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Leistungen der gesetzlichen Krankenversicherung für Menschen mit Behinderung in vollstationären Einrichtungen und besonderen Wohnformen beantragen

Sachsen-Anhalt 99106010147000, 99106010147000 Typ 2/3

Inhalt

Leistungsschlüssel

99106010147000, 99106010147000

Leistungsbezeichnung

Apply for statutory health insurance benefits for people with disabilities in fully inpatient facilities and special forms of housing

Leistungsbezeichnung II

nicht vorhanden

Leistungstypisierung

Typ 2/3

Begriffe im Kontext

nicht vorhanden

Leistungstyp

Leistungsobjekt mit Verrichtung

Leistungsgruppierung

Pflegeversicherung (106)

Verrichtungskennung

Kostenübernahme (147)

SDG Informationsbereiche

  • Rechte und Voraussetzungen für den Einzug in eine stationäre Pflegeeinrichtung

Lagen Portalverbund

  • Behinderung (1130300)
  • Pflege (1130400)

Einheitlicher Ansprechpartner

Nein

Fachlich freigegeben am

02.11.2020

Fachlich freigegeben durch

Lower Saxony Ministry of Social Affairs, Health and Equality.

Teaser

Benefits of the care fund for people with disabilities in inpatient facilities or special forms of housing.

Volltext

If you live as a person with a disability (care level 2 to 5) in a fully inpatient facility where

  • participation in working life,
  • in education
  • social participation,
  • school education, or
  • the education of people with disabilities

are in the foreground?

Then the nursing care fund covers 15 percent of the costs.  

The expenses of the nursing care fund may not exceed 266 euros per calendar month in individual cases.

This also applies to special forms of housing (several people with disabilities together in a dormitory/residential group). In doing so,

  • the focus is on shared living and integration into society,
  • the Housing and Care Act apply,
  • the scope of care largely corresponds to the care in a fully inpatient facility.

If you claim a pro rata care allowance for the days on which you are cared for and cared for at home, the days of arrival and departure are considered full days of home care.

Erforderliche Unterlagen

Ask your nursing care fund which documents are required and whether there is a special application form.

Voraussetzungen

  • People in need of care are accommodated in a fully inpatient facility for people with disabilities

or

  • living in a special living environment
  • applies only to people in need of care with care levels 2 to 5

Kosten

The application is free of charge.

Verfahrensablauf

The benefit must be applied for in writing to the nursing care fund

Bearbeitungsdauer

The processing time of the application depends on different conditions.

Frist

None

Weiterführende Informationen

nicht vorhanden

Hinweise

nicht vorhanden

Rechtsbehelf

nicht vorhanden

Kurztext

For people with disabilities who

  • live in a fully inpatient facility where

- participation in working life,

- participation in education

- social participation

- the focus is on school education or education,

or

- in a special form of housing (dormitory/residential group for persons with disabilities), in which

- the purpose of housing, and

- integration into society

in the foreground,

the nursing care fund pays 15 percent of the agreed remuneration, but not more than 266 euros per month.

Ansprechpunkt

Contact the nursing care fund.

Zuständige Stelle

nicht vorhanden

Formulare

nicht vorhanden