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Specialized outpatient palliative care for people with health insurance Financing


As a person with statutory health insurance, you are entitled to specialised outpatient palliative care (SAPV). The service includes medical and nursing services, including their coordination - in particular for pain therapy and symptom control. The aim is to enable care to be provided in the familiar environment of the home or family. These include, for example, institutions for integration assistance for people with disabilities, child and youth welfare and care facilities. The special needs of children and young people must be taken into account.

The SAPV is a team effort in which different professional groups work together: doctors, nurses and cooperation partners.

Included are - yes according to individual needs

  • Consultation
  • Coordination of care,
  • supportive partial supply or
  • complete supply

If you have been admitted to an inpatient hospice, you will receive the medical care required under the SAPV as part of the service.

Competent authority

The responsibility lies with the respective health insurance company.

Requirements

  • an incurable, progressive and advanced disease.
  • life expectancy is limited and a particularly complex care is required.
  • The service must be prescribed by a contract doctor or a hospital doctor.

Which documents are required?

  • Doctor's prescription

What are the fees?

There is no additional payment to be made.

Appeal

If the health insurance company refuses to provide care, you can file an objection against it.

Technically approved by

Lower Saxony Ministry of Social Affairs, Health and Gender Equality

Professionally released on

27.11.2020

Author

The text was automatically translated based on the German content.

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