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If you are in need of care and receive care at home, you can apply for care benefits in kind.

Special information for - City of Rodgau

The service is not offered by the city of Rodgau.

We advise you on the benefits of your care insurance (e.g. care allowance, prevention and short-term care, respite care), help you to apply for care benefits (applications are available from the respective health insurance companies) and also provide information on the assessment procedure of the Medical Service.

We provide free, impartial advice and independent, consumer-orientated information.

We do not offer legal advice.

General, more detailed information on this service can be found below.

Please note in particular our information under:

  • Service description

    If you need care at home, you are entitled to benefits in kind such as physical care, nursing care measures or help with housekeeping.

    This home care assistance is usually provided by outpatient nursing or care services. Home care assistance is also possible if you live in a shared care home or in the household of family carers, but not in a care home or other fully inpatient facility.

    Depending on the care level, you have a certain monthly budget for care benefits in kind (as of 2021):

    • maximum EUR 689.00 for care level 2
    • Maximum EUR 1,298 for care level 3
    • Maximum EUR 1,612 for care level 4
    • Maximum EUR 1,995 for care level 5

    If you do not claim the maximum amount of outpatient care benefits in kind, you can:

    • convert care benefits in kind that have not been utilised into care allowance. This is referred to as a combination benefit.

    In addition to the care benefits in kind, you can use the relief amount. This is a monthly amount that is used to reimburse expenses incurred by the insured person in connection with the use of services such as outpatient care services within the meaning of § 36 SGB XI, but not for services in the area of self-care in care grades 2 to 5.

  • Procedure

    You can submit the application for care benefits in kind (home care assistance from outpatient services) by post, for example, or - with many long-term care insurance companies - in person at the office or online.

    • You submit the application for care benefits in kind to your care insurance fund. If you are unable to do this yourself, you can authorise someone else in writing.
    • If you have not yet been determined to have a care degree of at least 2, the long-term care insurance fund will commission the Medical Service or other independent expert services to check whether you have a need for care of at least care degree 2.
    • The long-term care insurance fund analyses the report, checks your application and informs you of the result.
    • Your care insurance fund can also provide you with a list of authorised care services where you can compare services and prices.
    • Your care insurance fund settles directly with the outpatient care service.
       

  • Prerequisites

    • You have care level 2, 3, 4 or 5
      • For care level 1, you can only apply for the relief amount
    • The care benefit in kind is provided by an authorised outpatient nursing or care service (or individual staff) that has concluded a contract with your care insurance fund.
       

  • Which documents are required?

    • If you already have a care degree: Notification from the long-term care insurance fund about the determination of the care degree (expert opinion from the Medical Service of the long-term care insurance)
    • If necessary: power of attorney, carer's pass
    • if applicable: medical documents
    • If applicable: Severely disabled person's pass

    Depending on the individual case, further documents may be required. Please contact your care insurance fund for more information.
     

  • What fees are incurred?

    You do not have to pay anything for the application.

  • What deadlines do I have to observe?

    The entitlement to long-term care benefits in kind applies from the date of application, but at the earliest from the date on which the conditions for entitlement are met. If the application is not submitted in the calendar month in which the need for care arose, but later, the benefits will be granted from the beginning of the month in which the application is submitted. You should therefore submit the application in good time.
    If the long-term care insurance fund does not issue the written decision within 25 working days of receipt of the application or if one of the assessment deadlines specified in the law is not met, the long-term care insurance fund must immediately pay you EUR 70.00 for each week that the deadline is exceeded. This does not apply if the long-term care insurance fund is not responsible for the delay or if you are in full inpatient care and have already been awarded at least care level 2.
    If you claim a combination benefit from the long-term care fund, you are bound to the decision on the distribution of benefits in kind or cash benefits for 6 months.
     

  • Legal basis

  • Applications / Forms

    Special information for - City of Rodgau

  • Short text

    • Long-term care benefits in kind for people with statutory long-term care insurance Provision
    • People in need of care who are cared for at home are entitled to care benefits in kind
    • This refers to home care assistance such as physical care, nursing care measures or help with housekeeping
    • Care services must be provided by authorised outpatient nursing or care services (or individual staff) that have concluded a contract with the care insurance fund
    • Long-term care benefits in kind can be applied for informally or via the application for social long-term care insurance benefits
    • Prerequisites:
      • Home care
      • At least care level 2
    • Monthly payments from the long-term care insurance fund depend on the care level (as of 2021)
      • maximum EUR 689.00 for care level 2
      • Maximum EUR 1,298 for care level 3
      • Maximum EUR 1,612 for care level 4
      • Maximum EUR 1,995 for care level 5
    • Information from: Care insurance funds or recognised advice centres, such as care support centres
    • responsible: Care insurance funds

  • Issuing body

    Forwarding service: Deep link to the source portal Forwarding service: Deep link to the source portal

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  • Library entry status

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