Kombination von Geld- und Sachleistung für gesetzlich Pflegeversicherte
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For home care, people in need of care are entitled to benefits in kind. These include body-related care services, nursing care measures or help with household management. This home care assistance is usually provided by outpatient care services.
If these benefits in kind are only partially used, those in need of care have a pro-rata claim to care allowance (§37 SGB XI). The available care allowance is reduced by the percentage in which the person in need of care makes use of benefits in kind.
The decision as to the ratio of cash and non-cash benefits is binding for 6 months.
During short-term care (for up to eight weeks) or preventive care (for up to six weeks), the care allowance is 50 percent of the amount paid before short-term or preventive care began.
If persons in need of care from fully inpatient facilities providing assistance for the disabled are temporarily cared for at home, they are also entitled to care allowance for this period.
Ask your long-term care insurance company what documents are required and whether there is a special application form.
- Care benefits in kind are only partially used
- Only applies to persons in need of care with care level 2 to 5
- The combination care arrangement must be applied for at the long-term care insurance fund.
- Submit the application in writing so that you can prove that you have applied for combination care.
In combination care, cash and non-cash benefits are combined.
- Cash benefit: a pro rata care allowance is received for care at home
- Non-cash benefit: a care service supports the family members providing care