Caretaking insurance
Like everybody, the persons who need care want to continue living in their own home.
As long as the hospitalization is not necessary, this is the best solution. This is why there
are 3 options for ambulatory care:
- •specialized nursing: the specialized personnel in an ambulatory care unit or in a
social service department comes regularly at the home of the person who needs
care. There they take over the necessary tasks.
- •Financial support for care: the family members, friends or neighbours take over
the care services. The caretaking insurance grants the nursed person a financial
support for nursing. .
- •Combination between specialized care and financial support for nursing.
The ambulatory care does not have to take place exclusively in the home of the nursed
person. It may happen also in another home.
Specialized care
The caretaking insurance takes over the costs for the ambulatory caretaking services.
However, there are maximum limits for which the caretaking insurance center takes over
the costs:
- •stage 0 in caretaking – up to 231.00 Euro every month
- •stage I in caretaking – up to 468.00 Euro every month
- •stage II in caretaking – up to 1 144.00 Euro every month
- •stage III in caretaking – up to 1 612.00 Euro every month
- •stage III in caretaking for difficult cases – up to 1 955.00 Euro every month € im Monat
Two conditions must be fulfilled for these costs to be covered:
- •the first condition is the existence of a contract between the nursed person and
the ambulatory care unit. This contract will establish for example various
services and periods. If you are unhappy after the first intervention, you can
terminate the contract within 24 hours. In order to do so, you don’t need to
mention your reasons. The contract will be terminated instantly.
- •Beside this, the ambulatory care unit must be accepted by your caretaking
insurance center or by the associations working for your caretaking insurance
center
Financial support for caretaking
If the respective person is nursed by a private person, that is the family, neighbours or
friends, the insurance grants financial support for caretaking. This amount of money will
be given every month to the person being nursed. The amount of the financial support
will depend on the stage of caretaking:
- •stage 0 in caretaking – up to 123.00 Euro every month
- •stage I in caretaking – up to 244.00 Euro every month
- •stage II in caretaking – up to 458.00 Euro every month
- •stage III in caretaking – up to 1 612.00 Euro every month
- •stage III in caretaking– up to 728.00 Euro every month
The following conditions are valid for the financial support for caretaking:
- •The care takers must make sure they perform the basic caretaking and also the
household supplies.
- •If the caretakers work only a few days a month, the financial support is granted
depending on the worked period. There is an exception however: if the nursed
person must go to the hospital, the financial support is granted for four more
weeks
- •The caretaking insurance center checks if the services are appropriate. In order to
do that, the caretakers must ask for assistance from an authorized caretaking
institution. This institution may advise the caretakers and report the success of the
caretaking activity to the Caretaking Insurance Center. The costs for this are taken
over by the Caretaking Insurance Center.
Health insurance center
If by using caretaking services, we can avoid or shorten a hospitalization period or if the
hospitalization is not possible for certain reasons, then the competent medical insurance
centers take over the costs for a period of maximum four weeks depending on the illness
case – in exceptional well justified cases, the period may be extended. The ambulatory
care normally includes basic care and medical nursing (for example changing the
bandage) as well as housekeeping.
Ambulatory care may also be performed as treatment if it is necessary in order to meet
the requirements of the medical treatment. The health insurance center may determine the
caretaking to be provided and the housekeeping, establishing the period and volume of
work for it. However, these additional services will not be taken over by the health
insurance center, as they are subject to the caretaking insurance center. The condition is
that there should not be people living in the respective house, who can take over the care
completely.
Social assistance directorate
If the caretaking costs are higher than the services offered by the caretaking insurance
center, you have the right, if you have smaller incomes, to ask the social assistance
directorate to take over part of the costs. The respective rights are checked by the social
assistance directorate. We can assist you in filing your application.
The contract we have with the social assistance directorate enables direct and
unbureaucratic reimbursement for the offered services. You do not have to deal with
anything.
Other sponsors
Beside the sponsors mentioned above, there are also other sponsors who are not so often
met. Among them:
- • War victims’ assistance center
- • Professional association
- • Pension office
- • Integration office
- • Assistance Directorate
We can offer you counseling during a private discussion regarding the options that amost suitable for you.
Private financing
If the care taking is not performed in stages, the caretaking insurance does not take over
the costs for ambulatory care.
wever, our clients still have the possibility to benefit from our services. But these must
be with private financing. If the existing financial means do not cover the necessary
services, one may file a request at the social assistance directorate so that they might take
over the expenses – „social assistance directorate”.