Home care Unfortunately this specification of service has not yet been completely translated.
Domestic nursing care in the field of statutory health insurance is granted when hospital treatment is must, but not executable, is avoided or shortened by home nursing, or home nursing is necessary to ensure the objective of medical treatment, and no person living in the household can care for the patient to the extent necessary. Treatment care is one of the possible services of home nursing. From 1 January 2017, insured persons will receive the necessary basic care and home care in suitable places due to serious illness or acute aggravation of an illness, in particular after a hospital stay, after an outpatient operation or after an outpatient hospital treatment unless there is a need for care. In these cases, a simultaneous need for medical care is exceptionally not required. The claim is for up to four weeks per case of illness. It may be extended by the health insurance fund in justified exceptional cases after the intervention of the medical service. Benefits of basic care and home care can also be offered by the health insurance funds as a statutory service. The services of home nursing must be medically necessary and therefore in any case prescribed by a doctor. The care insurance benefits in the area of home care take the form of service, benefits in kind and cash as well as reimbursement of costs. Long-term care insurance benefits are conditional on at least minor health-related impairments of self-employment or the skills that require help from others. Another condition is that the need for assistance is permanent, probably for at least six months. The determination of the need for care is made after application to the nursing fund by the medical service of the health insurance company or by the experts commissioned by it. The amount of benefits depends on the level of care. The level of care is determined by the severity of the constraints, measured in a point range between 0 and 100. Care level 1: minor impairments in self-employment or skills from 12.5 to less than 27 total points. Care level 2: significant impairments of self-employment or skills from 27 to less than 47.5 total points. Care level 3: serious impairments of self-employment or skills from 47.5 to less than 70 total points. Care level 4: severe impairments of self-employment or skills from 70 to less than 90 total points. Care level 5: severe impairments of self-employment or skills with special requirements for nursing care from 90 to 100 total points or in the case of special needs which have a specific, exceptionally high need for assistance with special requirements for nursing care. In the case of home care, care allowance and care benefits are particularly relevant. The monthly amount is Care level 2 Care allowance: 316 euro Care benefit: 689 Euro. Care level 3 Care allowance: 545 Euro Care benefit: 1298 Euro. Care level 4 Care allowance: 728 Euro Care benefit: 1612 euros.' Care level 5 Care allowance: 901 Euro Care benefits: 1995 Euro. In addition, there is entitlement to other benefits, such as a relief amount of EUR 125 per month, which is also granted in the case of nursing grade 1. Further information can be provided by the 135 nursing centres in Rhineland-Palatinate .
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