{"id":84,"date":"2024-08-29T14:11:45","date_gmt":"2024-08-29T14:11:45","guid":{"rendered":"https:\/\/untire.ahcom.nl\/de\/?page_id=84"},"modified":"2025-03-26T14:21:19","modified_gmt":"2025-03-26T14:21:19","slug":"lade-dein-rezept-hoch","status":"publish","type":"page","link":"https:\/\/untire.ahcom.nl\/de\/untire-erhalten\/lade-dein-rezept-hoch\/","title":{"rendered":"Lade dein Rezept hoch"},"content":{"rendered":"\n<div class=\"wp-block-group alignfull has-eggshell-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\" style=\"min-height:500px;background-image:url(&apos;https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2025\/01\/Headers_Def_DE_09.png&apos;);background-position:50% 50%;background-repeat:no-repeat;background-size:contain;\">\n<div class=\"wp-block-group alignwide is-nowrap is-layout-flex wp-container-core-group-is-layout-f56f613f wp-block-group-is-layout-flex\" style=\"min-height:500px\">\n<h2 class=\"wp-block-heading has-sea-green-color has-text-color has-link-color has-x-large-font-size wp-elements-1\" id=\"h-untire-rezeptservice-fur-gesetzlich-versicherte\">Untire-Rezeptservice<br>f\u00fcr gesetzlich Versicherte<\/h2>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-sea-green-color has-text-color has-link-color has-x-large-font-size wp-elements-2\" id=\"h-vom-rezept-zur-app\" style=\"margin-top:var(--wp--preset--spacing--40);margin-bottom:var(--wp--preset--spacing--40)\"><br>Vom Rezept zur App<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Deine \u00c4rztin bzw. dein Arzt hat dir Untire verschrieben? Das Rezept muss nun innerhalb von 28 Tagen bei deiner Krankenkasse eingereicht werden. Das kannst du entweder selbst direkt per Post oder digital \u00fcber die kasseneigene App erledigen &#8211; oder du nutzt als gesetzlich Versicherte unseren kostenfreien Untire Rezeptservice.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/untire.ahcom.nl\/de\/untire-erhalten\/privatversicherte\/\">Du bist privat versichert?<\/a><\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading has-sea-green-color has-text-color has-link-color wp-elements-3\" id=\"h-rezeptservice\"><br>Rezeptservice<\/h3>\n\n\n\n<p class=\"has-gummetal-color has-text-color has-link-color wp-elements-4 wp-block-paragraph\">Um dich bei Untire anzumelden und zu aktivieren, ben\u00f6tigst du einen 16-stelligen Zugangscode. Den Code erh\u00e4lst du von deiner Krankenkasse, nachdem du dein Rezept eingereicht hast. Mit unserem Rezeptservice erledigen wir f\u00fcr dich die Einreichung. <br><\/p>\n\n\n\n<h5 class=\"wp-block-heading has-sea-green-color has-text-color has-link-color wp-elements-5\" id=\"h-dazu-einfach\">Dazu einfach:<\/h5>\n\n\n\n<div class=\"wp-block-columns has-eggshell-background-color has-background is-layout-flex wp-container-core-columns-is-layout-f56f613f wp-block-columns-is-layout-flex\" style=\"border-style:none;border-width:0px;border-radius:16px\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized is-style-default wp-duotone-unset-2\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2025\/01\/Dazu-einfach.png\" alt=\"\" class=\"wp-image-623\" style=\"width:357px;height:auto\" srcset=\"https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2025\/01\/Dazu-einfach.png 600w, https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2025\/01\/Dazu-einfach-300x300.png 300w, https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2025\/01\/Dazu-einfach-150x150.png 150w, https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2025\/01\/Dazu-einfach-400x400.png 400w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h4 class=\"wp-block-heading has-sea-green-color has-text-color has-link-color wp-elements-6\" id=\"h-1-kontaktformular-ausfullen\">1 . Kontaktformular ausf\u00fcllen<\/h4>\n\n\n\n<h4 class=\"wp-block-heading has-sea-green-color has-text-color has-link-color wp-elements-7\" id=\"h-2-rezept-fotografieren-und-hochladen\">2 . Rezept fotografieren<br>und hochladen<\/h4>\n\n\n\n<h4 class=\"wp-block-heading has-sea-green-color has-text-color has-link-color wp-elements-8\" id=\"h-3-datenschutzeinwilligung-bestatigen\">3 . Datenschutzeinwilligung <br>best\u00e4tigen<\/h4>\n\n\n\n<h4 class=\"wp-block-heading has-sea-green-color has-text-color has-link-color wp-elements-9\" id=\"h-4-abschicken\">4 . Abschicken<\/h4>\n<\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-full has-custom-border is-style-default\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"600\" src=\"https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2024\/12\/Fotografie-Untire-Rezept-richtig.jpg\" alt=\"\" class=\"wp-image-182\" style=\"border-style:none;border-width:0px;border-radius:15px\" srcset=\"https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2024\/12\/Fotografie-Untire-Rezept-richtig.jpg 900w, https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2024\/12\/Fotografie-Untire-Rezept-richtig-300x200.jpg 300w, https:\/\/untire.ahcom.nl\/de\/wp-content\/uploads\/sites\/9\/2024\/12\/Fotografie-Untire-Rezept-richtig-768x512.jpg 768w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><br><\/p>\n\n\n\n<h5 class=\"wp-block-heading has-sea-green-color has-text-color has-link-color wp-elements-10\" id=\"h-rezept-einreichen\">Rezept einreichen:<\/h5>\n\n\n<pre style='display: none;' id='ver-test'>Array\n(\n    [0] => GF_Field_Name Object\n        (\n            [_is_entry_detail:GF_Field:private] => \n            [is_payment] => \n            [_context_properties:GF_Field:private] => Array\n                (\n                )\n\n            [_merge_tag_modifiers:GF_Field:private] => Array\n                (\n                )\n\n            [_supports_state_validation:protected] => 1\n            [duplicatable] => 1\n            [noURLs] => 1\n            [repeatable] => 1\n            [type] => name\n            [id] => 1\n            [isRequired] => 1\n            [size] => medium\n            [errorMessage] => We need to know your name. What if we wanted to send you a birthday cake?\n            [label] => Name\n            [inputs] => Array\n                (\n                    [0] => Array\n                        (\n                            [id] => 1.2\n                            [label] => Vorspann\n                            [name] => \n                            [autocompleteAttribute] => honorific-prefix\n                            [choices] => Array\n                                (\n                                    [0] => Array\n                                        (\n                                            [text] => Herr\n                                            [value] => Mr.\n                                            [isSelected] => \n                                            [price] => \n                                        )\n\n                                    [1] => Array\n                                        (\n                                            [text] => Frau\n                                            [value] => Mrs.\n                                            [isSelected] => \n                                            [price] => \n                                        )\n\n                                    [2] => Array\n                                        (\n                                            [text] => Fr\u00e4ulein\n                                            [value] => Miss\n                                            [isSelected] => \n                                            [price] => \n                                        )\n\n                                    [3] => Array\n                                        (\n                                            [text] => Frau\n                                            [value] => Ms.\n                                            [isSelected] => \n                                            [price] => \n                                        )\n\n                                    [4] => Array\n                                        (\n                                            [text] => Dr.\n                                            [value] => Dr.\n                                            [isSelected] => \n                                            [price] => \n                                        )\n\n                                    [5] => Array\n                                        (\n                                            [text] => Prof.\n                                            [value] => Prof.\n                                            [isSelected] => \n                                            [price] => \n                                        )\n\n                                    [6] => Array\n                                        (\n                                            [text] => Rev.\n                                            [value] => Rev.\n                                            [isSelected] => \n                                            [price] => \n                                        )\n\n                                )\n\n                            [isHidden] => 1\n                            [inputType] => radio\n                        )\n\n                    [1] => Array\n                        (\n                            [id] => 1.3\n                            [label] => Vorname\n                            [name] => \n                            [placeholder] => \n                            [autocompleteAttribute] => given-name\n                        )\n\n                    [2] => Array\n                        (\n                            [id] => 1.4\n                            [label] => zweiter Vorname\n                            [name] => \n                            [autocompleteAttribute] => additional-name\n                            [isHidden] => 1\n                        )\n\n                    [3] => Array\n                        (\n                            [id] => 1.6\n                            [label] => Nachname\n                            [name] => \n                            [placeholder] => \n                            [autocompleteAttribute] => family-name\n                        )\n\n                    [4] => Array\n                        (\n                            [id] => 1.8\n                            [label] => Nachspann\n                            [name] => \n                            [autocompleteAttribute] => honorific-suffix\n                            [isHidden] => 1\n                        )\n\n                )\n\n            [inputType] => name\n            [displayOnly] => \n            [nameFormat] => advanced\n            [choices] => \n            [conditionalLogic] => \n            [labelPlacement] => \n            [descriptionPlacement] => \n            [subLabelPlacement] => \n            [placeholder] => \n            [multipleFiles] => \n            [maxFiles] => \n            [calculationFormula] => \n            [calculationRounding] => \n            [enableCalculation] => \n            [disableQuantity] => \n            [displayAllCategories] => \n            [inputMask] => \n            [inputMaskValue] => \n            [allowsPrepopulate] => \n            [useRichTextEditor] => \n            [defaultValue] => \n            [description] => \n            [visibility] => visible\n            [fields] => \n            [layoutGroupId] => 755102fe\n            [adminLabel] => \n            [inputMaskIsCustom] => \n            [maxLength] => \n            [cssClass] => \n            [inputName] => \n            [noDuplicates] => \n            [enableAutocomplete] => 1\n            [autocompleteAttribute] => \n            [pageNumber] => 1\n            [formId] => 1\n            [personalDataExport] => \n            [personalDataErase] => \n        )\n\n    [1] => GF_Field_Email Object\n        (\n            [_is_entry_detail:GF_Field:private] => \n            [is_payment] => \n            [_context_properties:GF_Field:private] => Array\n                (\n                )\n\n            [_merge_tag_modifiers:GF_Field:private] => Array\n                (\n                )\n\n            [_supports_state_validation:protected] => \n            [duplicatable] => 1\n            [noURLs] => \n            [repeatable] => 1\n            [type] => email\n            [id] => 2\n            [isRequired] => 1\n            [size] => large\n            [errorMessage] => please supply a valid email address\n            [label] => E-Mail\n            [inputType] => email\n            [displayOnly] => \n            [inputs] => Array\n                (\n                    [0] => Array\n                        (\n                            [id] => 2\n                            [label] => E-Mail eingeben\n                            [name] => \n                            [autocompleteAttribute] => email\n                        )\n\n                    [1] => Array\n                        (\n                            [id] => 2.2\n                            [label] => E-Mail best\u00e4tigen\n                            [name] => \n                            [autocompleteAttribute] => email\n                        )\n\n                )\n\n            [choices] => \n            [conditionalLogic] => \n            [labelPlacement] => \n            [descriptionPlacement] => \n            [subLabelPlacement] => \n            [placeholder] => \n            [multipleFiles] => \n            [maxFiles] => \n            [calculationFormula] => \n            [calculationRounding] => \n            [enableCalculation] => \n            [disableQuantity] => \n            [displayAllCategories] => \n            [inputMask] => \n            [inputMaskValue] => \n            [allowsPrepopulate] => \n            [useRichTextEditor] => \n            [visibility] => visible\n            [fields] => \n            [inputMaskIsCustom] => \n            [layoutGroupId] => 17f293c9\n            [autocompleteAttribute] => \n            [emailConfirmEnabled] => 1\n            [adminLabel] => \n            [description] => \n            [maxLength] => \n            [cssClass] => \n            [inputName] => \n            [noDuplicates] => \n            [defaultValue] => \n            [enableAutocomplete] => 1\n            [pageNumber] => 1\n            [formId] => 1\n            [errors] => Array\n                (\n                )\n\n            [personalDataExport] => \n            [personalDataErase] => \n        )\n\n    [2] => GF_Field_Phone Object\n        (\n            [_is_entry_detail:GF_Field:private] => \n            [is_payment] => \n            [_context_properties:GF_Field:private] => Array\n                (\n                )\n\n            [_merge_tag_modifiers:GF_Field:private] => Array\n                (\n                )\n\n            [_supports_state_validation:protected] => \n            [duplicatable] => 1\n            [noURLs] => 1\n            [repeatable] => 1\n            [type] => phone\n            [id] => 4\n            [formId] => 1\n            [label] => Telefonnummer f\u00fcr eventuelle R\u00fcckfragen\n            [adminLabel] => \n            [isRequired] => 1\n            [size] => large\n            [errorMessage] => \n            [visibility] => visible\n            [inputs] => \n            [phoneFormat] => international\n            [autocompleteAttribute] => tel\n            [description] => \n            [allowsPrepopulate] => \n            [inputMask] => \n            [inputMaskValue] => \n            [inputMaskIsCustom] => \n            [maxLength] => \n            [inputType] => phone\n            [labelPlacement] => \n            [descriptionPlacement] => \n            [subLabelPlacement] => \n            [placeholder] => \n            [cssClass] => \n            [inputName] => \n            [noDuplicates] => \n            [defaultValue] => \n            [enableAutocomplete] => \n            [choices] => \n            [conditionalLogic] => \n            [productField] => \n            [layoutGridColumnSpan] => \n            [enableEnhancedUI] => 0\n            [layoutGroupId] => 006c9d37\n            [multipleFiles] => \n            [maxFiles] => \n            [calculationFormula] => \n            [calculationRounding] => \n            [enableCalculation] => \n            [disableQuantity] => \n            [displayAllCategories] => \n            [useRichTextEditor] => \n            [checkboxLabel] => \n            [errors] => Array\n                (\n                )\n\n            [pageNumber] => 1\n            [fields] => \n            [displayOnly] => \n            [personalDataExport] => \n            [personalDataErase] => \n        )\n\n    [3] => GF_Field_Text Object\n        (\n            [_is_entry_detail:GF_Field:private] => \n            [is_payment] => \n            [_context_properties:GF_Field:private] => Array\n                (\n                )\n\n            [_merge_tag_modifiers:GF_Field:private] => Array\n                (\n                )\n\n            [_supports_state_validation:protected] => \n            [duplicatable] => 1\n            [noURLs] => \n            [repeatable] => 1\n            [type] => text\n            [id] => 8\n            [formId] => 1\n            [label] => Postleitzahl\n            [adminLabel] => \n            [isRequired] => 1\n            [size] => large\n            [errorMessage] => \n            [visibility] => visible\n            [inputs] => \n            [description] => \n            [allowsPrepopulate] => \n            [inputMask] => \n            [inputMaskValue] => \n            [inputMaskIsCustom] => \n            [maxLength] => \n            [inputType] => text\n            [labelPlacement] => \n            [descriptionPlacement] => \n            [subLabelPlacement] => \n            [placeholder] => \n            [cssClass] => \n            [inputName] => \n            [noDuplicates] => \n            [defaultValue] => \n            [enableAutocomplete] => \n            [autocompleteAttribute] => \n            [choices] => \n            [conditionalLogic] => \n            [productField] => \n            [layoutGridColumnSpan] => 12\n            [enablePasswordInput] => \n            [enableEnhancedUI] => 0\n            [layoutGroupId] => 645de265\n            [multipleFiles] => \n            [maxFiles] => \n            [calculationFormula] => \n            [calculationRounding] => \n            [enableCalculation] => \n            [disableQuantity] => \n            [displayAllCategories] => \n            [useRichTextEditor] => \n            [errors] => Array\n                (\n                )\n\n            [pageNumber] => 1\n            [fields] => \n            [displayOnly] => \n            [personalDataExport] => \n            [personalDataErase] => \n        )\n\n    [4] => GF_Field_Select Object\n        (\n            [_is_entry_detail:GF_Field:private] => \n            [is_payment] => \n            [_context_properties:GF_Field:private] => Array\n                (\n                )\n\n            [_merge_tag_modifiers:GF_Field:private] => Array\n                (\n                )\n\n            [_supports_state_validation:protected] => 1\n            [duplicatable] => 1\n            [noURLs] => \n            [repeatable] => 1\n            [type] => select\n            [id] => 7\n            [formId] => 1\n            [label] => Krankenkasse\n            [adminLabel] => \n            [isRequired] => 1\n            [size] => large\n            [errorMessage] => \n            [visibility] => visible\n            [validateState] => 1\n            [inputs] => \n            [choices] => Array\n                (\n                    [0] => Array\n                        (\n                            [value] => 0\n                            [text] => Versicherung ausw\u00e4hlen\n                        )\n\n                    [1] => Array\n                        (\n                            [value] => AOK - Die Gesundheitskasse f\u00fcr Niedersachsen\n                            [text] => AOK - Die Gesundheitskasse f\u00fcr Niedersachsen\n                        )\n\n                    [2] => Array\n                        (\n                            [value] => AOK - Die Gesundheitskasse in Hessen\n                            [text] => AOK - Die Gesundheitskasse in Hessen\n                        )\n\n                    [3] => Array\n                        (\n                            [value] => AOK Baden-W\u00fcrttemberg\n                            [text] => AOK Baden-W\u00fcrttemberg\n                        )\n\n                    [4] => Array\n                        (\n                            [value] => AOK Bayern - Die Gesundheitskasse\n                            [text] => AOK Bayern - Die Gesundheitskasse\n                        )\n\n                    [5] => Array\n                        (\n                            [value] => AOK Bremen \/ Bremerhaven\n                            [text] => AOK Bremen \/ Bremerhaven\n                        )\n\n                    [6] => Array\n                        (\n                            [value] => AOK Nordost - Die Gesundheitskasse\n                            [text] => AOK Nordost - Die Gesundheitskasse\n                        )\n\n                    [7] => Array\n                        (\n                            [value] => AOK NordWest - Die Gesundheitskasse\n                            [text] => AOK NordWest - Die Gesundheitskasse\n                        )\n\n                    [8] => Array\n                        (\n                            [value] => AOK PLUS - Die Gesundheitskasse f\u00fcr Sachsen und Th\u00fcringen\n                            [text] => AOK PLUS - Die Gesundheitskasse f\u00fcr Sachsen und Th\u00fcringen\n                        )\n\n                    [9] => Array\n                        (\n                            [value] => AOK Rheinland\/Hamburg - Die Gesundheitskasse\n                            [text] => AOK Rheinland\/Hamburg - Die Gesundheitskasse\n                        )\n\n                    [10] => Array\n                        (\n                            [value] => AOK Rheinland-Pfalz\/Saarland-Die Gesundheitskasse\n                            [text] => AOK Rheinland-Pfalz\/Saarland-Die Gesundheitskasse\n                        )\n\n                    [11] => Array\n                        (\n                            [value] => AOK Sachsen-Anhalt - Die Gesundheitskasse\n                            [text] => AOK Sachsen-Anhalt - Die Gesundheitskasse\n                        )\n\n                    [12] => Array\n                        (\n                            [value] => Audi BKK\n                            [text] => Audi BKK\n                        )\n\n                    [13] => Array\n                        (\n                            [value] => BAHN-BKK\n                            [text] => BAHN-BKK\n                        )\n\n                    [14] => Array\n                        (\n                            [value] => BARMER\n                            [text] => BARMER\n                        )\n\n                    [15] => Array\n                        (\n                            [value] => BERGISCHE KRANKENKASSE\n                            [text] => BERGISCHE KRANKENKASSE\n                        )\n\n                    [16] => Array\n                        (\n                            [value] => Bertelsmann BKK\n                            [text] => Bertelsmann BKK\n                        )\n\n                    [17] => Array\n                        (\n                            [value] => BKK EWE\n                            [text] => BKK EWE\n                        )\n\n                    [18] => Array\n                        (\n                            [value] => BKK firmus\n                            [text] => BKK firmus\n                        )\n\n                    [19] => Array\n                        (\n                            [value] => BKK Miele\n                            [text] => BKK Miele\n                        )\n\n                    [20] => Array\n                        (\n                            [value] => BKK Mobil\n                            [text] => BKK Mobil\n                        )\n\n                    [21] => Array\n                        (\n                            [value] => BKK PwC\n                            [text] => BKK PwC\n                        )\n\n                    [22] => Array\n                        (\n                            [value] => BIG direkt gesund\n                            [text] => BIG direkt gesund\n                        )\n\n                    [23] => Array\n                        (\n                            [value] => BKK Akzo Nobel Bayern\n                            [text] => BKK Akzo Nobel Bayern\n                        )\n\n                    [24] => Array\n                        (\n                            [value] => BKK B. Braun Aesculap\n                            [text] => BKK B. Braun Aesculap\n                        )\n\n                    [25] => Array\n                        (\n                            [value] => BKK Deutsche Bank AG\n                            [text] => BKK Deutsche Bank AG\n                        )\n\n                    [26] => Array\n                        (\n                            [value] => BKK Diakonie\n                            [text] => BKK Diakonie\n                        )\n\n                    [27] => Array\n                        (\n                            [value] => BKK_D\u00fcrkopp Adler\n                            [text] => BKK_D\u00fcrkopp Adler\n                        )\n\n                    [28] => Array\n                        (\n                            [value] => BKK EUREGIO\n                            [text] => BKK EUREGIO\n                        )\n\n                    [29] => Array\n                        (\n                            [value] => BKK evm\n                            [text] => BKK evm\n                        )\n\n                    [30] => Array\n                        (\n                            [value] => BKK exklusiv\n                            [text] => BKK exklusiv\n                        )\n\n                    [31] => Array\n                        (\n                            [value] => BKK Faber-Castell & Partner\n                            [text] => BKK Faber-Castell &amp; Partner\n                        )\n\n                    [32] => Array\n                        (\n                            [value] => BKK Freudenberg\n                            [text] => BKK Freudenberg\n                        )\n\n                    [33] => Array\n                        (\n                            [value] => BKK GILDEMEISTER SEIDENSTICKER\n                            [text] => BKK GILDEMEISTER SEIDENSTICKER\n                        )\n\n                    [34] => Array\n                        (\n                            [value] => BKK Groz-Beckert\n                            [text] => BKK Groz-Beckert\n                        )\n\n                    [35] => Array\n                        (\n                            [value] => BKK Herford Minden Ravenburg\n                            [text] => BKK Herford Minden Ravenburg\n                        )\n\n                    [36] => Array\n                        (\n                            [value] => BKK Herkules\n                            [text] => BKK Herkules\n                        )\n\n                    [37] => Array\n                        (\n                            [value] => BKK Linde\n                            [text] => BKK Linde\n                        )\n\n                    [38] => Array\n                        (\n                            [value] => BKK MAHLE\n                            [text] => BKK MAHLE\n                        )\n\n                    [39] => Array\n                        (\n                            [value] => bkk melitta hmr\n                            [text] => bkk melitta hmr\n                        )\n\n                    [40] => Array\n                        (\n                            [value] => BKK MTU\n                            [text] => BKK MTU\n                        )\n\n                    [41] => Array\n                        (\n                            [value] => BKK Pfalz\n                            [text] => BKK Pfalz\n                        )\n\n                    [42] => Array\n                        (\n                            [value] => BKK Pfaff\n                            [text] => BKK Pfaff\n                        )\n\n                    [43] => Array\n                        (\n                            [value] => BKK ProVita\n                            [text] => BKK ProVita\n                        )\n\n                    [44] => Array\n                        (\n                            [value] => BKK Public\n                            [text] => BKK Public\n                        )\n\n                    [45] => Array\n                        (\n                            [value] => BKK Rieker.RICOSTA.Weisser\n                            [text] => BKK Rieker.RICOSTA.Weisser\n                        )\n\n                    [46] => Array\n                        (\n                            [value] => BKK RWE\n                            [text] => BKK RWE\n                        )\n\n                    [47] => Array\n                        (\n                            [value] => BKK Stadt Augsburg\n                            [text] => BKK Stadt Augsburg\n                        )\n\n                    [48] => Array\n                        (\n                            [value] => BKK Salzgitter\n                            [text] => BKK Salzgitter\n                        )\n\n                    [49] => Array\n                        (\n                            [value] => BKK Scheufelen\n                            [text] => BKK Scheufelen\n                        )\n\n                    [50] => Array\n                        (\n                            [value] => BKK SBH\n                            [text] => BKK SBH\n                        )\n\n                    [51] => Array\n                        (\n                            [value] => BKK Technoform\n                            [text] => BKK Technoform\n                        )\n\n                    [52] => Array\n                        (\n                            [value] => BKK Textilgruppe Hof\n                            [text] => BKK Textilgruppe Hof\n                        )\n\n                    [53] => Array\n                        (\n                            [value] => BKK VDN\n                            [text] => BKK VDN\n                        )\n\n                    [54] => Array\n                        (\n                            [value] => BKK VerbundPlus\n                            [text] => BKK VerbundPlus\n                        )\n\n                    [55] => Array\n                        (\n                            [value] => BKK Voralb HELLER*INDEX*LEUZE\n                            [text] => BKK Voralb HELLER*INDEX*LEUZE\n                        )\n\n                    [56] => Array\n                        (\n                            [value] => BKK WERRA-MEISSNER\n                            [text] => BKK WERRA-MEISSNER\n                        )\n\n                    [57] => Array\n                        (\n                            [value] => BKK Wirtschaft & Finanzen\n                            [text] => BKK Wirtschaft &amp; Finanzen\n                        )\n\n                    [58] => Array\n                        (\n                            [value] => BKK ZF & Partner\n                            [text] => BKK ZF &amp; Partner\n                        )\n\n                    [59] => Array\n                        (\n                            [value] => BKK24\n                            [text] => BKK24\n                        )\n\n                    [60] => Array\n                        (\n                            [value] => BKK-W\u00fcrth\n                            [text] => BKK-W\u00fcrth\n                        )\n\n                    [61] => Array\n                        (\n                            [value] => BMW BKK\n                            [text] => BMW BKK\n                        )\n\n                    [62] => Array\n                        (\n                            [value] => Bosch BKK\n                            [text] => Bosch BKK\n                        )\n\n                    [63] => Array\n                        (\n                            [value] => Continentale Betriebskrankenkasse\n                            [text] => Continentale Betriebskrankenkasse\n                        )\n\n                    [64] => Array\n                        (\n                            [value] => DAK-Gesundheit\n                            [text] => DAK-Gesundheit\n                        )\n\n                    [65] => Array\n                        (\n                            [value] => Debeka BKK\n                            [text] => Debeka BKK\n                        )\n\n                    [66] => Array\n                        (\n                            [value] => energie-BKK\n                            [text] => energie-BKK\n                        )\n\n                    [67] => Array\n                        (\n                            [value] => Ernst & Young BKK\n                            [text] => Ernst &amp; Young BKK\n                        )\n\n                    [68] => Array\n                        (\n                            [value] => Handelskrankenkasse (hkk)\n                            [text] => Handelskrankenkasse (hkk)\n                        )\n\n                    [69] => Array\n                        (\n                            [value] => Heimat Krankenkasse\n                            [text] => Heimat Krankenkasse\n                        )\n\n                    [70] => Array\n                        (\n                            [value] => HEK - Hanseatische Krankenkasse\n                            [text] => HEK - Hanseatische Krankenkasse\n                        )\n\n                    [71] => Array\n                        (\n                            [value] => IKK Brandenburg Berlin\n                            [text] => IKK Brandenburg Berlin\n                        )\n\n                    [72] => Array\n                        (\n                            [value] => IKK - Die Innovationskasse\n                            [text] => IKK - Die Innovationskasse\n                        )\n\n                    [73] => Array\n                        (\n                            [value] => IKK classic\n                            [text] => IKK classic\n                        )\n\n                    [74] => Array\n                        (\n                            [value] => IKK gesund plus\n                            [text] => IKK gesund plus\n                        )\n\n                    [75] => Array\n                        (\n                            [value] => IKK S\u00fcdwest\n                            [text] => IKK S\u00fcdwest\n                        )\n\n                    [76] => Array\n                        (\n                            [value] => KARL MAYER BKK\n                            [text] => KARL MAYER BKK\n                        )\n\n                    [77] => Array\n                        (\n                            [value] => Kaufm\u00e4nnische Krankenkasse - KKH\n                            [text] => Kaufm\u00e4nnische Krankenkasse - KKH\n                        )\n\n                    [78] => Array\n                        (\n                            [value] => KNAPPSCHAFT\n                            [text] => KNAPPSCHAFT\n                        )\n\n                    [79] => Array\n                        (\n                            [value] => Koenig & Bauer BKK\n                            [text] => Koenig &amp; Bauer BKK\n                        )\n\n                    [80] => Array\n                        (\n                            [value] => Krones Betriebskrankenkasse\n                            [text] => Krones Betriebskrankenkasse\n                        )\n\n                    [81] => Array\n                        (\n                            [value] => Mercedes-Benz BKK\n                            [text] => Mercedes-Benz BKK\n                        )\n\n                    [82] => Array\n                        (\n                            [value] => Merck BKK\n                            [text] => Merck BKK\n                        )\n\n                    [83] => Array\n                        (\n                            [value] => mkk\n                            [text] => mkk\n                        )\n\n                    [84] => Array\n                        (\n                            [value] => mhplus Betriebskrankenkasse\n                            [text] => mhplus Betriebskrankenkasse\n                        )\n\n                    [85] => Array\n                        (\n                            [value] => Novitas BKK\n                            [text] => Novitas BKK\n                        )\n\n                    [86] => Array\n                        (\n                            [value] => Pronova BKK\n                            [text] => Pronova BKK\n                        )\n\n                    [87] => Array\n                        (\n                            [value] => R+V Betriebskrankenkasse\n                            [text] => R+V Betriebskrankenkasse\n                        )\n\n                    [88] => Array\n                        (\n                            [value] => Salus BKK\n                            [text] => Salus BKK\n                        )\n\n                    [89] => Array\n                        (\n                            [value] => SECURVITA BKK\n                            [text] => SECURVITA BKK\n                        )\n\n                    [90] => Array\n                        (\n                            [value] => Siemens-Betriebskrankenkasse (SBK)\n                            [text] => Siemens-Betriebskrankenkasse (SBK)\n                        )\n\n                    [91] => Array\n                        (\n                            [value] => Siemag BKK\n                            [text] => Siemag BKK\n                        )\n\n                    [92] => Array\n                        (\n                            [value] => SKD BKK\n                            [text] => SKD BKK\n                        )\n\n                    [93] => Array\n                        (\n                            [value] => Sozialversicherung f\u00fcr Landwirtschaft, Forsten und Gartenbau (SVLFG)\n                            [text] => Sozialversicherung f\u00fcr Landwirtschaft, Forsten und Gartenbau (SVLFG)\n                        )\n\n                    [94] => Array\n                        (\n                            [value] => S\u00fcdzucker BKK\n                            [text] => S\u00fcdzucker BKK\n                        )\n\n                    [95] => Array\n                        (\n                            [value] => Techniker Krankenkasse\n                            [text] => Techniker Krankenkasse\n                        )\n\n                    [96] => Array\n                        (\n                            [value] => TUI BKK\n                            [text] => TUI BKK\n                        )\n\n                    [97] => Array\n                        (\n                            [value] => VIACTIV Krankenkasse\n                            [text] => VIACTIV Krankenkasse\n                        )\n\n                    [98] => Array\n                        (\n                            [value] => vivida bkk\n                            [text] => vivida bkk\n                        )\n\n                    [99] => Array\n                        (\n                            [value] => WMF Betriebskrankenkasse\n                            [text] => WMF Betriebskrankenkasse\n                        )\n\n                    [100] => Array\n                        (\n                            [value] => BKK VerbundPlus\n                            [text] => BKK VerbundPlus\n                        )\n\n                )\n\n            [description] => \n            [allowsPrepopulate] => \n            [inputMask] => \n            [inputMaskValue] => \n            [inputMaskIsCustom] => \n            [maxLength] => \n            [inputType] => select\n            [labelPlacement] => \n            [descriptionPlacement] => \n            [subLabelPlacement] => \n            [placeholder] => \n            [cssClass] => \n            [inputName] => \n            [noDuplicates] => \n            [defaultValue] => \n            [enableAutocomplete] => \n            [autocompleteAttribute] => \n            [conditionalLogic] => \n            [productField] => \n            [layoutGridColumnSpan] => 12\n            [enablePrice] => \n            [enableEnhancedUI] => 0\n            [layoutGroupId] => 4119a0ac\n            [multipleFiles] => \n            [maxFiles] => \n            [calculationFormula] => \n            [calculationRounding] => \n            [enableCalculation] => \n            [disableQuantity] => \n            [displayAllCategories] => \n            [useRichTextEditor] => \n            [errors] => Array\n                (\n                )\n\n            [pageNumber] => 1\n            [fields] => \n            [displayOnly] => \n            [personalDataExport] => \n            [personalDataErase] => \n        )\n\n    [5] => GF_Field_FileUpload Object\n        (\n            [_is_entry_detail:GF_Field:private] => \n            [is_payment] => \n            [_context_properties:GF_Field:private] => Array\n                (\n                )\n\n            [_merge_tag_modifiers:GF_Field:private] => Array\n                (\n                )\n\n            [_supports_state_validation:protected] => \n            [duplicatable] => 1\n            [noURLs] => \n            [repeatable] => 1\n            [type] => fileupload\n            [id] => 5\n            [formId] => 1\n            [label] => Datei\n            [adminLabel] => \n            [isRequired] => 1\n            [size] => large\n            [errorMessage] => \n            [visibility] => visible\n            [inputs] => \n            [description] => \n            [allowsPrepopulate] => \n            [inputMask] => \n            [inputMaskValue] => \n            [inputMaskIsCustom] => \n            [maxLength] => \n            [inputType] => fileupload\n            [labelPlacement] => \n            [descriptionPlacement] => \n            [subLabelPlacement] => \n            [placeholder] => \n            [cssClass] => \n            [inputName] => \n            [noDuplicates] => \n            [defaultValue] => \n            [enableAutocomplete] => \n            [autocompleteAttribute] => \n            [choices] => Array\n                (\n                    [0] => Array\n                        (\n                            [value] => 0\n                            [text] => Versicherung ausw\u00e4hlen\n                        )\n\n                    [1] => Array\n                        (\n                            [value] => AOK - Die Gesundheitskasse f\u00fcr Niedersachsen\n                            [text] => AOK - Die Gesundheitskasse f\u00fcr Niedersachsen\n                        )\n\n                    [2] => Array\n                        (\n                            [value] => AOK - Die Gesundheitskasse in Hessen\n                            [text] => AOK - Die Gesundheitskasse in Hessen\n                        )\n\n                    [3] => Array\n                        (\n                            [value] => AOK Baden-W\u00fcrttemberg\n                            [text] => AOK Baden-W\u00fcrttemberg\n                        )\n\n                    [4] => Array\n                        (\n                            [value] => AOK Bayern - Die Gesundheitskasse\n                            [text] => AOK Bayern - Die Gesundheitskasse\n                        )\n\n                    [5] => Array\n                        (\n                            [value] => AOK Bremen \/ Bremerhaven\n                            [text] => AOK Bremen \/ Bremerhaven\n                        )\n\n                    [6] => Array\n                        (\n                            [value] => AOK Nordost - Die Gesundheitskasse\n                            [text] => AOK Nordost - Die Gesundheitskasse\n                        )\n\n                    [7] => Array\n                        (\n                            [value] => AOK NordWest - Die Gesundheitskasse\n                            [text] => AOK NordWest - Die Gesundheitskasse\n                        )\n\n                    [8] => Array\n                        (\n                            [value] => AOK PLUS - Die Gesundheitskasse f\u00fcr Sachsen und Th\u00fcringen\n                            [text] => AOK PLUS - Die Gesundheitskasse f\u00fcr Sachsen und Th\u00fcringen\n                        )\n\n                    [9] => Array\n                        (\n                            [value] => AOK Rheinland\/Hamburg - Die Gesundheitskasse\n                            [text] => AOK Rheinland\/Hamburg - Die Gesundheitskasse\n                        )\n\n                    [10] => Array\n                        (\n                            [value] => AOK Rheinland-Pfalz\/Saarland-Die Gesundheitskasse\n                            [text] => AOK Rheinland-Pfalz\/Saarland-Die Gesundheitskasse\n                        )\n\n                    [11] => Array\n                        (\n                            [value] => AOK Sachsen-Anhalt - Die Gesundheitskasse\n                            [text] => AOK Sachsen-Anhalt - Die Gesundheitskasse\n                        )\n\n                    [12] => Array\n                        (\n                            [value] => Audi BKK\n                            [text] => Audi BKK\n                        )\n\n                    [13] => Array\n                        (\n                            [value] => BAHN-BKK\n                            [text] => BAHN-BKK\n                        )\n\n                    [14] => Array\n                        (\n                            [value] => BARMER\n                            [text] => BARMER\n                        )\n\n                    [15] => Array\n                        (\n                            [value] => BERGISCHE KRANKENKASSE\n                            [text] => BERGISCHE KRANKENKASSE\n                        )\n\n                    [16] => Array\n                        (\n                            [value] => Bertelsmann BKK\n                            [text] => Bertelsmann BKK\n                        )\n\n                    [17] => Array\n                        (\n                            [value] => BKK EWE\n                            [text] => BKK EWE\n                        )\n\n                    [18] => Array\n                        (\n                            [value] => BKK firmus\n                            [text] => BKK firmus\n                        )\n\n                    [19] => Array\n                        (\n                            [value] => BKK Miele\n                            [text] => BKK Miele\n                        )\n\n                    [20] => Array\n                        (\n                            [value] => BKK Mobil\n                            [text] => BKK Mobil\n                        )\n\n                    [21] => Array\n                        (\n                            [value] => BKK PwC\n                            [text] => BKK PwC\n                        )\n\n                    [22] => Array\n                        (\n                            [value] => BIG direkt gesund\n                            [text] => BIG direkt gesund\n                        )\n\n                    [23] => Array\n                        (\n                            [value] => BKK Akzo Nobel Bayern\n                            [text] => BKK Akzo Nobel Bayern\n                        )\n\n                    [24] => Array\n                        (\n                            [value] => BKK B. Braun Aesculap\n                            [text] => BKK B. Braun Aesculap\n                        )\n\n                    [25] => Array\n                        (\n                            [value] => BKK Deutsche Bank AG\n                            [text] => BKK Deutsche Bank AG\n                        )\n\n                    [26] => Array\n                        (\n                            [value] => BKK Diakonie\n                            [text] => BKK Diakonie\n                        )\n\n                    [27] => Array\n                        (\n                            [value] => BKK_D\u00fcrkopp Adler\n                            [text] => BKK_D\u00fcrkopp Adler\n                        )\n\n                    [28] => Array\n                        (\n                            [value] => BKK EUREGIO\n                            [text] => BKK EUREGIO\n                        )\n\n                    [29] => Array\n                        (\n                            [value] => BKK evm\n                            [text] => BKK evm\n                        )\n\n                    [30] => Array\n                        (\n                            [value] => BKK exklusiv\n                            [text] => BKK exklusiv\n                        )\n\n                    [31] => Array\n                        (\n                            [value] => BKK Faber-Castell & Partner\n                            [text] => BKK Faber-Castell &amp; Partner\n                        )\n\n                    [32] => Array\n                        (\n                            [value] => BKK Freudenberg\n                            [text] => BKK Freudenberg\n                        )\n\n                    [33] => Array\n                        (\n                            [value] => BKK GILDEMEISTER SEIDENSTICKER\n                            [text] => BKK GILDEMEISTER SEIDENSTICKER\n                        )\n\n                    [34] => Array\n                        (\n                            [value] => BKK Groz-Beckert\n                            [text] => BKK Groz-Beckert\n                        )\n\n                    [35] => Array\n                        (\n                            [value] => BKK Herford Minden Ravenburg\n                            [text] => BKK Herford Minden Ravenburg\n                        )\n\n                    [36] => Array\n                        (\n                            [value] => BKK Herkules\n                            [text] => BKK Herkules\n                        )\n\n                    [37] => Array\n                        (\n                            [value] => BKK Linde\n                            [text] => BKK Linde\n                        )\n\n                    [38] => Array\n                        (\n                            [value] => BKK MAHLE\n                            [text] => BKK MAHLE\n                        )\n\n                    [39] => Array\n                        (\n                            [value] => bkk melitta hmr\n                            [text] => bkk melitta hmr\n                        )\n\n                    [40] => Array\n                        (\n                            [value] => BKK MTU\n                            [text] => BKK MTU\n                        )\n\n                    [41] => Array\n                        (\n                            [value] => BKK Pfalz\n                            [text] => BKK Pfalz\n                        )\n\n                    [42] => Array\n                        (\n                            [value] => BKK Pfaff\n                            [text] => BKK Pfaff\n                        )\n\n                    [43] => Array\n                        (\n                            [value] => BKK ProVita\n                            [text] => BKK ProVita\n                        )\n\n                    [44] => Array\n                        (\n                            [value] => BKK Public\n                            [text] => BKK Public\n                        )\n\n                    [45] => Array\n                        (\n                            [value] => BKK Rieker.RICOSTA.Weisser\n                            [text] => BKK Rieker.RICOSTA.Weisser\n                        )\n\n                    [46] => Array\n                        (\n                            [value] => BKK RWE\n                            [text] => BKK RWE\n                        )\n\n                    [47] => Array\n                        (\n                            [value] => BKK Stadt Augsburg\n                            [text] => BKK Stadt Augsburg\n                        )\n\n                    [48] => Array\n                        (\n                            [value] => BKK Salzgitter\n                            [text] => BKK Salzgitter\n                        )\n\n                    [49] => Array\n                        (\n                            [value] => BKK Scheufelen\n                            [text] => BKK Scheufelen\n                        )\n\n                    [50] => Array\n                        (\n                            [value] => BKK SBH\n                            [text] => BKK SBH\n                        )\n\n                    [51] => Array\n                        (\n                            [value] => BKK Technoform\n                            [text] => BKK Technoform\n                        )\n\n                    [52] => Array\n                        (\n                            [value] => BKK Textilgruppe Hof\n                            [text] => BKK Textilgruppe Hof\n                        )\n\n                    [53] => Array\n                        (\n                            [value] => BKK VDN\n                            [text] => BKK VDN\n                        )\n\n                    [54] => Array\n                        (\n                            [value] => BKK VerbundPlus\n                            [text] => BKK VerbundPlus\n                        )\n\n                    [55] => Array\n                        (\n                            [value] => BKK Voralb HELLER*INDEX*LEUZE\n                            [text] => BKK Voralb HELLER*INDEX*LEUZE\n                        )\n\n                    [56] => Array\n                        (\n                            [value] => BKK WERRA-MEISSNER\n                            [text] => BKK WERRA-MEISSNER\n                        )\n\n                    [57] => Array\n                        (\n                            [value] => BKK Wirtschaft & Finanzen\n                            [text] => BKK Wirtschaft &amp; Finanzen\n                        )\n\n                    [58] => Array\n                        (\n                            [value] => BKK ZF & Partner\n                            [text] => BKK ZF &amp; Partner\n                        )\n\n                    [59] => Array\n                        (\n                            [value] => BKK24\n                            [text] => BKK24\n                        )\n\n                    [60] => Array\n                        (\n                            [value] => BKK-W\u00fcrth\n                            [text] => BKK-W\u00fcrth\n                        )\n\n                    [61] => Array\n                        (\n                            [value] => BMW BKK\n                            [text] => BMW BKK\n                        )\n\n                    [62] => Array\n                        (\n                            [value] => Bosch BKK\n                            [text] => Bosch BKK\n                        )\n\n                    [63] => Array\n                        (\n                            [value] => Continentale Betriebskrankenkasse\n                            [text] => Continentale Betriebskrankenkasse\n                        )\n\n                    [64] => Array\n                        (\n                            [value] => DAK-Gesundheit\n                            [text] => DAK-Gesundheit\n                        )\n\n                    [65] => Array\n                        (\n                            [value] => Debeka BKK\n                            [text] => Debeka BKK\n                        )\n\n                    [66] => Array\n                        (\n                            [value] => energie-BKK\n                            [text] => energie-BKK\n                        )\n\n                    [67] => Array\n                        (\n                            [value] => Ernst & Young BKK\n                            [text] => Ernst &amp; Young BKK\n                        )\n\n                    [68] => Array\n                        (\n                            [value] => Handelskrankenkasse (hkk)\n                            [text] => Handelskrankenkasse (hkk)\n                        )\n\n                    [69] => Array\n                        (\n                            [value] => Heimat Krankenkasse\n                            [text] => Heimat Krankenkasse\n                        )\n\n                    [70] => Array\n                        (\n                            [value] => HEK - Hanseatische Krankenkasse\n                            [text] => HEK - Hanseatische Krankenkasse\n                        )\n\n                    [71] => Array\n                        (\n                            [value] => IKK Brandenburg Berlin\n                            [text] => IKK Brandenburg Berlin\n                        )\n\n                    [72] => Array\n                        (\n                            [value] => IKK - Die Innovationskasse\n                            [text] => IKK - Die Innovationskasse\n                        )\n\n                    [73] => Array\n                        (\n                            [value] => IKK classic\n                            [text] => IKK classic\n                        )\n\n                    [74] => Array\n                        (\n                            [value] => IKK gesund plus\n                            [text] => IKK gesund plus\n                        )\n\n                    [75] => Array\n                        (\n                            [value] => IKK S\u00fcdwest\n                            [text] => IKK S\u00fcdwest\n                        )\n\n                    [76] => Array\n                        (\n                            [value] => KARL MAYER BKK\n                            [text] => KARL MAYER BKK\n                        )\n\n                    [77] => Array\n                        (\n                            [value] => Kaufm\u00e4nnische Krankenkasse - KKH\n                            [text] => Kaufm\u00e4nnische Krankenkasse - KKH\n                        )\n\n                    [78] => Array\n                        (\n                            [value] => KNAPPSCHAFT\n                            [text] => KNAPPSCHAFT\n                        )\n\n                    [79] => Array\n                        (\n                            [value] => Koenig & Bauer BKK\n                            [text] => Koenig &amp; Bauer BKK\n                        )\n\n                    [80] => Array\n                        (\n                            [value] => Krones Betriebskrankenkasse\n                            [text] => Krones Betriebskrankenkasse\n                        )\n\n                    [81] => Array\n                        (\n                            [value] => Mercedes-Benz BKK\n                            [text] => Mercedes-Benz BKK\n                        )\n\n                    [82] => Array\n                        (\n                            [value] => Merck BKK\n                            [text] => Merck BKK\n                        )\n\n                    [83] => Array\n                        (\n                            [value] => mkk\n                            [text] => mkk\n                        )\n\n                    [84] => Array\n                        (\n                            [value] => mhplus Betriebskrankenkasse\n                            [text] => mhplus Betriebskrankenkasse\n                        )\n\n                    [85] => Array\n                        (\n                            [value] => Novitas BKK\n                            [text] => Novitas BKK\n                        )\n\n                    [86] => Array\n                        (\n                            [value] => Pronova BKK\n                            [text] => Pronova BKK\n                        )\n\n                    [87] => Array\n                        (\n                            [value] => R+V Betriebskrankenkasse\n                            [text] => R+V Betriebskrankenkasse\n                        )\n\n                    [88] => Array\n                        (\n                            [value] => Salus BKK\n                            [text] => Salus BKK\n                        )\n\n                    [89] => Array\n                        (\n                            [value] => SECURVITA BKK\n                            [text] => SECURVITA BKK\n                        )\n\n                    [90] => Array\n                        (\n                            [value] => Siemens-Betriebskrankenkasse (SBK)\n                            [text] => Siemens-Betriebskrankenkasse (SBK)\n                        )\n\n                    [91] => Array\n                        (\n                            [value] => Siemag BKK\n                            [text] => Siemag BKK\n                        )\n\n                    [92] => Array\n                        (\n                            [value] => SKD BKK\n                            [text] => SKD BKK\n                        )\n\n                    [93] => Array\n                        (\n                            [value] => Sozialversicherung f\u00fcr Landwirtschaft, Forsten und Gartenbau (SVLFG)\n                            [text] => Sozialversicherung f\u00fcr Landwirtschaft, Forsten und Gartenbau (SVLFG)\n                        )\n\n                    [94] => Array\n                        (\n                            [value] => S\u00fcdzucker BKK\n                            [text] => S\u00fcdzucker BKK\n                        )\n\n                    [95] => Array\n                        (\n                            [value] => Techniker Krankenkasse\n                            [text] => Techniker Krankenkasse\n                        )\n\n                    [96] => Array\n                        (\n                            [value] => TUI BKK\n                            [text] => TUI BKK\n                        )\n\n                    [97] => Array\n                        (\n                            [value] => VIACTIV Krankenkasse\n                            [text] => VIACTIV Krankenkasse\n                        )\n\n                    [98] => Array\n                        (\n                            [value] => vivida bkk\n                            [text] => vivida bkk\n                        )\n\n                    [99] => Array\n                        (\n                            [value] => WMF Betriebskrankenkasse\n                            [text] => WMF Betriebskrankenkasse\n                        )\n\n                    [100] => Array\n                        (\n                            [value] => BKK VerbundPlus\n                            [text] => BKK VerbundPlus\n                        )\n\n                )\n\n            [conditionalLogic] => \n            [maxFileSize] => \n            [maxFiles] => \n            [multipleFiles] => \n            [allowedExtensions] => \n            [productField] => \n            [layoutGridColumnSpan] => \n            [enableEnhancedUI] => 0\n            [layoutGroupId] => e4755242\n            [calculationFormula] => \n            [calculationRounding] => \n            [enableCalculation] => \n            [disableQuantity] => \n            [displayAllCategories] => \n            [useRichTextEditor] => \n            [pageNumber] => 1\n            [fields] => \n            [displayOnly] => \n            [personalDataExport] => \n            [personalDataErase] => \n            [storageType] => \n        )\n\n    [6] => GF_Field_Consent Object\n        (\n            [_is_entry_detail:GF_Field:private] => \n            [is_payment] => \n            [_context_properties:GF_Field:private] => Array\n                (\n                )\n\n            [_merge_tag_modifiers:GF_Field:private] => Array\n                (\n                )\n\n            [_supports_state_validation:protected] => 1\n            [duplicatable] => 1\n            [noURLs] => \n            [repeatable] => \n            [type] => consent\n            [checked_indicator_url] => https:\/\/untire.ahcom.nl\/de\/wp-content\/plugins\/gravityforms\/images\/tick.png\n            [checked_indicator_markup] => <img decoding=\"async\" src=\"https:\/\/untire.ahcom.nl\/de\/wp-content\/plugins\/gravityforms\/images\/tick.png\" alt=\"\" \/>\n            [id] => 6\n            [formId] => 1\n            [label] => Einwilligung\n            [adminLabel] => \n            [isRequired] => 1\n            [size] => large\n            [errorMessage] => \n            [visibility] => visible\n            [inputs] => Array\n                (\n                    [0] => Array\n                        (\n                            [id] => 6.1\n                            [label] => Einwilligung\n                            [name] => \n                        )\n\n                    [1] => Array\n                        (\n                            [id] => 6.2\n                            [label] => Text\n                            [name] => \n                            [isHidden] => 1\n                        )\n\n                    [2] => Array\n                        (\n                            [id] => 6.3\n                            [label] => Beschreibung\n                            [name] => \n                            [isHidden] => 1\n                        )\n\n                )\n\n            [checkboxLabel] => Ich erkl\u00e4re mich hiermit einverstanden, dass Tired of Cancer mein Rezept bearbeitet und es ausschlie\u00dflich \u00fcber den verschl\u00fcsselten Server an meine Krankenkasse weiterleitet.\n            [descriptionPlaceholder] => Gib den Text der Einverst\u00e4ndniserkl\u00e4rung hier ein. Das Einwilligungsfeld speichert diesen Text zusammen mit dem Formulareintrag, um zu verfolgen, wozu der Nutzer eingewilligt hat.\n            [inputType] => consent\n            [choices] => Array\n                (\n                    [0] => Array\n                        (\n                            [text] => Gew\u00e4hlt\n                            [value] => 1\n                            [isSelected] => \n                            [price] => \n                        )\n\n                )\n\n            [description] => \n            [allowsPrepopulate] => \n            [inputMask] => \n            [inputMaskValue] => \n            [inputMaskIsCustom] => \n            [maxLength] => \n            [labelPlacement] => \n            [descriptionPlacement] => \n            [subLabelPlacement] => \n            [placeholder] => \n            [cssClass] => \n            [inputName] => \n            [noDuplicates] => \n            [defaultValue] => \n            [enableAutocomplete] => \n            [autocompleteAttribute] => \n            [conditionalLogic] => \n            [productField] => \n            [layoutGridColumnSpan] => \n            [enableEnhancedUI] => 0\n            [layoutGroupId] => 38488b9d\n            [multipleFiles] => \n            [maxFiles] => \n            [calculationFormula] => \n            [calculationRounding] => \n            [enableCalculation] => \n            [disableQuantity] => \n            [displayAllCategories] => \n            [useRichTextEditor] => \n            [pageNumber] => 1\n            [fields] => \n            [validateState] => 1\n            [displayOnly] => \n            [personalDataExport] => \n            [personalDataErase] => \n        )\n\n)\n<\/pre><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_1' ><style>#gform_wrapper_1[data-form-index=\"0\"].gform-theme{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/de\/wp-json\/wp\/v2\/pages\/84' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub '>Vorname<\/label>\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub '>Nachname<\/label>\n                                                            <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_1_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>E-Mail<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_1_2_container'>\n                                <span id='input_1_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_1_2' class='gform-field-label gform-field-label--type-sub '>E-Mail eingeben<\/label>\n                                    <input class='' type='email' name='input_2' id='input_1_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_1_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_1_2_2' class='gform-field-label gform-field-label--type-sub '>E-Mail best\u00e4tigen<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_1_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_1_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_4'><span class='gform-field-label__text'>Telefonnummer f\u00fcr eventuelle R\u00fcckfragen<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_1_4' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'><span class='gform-field-label__text'>Postleitzahl<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_7'><span class='gform-field-label__text'>Krankenkasse<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_1_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='0' >Versicherung ausw\u00e4hlen<\/option><option value='AOK - Die Gesundheitskasse f\u00fcr Niedersachsen' >AOK &#8211; Die Gesundheitskasse f\u00fcr Niedersachsen<\/option><option value='AOK - Die Gesundheitskasse in Hessen' >AOK &#8211; Die Gesundheitskasse in Hessen<\/option><option value='AOK Baden-W\u00fcrttemberg' >AOK Baden-W\u00fcrttemberg<\/option><option value='AOK Bayern - Die Gesundheitskasse' >AOK Bayern &#8211; Die Gesundheitskasse<\/option><option value='AOK Bremen \/ Bremerhaven' >AOK Bremen \/ Bremerhaven<\/option><option value='AOK Nordost - Die Gesundheitskasse' >AOK Nordost &#8211; Die Gesundheitskasse<\/option><option value='AOK NordWest - Die Gesundheitskasse' >AOK NordWest &#8211; Die Gesundheitskasse<\/option><option value='AOK PLUS - Die Gesundheitskasse f\u00fcr Sachsen und Th\u00fcringen' >AOK PLUS &#8211; Die Gesundheitskasse f\u00fcr Sachsen und Th\u00fcringen<\/option><option value='AOK Rheinland\/Hamburg - Die Gesundheitskasse' >AOK Rheinland\/Hamburg &#8211; Die Gesundheitskasse<\/option><option value='AOK Rheinland-Pfalz\/Saarland-Die Gesundheitskasse' >AOK Rheinland-Pfalz\/Saarland-Die Gesundheitskasse<\/option><option value='AOK Sachsen-Anhalt - Die Gesundheitskasse' >AOK Sachsen-Anhalt &#8211; Die Gesundheitskasse<\/option><option value='Audi BKK' >Audi BKK<\/option><option value='BAHN-BKK' >BAHN-BKK<\/option><option value='BARMER' >BARMER<\/option><option value='BERGISCHE KRANKENKASSE' >BERGISCHE KRANKENKASSE<\/option><option value='Bertelsmann BKK' >Bertelsmann BKK<\/option><option value='BKK EWE' >BKK EWE<\/option><option value='BKK firmus' >BKK firmus<\/option><option value='BKK Miele' >BKK Miele<\/option><option value='BKK Mobil' >BKK Mobil<\/option><option value='BKK PwC' >BKK PwC<\/option><option value='BIG direkt gesund' >BIG direkt gesund<\/option><option value='BKK Akzo Nobel Bayern' >BKK Akzo Nobel Bayern<\/option><option value='BKK B. Braun Aesculap' >BKK B. Braun Aesculap<\/option><option value='BKK Deutsche Bank AG' >BKK Deutsche Bank AG<\/option><option value='BKK Diakonie' >BKK Diakonie<\/option><option value='BKK_D\u00fcrkopp Adler' >BKK_D\u00fcrkopp Adler<\/option><option value='BKK EUREGIO' >BKK EUREGIO<\/option><option value='BKK evm' >BKK evm<\/option><option value='BKK exklusiv' >BKK exklusiv<\/option><option value='BKK Faber-Castell &amp; Partner' >BKK Faber-Castell &amp; Partner<\/option><option value='BKK Freudenberg' >BKK Freudenberg<\/option><option value='BKK GILDEMEISTER SEIDENSTICKER' >BKK GILDEMEISTER SEIDENSTICKER<\/option><option value='BKK Groz-Beckert' >BKK Groz-Beckert<\/option><option value='BKK Herford Minden Ravenburg' >BKK Herford Minden Ravenburg<\/option><option value='BKK Herkules' >BKK Herkules<\/option><option value='BKK Linde' >BKK Linde<\/option><option value='BKK MAHLE' >BKK MAHLE<\/option><option value='bkk melitta hmr' >bkk melitta hmr<\/option><option value='BKK MTU' >BKK MTU<\/option><option value='BKK Pfalz' >BKK Pfalz<\/option><option value='BKK Pfaff' >BKK Pfaff<\/option><option value='BKK ProVita' >BKK ProVita<\/option><option value='BKK Public' >BKK Public<\/option><option value='BKK Rieker.RICOSTA.Weisser' >BKK Rieker.RICOSTA.Weisser<\/option><option value='BKK RWE' >BKK RWE<\/option><option value='BKK Stadt Augsburg' >BKK Stadt Augsburg<\/option><option value='BKK Salzgitter' >BKK Salzgitter<\/option><option value='BKK Scheufelen' >BKK Scheufelen<\/option><option value='BKK SBH' >BKK SBH<\/option><option value='BKK Technoform' >BKK Technoform<\/option><option value='BKK Textilgruppe Hof' >BKK Textilgruppe Hof<\/option><option value='BKK VDN' >BKK VDN<\/option><option value='BKK VerbundPlus' >BKK VerbundPlus<\/option><option value='BKK Voralb HELLER*INDEX*LEUZE' >BKK Voralb HELLER*INDEX*LEUZE<\/option><option value='BKK WERRA-MEISSNER' >BKK WERRA-MEISSNER<\/option><option value='BKK Wirtschaft &amp; Finanzen' >BKK Wirtschaft &amp; Finanzen<\/option><option value='BKK ZF &amp; Partner' >BKK ZF &amp; Partner<\/option><option value='BKK24' >BKK24<\/option><option value='BKK-W\u00fcrth' >BKK-W\u00fcrth<\/option><option value='BMW BKK' >BMW BKK<\/option><option value='Bosch BKK' >Bosch BKK<\/option><option value='Continentale Betriebskrankenkasse' >Continentale Betriebskrankenkasse<\/option><option value='DAK-Gesundheit' >DAK-Gesundheit<\/option><option value='Debeka BKK' >Debeka BKK<\/option><option value='energie-BKK' >energie-BKK<\/option><option value='Ernst &amp; Young BKK' >Ernst &amp; Young BKK<\/option><option value='Handelskrankenkasse (hkk)' >Handelskrankenkasse (hkk)<\/option><option value='Heimat Krankenkasse' >Heimat Krankenkasse<\/option><option value='HEK - Hanseatische Krankenkasse' >HEK &#8211; Hanseatische Krankenkasse<\/option><option value='IKK Brandenburg Berlin' >IKK Brandenburg Berlin<\/option><option value='IKK - Die Innovationskasse' >IKK &#8211; Die Innovationskasse<\/option><option value='IKK classic' >IKK classic<\/option><option value='IKK gesund plus' >IKK gesund plus<\/option><option value='IKK S\u00fcdwest' >IKK S\u00fcdwest<\/option><option value='KARL MAYER BKK' >KARL MAYER BKK<\/option><option value='Kaufm\u00e4nnische Krankenkasse - KKH' >Kaufm\u00e4nnische Krankenkasse &#8211; KKH<\/option><option value='KNAPPSCHAFT' >KNAPPSCHAFT<\/option><option value='Koenig &amp; Bauer BKK' >Koenig &amp; Bauer BKK<\/option><option value='Krones Betriebskrankenkasse' >Krones Betriebskrankenkasse<\/option><option value='Mercedes-Benz BKK' >Mercedes-Benz BKK<\/option><option value='Merck BKK' >Merck BKK<\/option><option value='mkk' >mkk<\/option><option value='mhplus Betriebskrankenkasse' >mhplus Betriebskrankenkasse<\/option><option value='Novitas BKK' >Novitas BKK<\/option><option value='Pronova BKK' >Pronova BKK<\/option><option value='R+V Betriebskrankenkasse' >R+V Betriebskrankenkasse<\/option><option value='Salus BKK' >Salus BKK<\/option><option value='SECURVITA BKK' >SECURVITA BKK<\/option><option value='Siemens-Betriebskrankenkasse (SBK)' >Siemens-Betriebskrankenkasse (SBK)<\/option><option value='Siemag BKK' >Siemag BKK<\/option><option value='SKD BKK' >SKD BKK<\/option><option value='Sozialversicherung f\u00fcr Landwirtschaft, Forsten und Gartenbau (SVLFG)' >Sozialversicherung f\u00fcr Landwirtschaft, Forsten und Gartenbau (SVLFG)<\/option><option value='S\u00fcdzucker BKK' >S\u00fcdzucker BKK<\/option><option value='Techniker Krankenkasse' >Techniker Krankenkasse<\/option><option value='TUI BKK' >TUI BKK<\/option><option value='VIACTIV Krankenkasse' >VIACTIV Krankenkasse<\/option><option value='vivida bkk' >vivida bkk<\/option><option value='WMF Betriebskrankenkasse' >WMF Betriebskrankenkasse<\/option><option value='BKK VerbundPlus' >BKK VerbundPlus<\/option><\/select><\/div><\/div><div id=\"field_1_5\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'><span class='gform-field-label__text'>Datei<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1536000' \/><input name='input_5' id='input_1_5' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_5\" onchange='javascript:gformValidateFileSize( this, 1536000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_5'>Max. 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gfield_consent_label\" for='input_1_6_1' ><span class='gform-field-label__text'>Ich erkl\u00e4re mich hiermit einverstanden, dass Tired of Cancer mein Rezept bearbeitet und es ausschlie\u00dflich \u00fcber den verschl\u00fcsselten Server an meine Krankenkasse weiterleitet.<\/span><\/label><input type='hidden' name='input_6.2' value='Ich erkl\u00e4re mich hiermit einverstanden, dass Tired of Cancer mein Rezept bearbeitet und es ausschlie\u00dflich \u00fcber den verschl\u00fcsselten Server an meine Krankenkasse weiterleitet.' class='gform_hidden' \/><input type='hidden' name='input_6.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Absenden<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' 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\/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\n\n<details class=\"wp-block-details has-sea-green-color has-text-color has-link-color has-poppins-font-family has-medium-font-size wp-elements-11 is-layout-flow wp-container-core-details-is-layout-b5fa6b2d wp-block-details-is-layout-flow\" style=\"border-width:1px;margin-top:var(--wp--preset--spacing--70);margin-bottom:var(--wp--preset--spacing--40);padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30);font-style:normal;font-weight:700\"><summary><strong>Meine Krankenkasse ist nicht aufgef\u00fchrt?<\/strong><\/summary>\n<p class=\"has-poppins-font-family has-small-font-size wp-block-paragraph\" style=\"font-style:normal;font-weight:500\"><br>In der Regel sollten alle gesetzlichen Krankenkassen im obigen Auswahlmenu aufgelistet sein. Deine Krankenkasse steht auch auf dem Rezept drauf. Sollte deine Krankenkasse nicht aufgef\u00fchrt sein, dann melde dich bitte bei support@untire.de. Wir helfen dir gerne weiter.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-sea-green-color has-text-color has-link-color has-poppins-font-family has-medium-font-size wp-elements-12 is-layout-flow wp-container-core-details-is-layout-0b60a37f wp-block-details-is-layout-flow\" style=\"border-width:1px;margin-top:var(--wp--preset--spacing--40);margin-bottom:var(--wp--preset--spacing--40);padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30);font-style:normal;font-weight:700\"><summary><strong>Wie reiche ich als Privatversicherte mein Rezept ein?<\/strong><\/summary>\n<p class=\"has-poppins-font-family has-small-font-size wp-block-paragraph\" style=\"font-style:normal;font-weight:500\"><br>Nachdem du dein Rezept erhalten hast, erkundige dich bitte bei deiner privaten Krankenkasse und Beihilfe zun\u00e4chst nach der Kosten\u00fcbernahme. Wir stellen dir gerne einen Kostenvoranschlag bereit. Melde dich daf\u00fcr an support@untire.de mit dem Betreff \u201eKVA Privatversichert&#8221;. Die KVA sendest du anschlie\u00dfend zusammen mit deinem Rezept an deine Krankenkasse.<\/p>\n\n\n\n<p class=\"has-poppins-font-family has-small-font-size wp-block-paragraph\" style=\"font-style:normal;font-weight:500\"><br>Nach Best\u00e4tigung der Kosten\u00fcbernahme, kannst du Untire direkt erwerben. Die Details stehen auf der KVA.<\/p>\n\n\n\n<p class=\"has-poppins-font-family has-small-font-size wp-block-paragraph\" style=\"font-style:normal;font-weight:500\"><br>Sobald deine Zahlung bei uns eingegangen ist (i.d.R. nach 1-3 Werktagen), erh\u00e4lst du deinen Zugangscode und die Rechnung.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-sea-green-color has-text-color has-link-color has-poppins-font-family has-medium-font-size wp-elements-13 is-layout-flow wp-container-core-details-is-layout-0b60a37f wp-block-details-is-layout-flow\" style=\"border-width:1px;margin-top:var(--wp--preset--spacing--40);margin-bottom:var(--wp--preset--spacing--40);padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30);font-style:normal;font-weight:700\"><summary><strong>Wie lange dauert es, bis ich einen Zugangscode erhalte?<\/strong><\/summary>\n<p class=\"has-poppins-font-family has-small-font-size wp-block-paragraph\" style=\"font-style:normal;font-weight:500\"><br>In der Regel erh\u00e4lst du deinen 16-stelligen Zugangscode innerhalb von 5 Werktagen nach der Rezepteinreichung von deiner Krankenkasse zugeschickt.<\/p>\n<\/details>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Untire-Rezeptservicef\u00fcr gesetzlich Versicherte Vom Rezept zur App Deine \u00c4rztin bzw. dein Arzt hat dir Untire verschrieben? Das Rezept muss nun innerhalb von 28 Tagen bei deiner Krankenkasse eingereicht werden. Das kannst du entweder selbst direkt per Post oder digital \u00fcber die kasseneigene App erledigen &#8211; oder du nutzt als gesetzlich Versicherte unseren kostenfreien Untire Rezeptservice. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":230,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-84","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/untire.ahcom.nl\/de\/wp-json\/wp\/v2\/pages\/84","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/untire.ahcom.nl\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/untire.ahcom.nl\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/untire.ahcom.nl\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/untire.ahcom.nl\/de\/wp-json\/wp\/v2\/comments?post=84"}],"version-history":[{"count":51,"href":"https:\/\/untire.ahcom.nl\/de\/wp-json\/wp\/v2\/pages\/84\/revisions"}],"predecessor-version":[{"id":1206,"href":"https:\/\/untire.ahcom.nl\/de\/wp-json\/wp\/v2\/pages\/84\/revisions\/1206"}],"up":[{"embeddable":true,"href":"https:\/\/untire.ahcom.nl\/de\/wp-json\/wp\/v2\/pages\/230"}],"wp:attachment":[{"href":"https:\/\/untire.ahcom.nl\/de\/wp-json\/wp\/v2\/media?parent=84"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}