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Day care for people with statutory long-term care insurance


Day care is intended to support home care. You can make use of day care services if home care cannot be provided to a sufficient extent or if this is necessary to supplement or strengthen home care.

Day care is usually used by people in need of care whose relatives work during the day. Those in need of care are usually picked up in the morning and brought back home in the afternoon.

Within the limits of the maximum benefit amounts, the long-term care insurance fund covers care-related expenses, including expenses for care, and expenses for the medical treatment care services required in the facility. On the other hand, the costs for accommodation and meals as well as separately calculable investment costs must generally be borne privately.

The maximum benefit amount for monthly shall include:

  • for care level 2: 689 euros,
  • at care level 3: 1,298 euros,
  • for care level 4: 1,612 euros and
  • for care level 5: 1,995 euros.

Persons with care level 1 can use their relief contribution (up to 125 euros) for day care.

Semi-inpatient care also includes the necessary transport of those in need of care from the home to the day care facility and back.

Persons in need of care in care grades 2 to 5 can take advantage of day-care and night care on a day-to-day basis in addition to non-cash outpatient care benefits, care allowance or the combined benefit pursuant to § 38 without being offset against these entitlements.

Process flow

  • You submit an application for day care to your long-term care insurance fund
  • Information on the required documents and the procedure can be obtained from your long-term care insurance fund

Competent authority

The responsibility lies with the respective nursing care fund.

Requirements

  • Care level 2 to 5

Which documents are required?

  • Check with your long-term care insurance fund to find out what documents are required and whether there is a special application form.

What are the fees?

The application is free of charge.

Fee: free of charge
The application is free of charge.

What deadlines do I have to pay attention to?

None

Appeal

You can appeal against the decision of the nursing care fund. If the objection is not remedied, you can file a complaint with the competent social court.

Technically approved by

Lower Saxony Ministry of Social Affairs, Health and Equality

Professionally released on

23.12.2020

Author

The text was automatically translated based on the German content.

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