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Medical On-Call Service Sick Leave – Work Incapacity on Weekends

RAB Arztbesuche is a private medical home-visit service that sends a licensed physician to your home, office or hotel anywhere in Berlin daily from 6 am to midnight — usually within 60 to 90 minutes.

Published · last updated

Susanne Reiche

Medically reviewed by Susanne Reiche

Consultant in internal medicine, geriatrics and palliative care — private physician

Medical On-Call Service Sick Leave

Monday morning your important presentation is coming up, but you've been in bed with severe flu since Saturday. Your family doctor doesn't reopen until Tuesday – how do you get the necessary sick leave certificate? Many working professionals in Berlin know this situation. Fortunately, there are solutions for obtaining a work incapacity certificate on weekends.

The Legal Situation: When is a Sick Leave Certificate Required?

In principle, employees must provide a medical certificate after three days of work incapacity. However, many employers already require a work incapacity certificate (AU) from the first day of illness. If the illness begins on a weekend, obtaining the sick leave certificate becomes a challenge.

Who Can Issue Sick Leave on Weekends?

  • Statutory On-Call Service: Official on-call practices can issue work incapacity certificates if the medical conditions are met.
  • Private On-Call Services: Specialized providers with their own physicians can also issue valid sick leave certificates.
  • Emergency Rooms: Basically possible, but usually only for serious illnesses requiring or excluding inpatient treatment.

What Prerequisites Must Be Met?

A sick leave certificate is not an automatic right but a medical decision. The physician must determine that you are unable to work due to your illness. Typical situations:

  • Infectious Diseases: Flu, gastroenteritis, or other contagious illnesses
  • Pain Conditions: Severe back, headache, or other pain Psychological
  • Stress: Burnout, depression, or acute stress reactions
  • Injuries: Following accidents or falls

The On-Call Service Process

  • Telephone Registration: Usually prior registration is necessary. Describe your symptoms and mention that you need a sick leave certificate.
  • Examination: The physician will examine you and assess your work capacity. An honest description of your complaints is important.
  • AU Issuance: With appropriate medical indication, you will receive the work incapacity certificate immediately.

House Calls with Sick Leave

If you are too ill to leave the house, specialized house call services can also visit you and issue a sick leave certificate on-site. This is particularly useful for contagious illnesses.

Differences Between Statutory and Private Sick Leave

Statutory Sick Leave:

  • Billing via health insurance card
  • Usually longer waiting times
  • Often basic care only

Private Sick Leave:

  • Private invoice (often reimbursable)
  • Shorter waiting times
  • Often more comprehensive consultation
  • House calls possible

Common Problems and Misunderstandings

  • "I just need a sick leave certificate": An AU is always a medical decision. The physician must identify a treatable illness.
  • Backdating: Sick leave certificates cannot be arbitrarily backdated. They are valid from the issuance date or the date of the first examination.
  • Duration of Sick Leave: The duration depends on the medical prognosis, not on the patient's wishes.

Special Situations on Weekends

  • Preventive Sick Leave: If you anticipate being unable to work on Monday, you can preventively see a physician on the weekend.
  • Extension of Existing Sick Leave: If your AU expires on the weekend but you are not yet healthy, on-call services can extend it.
  • Work Accidents: Even for work accidents with effects persisting into the weekend, appropriate certificates can be issued.

Weekend Sick Leave Costs

Costs vary depending on the provider:

  • Statutory On-Call Services: Billing via insurance card
  • Private Services: 50-150 euros depending on effort
  • House Calls: Additional costs for travel and time

Many private health insurance companies and statutory funds reimburse costs when medically necessary.

Employer Communication on Weekends

  • Immediate Notification: Inform your employer as quickly as possible of your work incapacity, even if you can provide the AU later.
  • Documentation: Record when you informed whom.
  • Submission: The AU can usually be submitted on the first working day.

Digital Sick Leave and Modern Processes

Since 2023, there is the electronic work incapacity certificate (eAU). Modern on-call services can transmit this directly digitally to your health insurance. You will still receive a paper copy for your records.

Control and Abuse Prevention

Employers and health insurance companies have various control options:

  • Medical Service of Health Insurance (MDK)
  • Company Medical Examinations
  • Plausibility Checks

Therefore, it is important that the sick leave certificate is based on genuine health impairment.

Reintegration After Extended Illness

With longer sick leave periods, the on-call service can also provide advice on reintegration measures and make appropriate recommendations.

Preventive Measures

To avoid weekend sick leave:

  • Visit your family doctor early at the first signs of illness
  • Attend preventive check-ups
  • Address stress and overload promptly
  • Regular check-ups for chronic conditions

Legal Protection

Get advice about your sick leave:

  • What activities are possible despite AU?
  • How to behave during control calls?
  • What to observe when traveling during sick leave?

RAB Berlin – Competent Sick Leave on Weekends

The RAB on-call service in Berlin can issue you a work incapacity certificate on weekends if medically indicated. When you call, you speak directly with experienced company staff – no impersonal call center. They can assess over the phone whether your situation justifies a sick leave certificate.

With the specialist expertise, you will be treated by the physician best qualified for your condition. This ensures you receive not only well-founded medical treatment but also a legally secure work incapacity certificate.

House calls are possible – particularly useful for contagious diseases or if you are too weak to leave the house.

Are you ill on the weekend and need sick leave for Monday? The RAB on-call service in Berlin helps you quickly and unbureaucratically. Medically sound and legally secure.

👉 [Request Sick Leave Now] – Professional and legally secure

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