Spezialisierte ambulante Palliativversorgung für Krankenversicherte Finanzierung

Insured persons are entitled to specialised outpatient palliative care (SAPV) at home or in the family.

As a legally insured person, 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 in the familiar environment of the home or family area. These include, for example, institutions of 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 - depending on individual needs

• Consultation
• coordination of care,
• supportive partial care 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 benefit.

• Medical prescription

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

There is no additional payment to be made.

If the health insurance company refuses the care, you can appeal against it.

• Insured persons are entitled to specialised outpatient palliative care
  • with an incurable, progressive and advanced disease
  • with a simultaneously limited life expectancy
  • who require a particularly complex supply
• Performance is to be prescribed by the panel doctor or hospital doctor.
• Specialised outpatient palliative care includes medical and nursing services, including their coordination, in particular for pain therapy and symptom control
• Care of insured persons in the familiar environment of the home or family area should be made possible (e.g. institutions of integration assistance for disabled people and children and youth welfare, care facilities)
• Entitlement to partial coverage of the necessary medical care for insured persons in inpatient hospices
• the special interests of children must be taken into account.
• the details of the ordinance, entitlement to benefits and cooperation between the parties involved have been determined by the Federal Joint Committee in its guideline on the prescription of specialised outpatient palliative care
• On the basis of a framework agreement at federal level, the health insurance funds conclude contracts with SAPV teams at state level

The responsibility lies with the respective health insurance company.