psychotherapeutische Sprechstunde, a consultation that determines what kind of treatment fits your situation, and KVH applies the same federal mediation rules every other KV region does. If the consulting therapist flags your case as needing Akutbehandlung, acute treatment, KVH's own page states a maximum two-week wait for that, tighter than the ordinary referral window.

KVH's needs-planning system is supposed to close off oversupplied specialties. Does that mean Frankfurt genuinely has too many doctors already?

It is more nuanced than a single citywide number can capture, and worth treating with some caution regardless of which figure you come across. KVH's Bedarfsplanung formally closes a specialty to new practice admissions once local physician density in a planning area passes 110 percent of the official target ratio (Paragraph 101 SGB V), but the pages checked for this guide did not carry one single, current, citywide Frankfurt percentage, and older figures reported elsewhere for Frankfurt are not something we could confirm still applies today. A genuinely oversupplied-on-paper specialty can still leave individual families waiting, which is exactly the gap 116117's 35-day mediation right exists to bridge. If you want the current figure for your own specialty, KVH's own Bedarfsplanung page and contact channels are the reliable source, not an older number quoted secondhand.