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Applying for short-term care for people with long-term care insurance


If your care at home is temporarily not possible, you can be admitted to a fully inpatient care facility for a short time.

Short-term care is possible, for example

  • if the person caring for you at home is ill, or
  • Your home needs to be adapted to home care by means of renovation measures.
  • for a transitional period following inpatient hospital treatment of the person in need of care.

The long-term care insurance pays for up to 8 weeks of short-term inpatient care per calendar year.

The long-term care insurance fund covers care-related expenses, including expenses for care, as well as expenses for medical treatment care of up to EUR 1,612 per calendar year. This amount can be increased by up to EUR 1,612 from unused funds for substitute care to a total of EUR 3,224. (Status: 2021)

You can combine short-term care with substitute care that has not yet been used. In addition, the relief amount can also be used to finance the costs of accommodation and food, for example. Substitute care takes place at home, while short-term care is not possible in your own home.

Short-term care is usually provided in an approved facility. You can get an overview from your long-term care insurance fund. In addition, short-term care can also be provided in facilities that are not licensed to provide nursing care if your caregiver is receiving preventive or rehabilitation care at that facility or nearby.

During short-term care, you will continue to receive half of the care allowance you have paid so far. For the 1st and last day, the full care allowance is paid.
 

Process flow

You can submit the application for short-term care, for example, by post or – in the case of many long-term care insurance companies – hand it in in person at the office or submit it online.

  • Submit the application for short-term care to your long-term care insurance fund. If you are unable to do so yourself, you can authorize someone in writing.
  • The long-term care insurance fund will review your application and inform you of the result.
  • Inquire with the long-term care insurance fund or a care counselling centre about suitable facilities for short-term care and the costs.
  • As a rule, the long-term care insurance fund settles directly with the facility.
     

Requirements

  • They cannot be cared for at home temporarily.
  • They have care level 2, 3, 4 or 5.
    • If you only have care level 1, you can apply for the relief amount.
       

Which documents are required?

  • If applicable: power of attorney, supervisor ID card
  • Notification of the long-term care insurance fund on the determination of the degree of care (expert opinion of the medical service of the long-term care insurance)
  • if applicable: medical records
  • If applicable: Severely disabled person's pass
  • Proof of health and long-term care insurance

Depending on the long-term care insurance fund, additional documents may be required. Please contact your long-term care insurance company for more information.
 

What are the fees?

You don't have to pay anything for the application.

The long-term care insurance pays for short-term care services. You pay for your own accommodation, meals and travel costs for short-term care. If the relief contribution has not yet been used up, these deductibles can be reimbursed through it.
 

What deadlines do I have to pay attention to?

You don't have to observe any deadlines.

Processing duration

It usually takes about 2 working days to process.

In order to process and make a decision quickly, your long-term care insurance fund must have the necessary information and, if necessary, documents complete and meaningful.

The long-term care insurance fund decides on applications in a timely manner.
Please note that the stated processing time is an average value for all long-term care insurance funds. It may vary in individual cases.

The exact processing time also depends on the complexity of the individual case and can be extended accordingly. The same applies if documents or records are sent by post to you or your long-term care insurance fund.
 

Applications / forms

- Forms: yes

- Online procedure possible: Many long-term care insurance companies offer an online procedure.

- Written form required: yes

- Personal appearance required: no
 

Appeal

  • Contradiction
  • Appeal to the Social Court
     

Technically approved by

Federal Ministry of Health

Professionally released on

22.11.2021

Author

The text was automatically translated based on the German content.

Source: Serviceportal Niedersachsen (Portalverbund des Bundes und der Länder)