Apply for day and night care for people in need of long-term care in the social long-term care insurance
If you have at least care level 2 and are being cared for at home, you are entitled to temporary, semi-inpatient care in day and night care facilities.
Semi-inpatient care is intended to relieve the burden on family caregivers and ensure the continuous care of those in need of care. Day care is usually used by people in need of care whose relatives work during the day: those in need of care are picked up by a transport service in the morning and brought back home in the afternoon. Night care is a facility for people in need of care who also need to be cared for at night, for example for wound treatment or for seamless care for dementia.
If you or an authorized person submit an application to your long-term care insurance fund, it will cover the costs of day or night care up to a certain amount. The long-term care insurance fund is affiliated with your statutory health insurance fund. So you can use the same contact details.
The long-term care insurance funds bear the costs of day or night care
- only in approved establishments with which they have concluded supply contracts, and
- only for nursing services, social care and driving service. You will bear any other costs, for example for your meals.
The maximum monthly amount that long-term care insurance funds pay for day and night care depends on your level of care (as of 2021):
- for care level 2 a maximum of EUR 689.00
- for care level 3 a maximum of EUR 1,298.00
- at care level 4 a maximum of EUR 1,612.00
- at care level 5 a maximum of EUR 1,995.00
You can apply for the money for day and night care in addition to other benefits from your long-term care fund. Care allowance and care benefits in kind will therefore continue to be paid to you in full.
Process flow
You can submit the application for day and night care, for example, by post and - with many care insurance companies - hand it in personally at the office or submit it online.
- You submit the application for day and night 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.
- You are looking for a facility for day care or night care. For example, contact your long-term care insurance company to find out about suitable providers.
- As a rule, the long-term care insurance fund settles directly with the facility.
Requirements
- They have care level 2, 3, 4 or 5
- They are cared for at home
- If you have care level 1, you can apply for the relief amount
- If you have care level 1, you can apply for the relief amount
Which documents are required?
- If applicable: power of attorney, caregiver 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 individual case, further 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.
What deadlines do I have to pay attention to?
As a rule, you do not have to observe any deadlines.
Processing duration
It usually takes about 2 working days to process.
For quick processing and decision-making, your long-term care insurance fund must have the necessary information and, if necessary, the necessary documents in a complete and meaningful manner.
The long-term care insurance fund decides on applications in a timely manner.
Please note that the stated processing time is an average value of 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
- Action before 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.
