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Palliativversorgung (spezialisiert ambulant) für Krankenversicherte finanzieren

Rheinland-Pfalz 99134030174000, 99134030174000 Typ 2/3

Inhalt

Leistungsschlüssel

99134030174000, 99134030174000

Leistungsbezeichnung

Financing palliative care (specialized outpatient) for health insurance

Leistungsbezeichnung II

nicht vorhanden

Leistungstypisierung

Typ 2/3

Begriffe im Kontext

nicht vorhanden

Leistungstyp

Leistungsobjekt mit Verrichtung

Leistungsgruppierung

Krankenversicherung (134)

Verrichtungskennung

Finanzierung (174)

SDG Informationsbereiche

  • Medizinische Versorgung

Lagen Portalverbund

  • Krankheit (1130200)
  • Pflege (1130400)

Einheitlicher Ansprechpartner

Nein

Fachlich freigegeben am

27.11.2020

Fachlich freigegeben durch

Lower Saxony Ministry of Social Affairs, Health and Equality

Teaser

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

Volltext

As a legally insured person, you are entitled to specialized 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, 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,
  • supporting partial supply or
  • complete supply

If you have been admitted to an inpatient hospice, you will receive the medical care required within the framework of the SAPV as a partial service.

Erforderliche Unterlagen

  • Medical prescription

Voraussetzungen

  • an incurable, progressive and far 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.

Kosten

There is no additional payment to be made.

Verfahrensablauf

nicht vorhanden

Bearbeitungsdauer

nicht vorhanden

Frist

nicht vorhanden

Weiterführende Informationen

nicht vorhanden

Hinweise

nicht vorhanden

Rechtsbehelf

nicht vorhanden

Kurztext

  • 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
  • Service is to be prescribed by contract doctor or hospital doctor.
  • specialized outpatient palliative care includes medical and nursing services including their coordination, in particular 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.B. institutions of integration assistance for disabled people and children 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 details of the ordinance, the entitlement to benefits and the cooperation of the parties involved have been determined by the Federal Joint Committee in its guideline on the regulation of specialized outpatient palliative care
  • on the basis of a framework agreement at the federal level, the health insurance companies at the state level conclude contracts with SAPV teams

Ansprechpunkt

nicht vorhanden

Zuständige Stelle

nicht vorhanden

Formulare

nicht vorhanden