Applying for short-term care under long-term care insurance
If you are temporarily unable to receive care at home, you can be cared for in a fully inpatient care facility for a short period of time.
Short-term care is possible, for example
- if the person caring for you at home is ill
- if your home needs to be adapted to home care through conversion measures
- for a transitional period following inpatient hospital treatment of the person in need of care
The long-term care insurance fund pays for up to 8 weeks of inpatient short-term care per calendar year.
The long-term care insurance fund covers the care-related expenses, including the costs of care and the costs of medical treatment services of up to EUR 1,774 per calendar year. This amount can be increased by up to EUR 1,612 from unused funds for respite care to a total of up to EUR 3,386. (Status: 2024)
You can therefore combine the funds for short-term care with funds for respite care that have not yet been used. Respite care takes place at home or is possible in various ways, while short-term care at home is not possible.
During short-term care, you will continue to receive half of the pro rata care allowance paid to date. The full care allowance is paid for the first and last day.
In addition, you can also use the relief amount for costs associated with short-term care, for example to cover the costs of accommodation and meals. Otherwise, the costs for accommodation, meals and any investment costs must be borne by the patient.
Short-term care is usually provided in an approved facility. You can obtain an overview from your care insurance fund.
In justified individual cases, those in need of care who are cared for at home are also entitled to short-term care in suitable facilities for the disabled and other suitable facilities if care in a care facility approved by the care insurance funds for short-term care is not possible or does not appear reasonable.
Who should I contact?
Responsible authorities
GKV-Spitzenverband
Requirements
- You are temporarily unable to be cared for at home.
- You have care grade 2, 3, 4 or 5.
- If you are classified as care grade 1, you can use the relief amount of up to 125 euros per month for short-term care. In addition, people without a care grade or with care grade 1 may be entitled to short-term care under the health insurance scheme (§ 39c SGB V).
Which documents are required?
- Application for short-term care
- if necessary:
- Power of attorney, guardian's certificate
- Medical documents
- Proof of care insurance and degree of care
Further documents may be required depending on the care insurance fund. Please contact your care insurance fund for more information.
What are the fees?
You do not have to pay anything for the application.
The long-term care insurance fund pays for short-term care services up to the maximum amount per calendar year.
You pay for your own accommodation, meals and travel costs for short-term care. If the relief amount has not yet been used up, your own contributions can be reimbursed.
Process flow
You can submit the application for short-term care to the long-term care insurance fund informally, for example by telephone, email or post. With many long-term care insurance funds, you can also hand in the application in person at the office or submit it online.
- Submit the application for short-term care to your care insurance fund. If you are unable to do this yourself, you can authorize someone in writing.
- The long-term care insurance fund will check your application and inform you of the result.
- Ask the care insurance fund or a care advice center about suitable facilities for short-term care and the costs involved.
- The long-term care insurance fund usually settles the costs directly with the facility as part of the long-term care insurance benefits. You must pay your own share of the costs yourself. You may be able to receive reimbursement via the relief amount.
What deadlines do I have to pay attention to?
There is no deadline.
Processing duration
As a rule, processing takes 2 working days. The duration depends on whether all documents are complete and conclusive. It may vary depending on the complexity of the individual case.
What else should I know?
Regardless of whether you are entitled to short-term care, since July 1, 2024, people in need of long-term care have an independent entitlement to nursing care in approved preventive care or rehabilitation facilities if the caregiver of the person in need of long-term care is also receiving inpatient medical care or rehabilitation services there.
This entitlement exists from care level 1 (in accordance with § 42a SGB XI). If nursing care is not possible in the preventive care or rehabilitation facility, the entitlement can also be exercised in a fully inpatient care facility.
Legal basis
Appeal
- Objection
- Action before the social court
