Palliativversorgung (spezialisiert ambulant) für Krankenversicherte beantragen

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

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 provide care in the familiar environment of the home or family area. 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 a partial benefit.

• Doctor's prescription

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

There is no additional payment to be made.

If the health insurance company rejects the care, you can object to it.

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