Specialisation

Teaser

If you receive medical care at home and require additional nursing care from a qualified carer, you may be eligible for home nursing care from a nursing service.

Special information for - City of Rodgau

How do I do this with the city of Rodgau?

Receive information, advice and information on possible benefits from long-term care insurance

When?

How?

  • On site
    • Hintergasse 15, Department of Social Services, Tina Taffet, 693-1233 and Carolyn Berck-Koch, 693-1165 . senioren@rodgau.de

What do I need for this? (documents)

  • You need a doctor's prescription.

Costs?

  • If you are at least 18 years old and are not exempt from statutory co-payments, you pay a co-payment of 10 euros per prescription and 10 per cent of the costs for the first 28 days of treatment per calendar year.

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


Please note in particular our information under:

  • Service description

    Insured persons are entitled to home nursing care, which basically includes treatment care, basic care and domestic care. The service is prescribed by a doctor and must be authorised by your health insurance provider. Provided that there is no other person living in the household who can take over the care. Which services are covered depends on the individual clinical picture:

    If home nursing care ensures the success of medical treatment, the costs for treatment care are covered as long as this is medically necessary (backup care). Your health insurance fund may also provide for basic care and domestic care to be covered in your policy.

    If hospitalisation can be replaced, avoided or shortened with home nursing care, the costs of treatment care and, if necessary, additional basic care and domestic care are covered (hospital avoidance care).

    Anyone who is dependent on support due to serious illness or acute exacerbation of an illness, particularly after hospitalisation, outpatient surgery or outpatient hospital treatment, receives so-called support care (basic care and domestic care).

    In the case of hospital avoidance and supportive care, costs are generally covered for up to four weeks, depending on the illness. An extension for medical reasons is possible. Both benefits also include outpatient palliative care.
     

  • Procedure

    Home nursing care must be prescribed by a doctor. Please enquire with your treating contract doctor or your statutory health insurance provider.

  • Prerequisites

    • Care is provided in your household, in your family or in another suitable place, in particular in assisted living facilities, schools and nurseries, and also in workshops for disabled people if the need for care is particularly high.
    • There must be no person living in your household who can care for and look after the patient to the extent required
    • The service has been prescribed by your doctor and authorised by your health insurance company.

  • Which documents are required?

    You need a doctor's prescription.

  • What fees are incurred?

    If you are at least 18 years old and are not exempt from statutory co-payments, you pay a co-payment of 10 euros per prescription and 10 per cent of the costs for the first 28 days of treatment per calendar year.

  • Legal basis

  • Legal remedy

    If the health insurance company refuses the benefit, an objection can be lodged. If the objection is not upheld, you can appeal to the social court.

  • Applications / Forms

    A prescription from a doctor is required.

    Special information for - City of Rodgau

  • Short text

    • - Insured persons are entitled to home nursing care
      Requirements:
      - Hospital avoidance care
      Hospital treatment is necessary but not feasible or hospital treatment is avoided or shortened by home nursing care
      o Home nursing care includes treatment care, basic care and domestic care required in individual cases
      - Supportive care
      due to serious illness or acute exacerbation of an illness, in particular following hospitalisation, outpatient surgery or outpatient hospital treatment
      o Home nursing care includes basic care and domestic care
      - Backup care
      Home nursing care is intended to secure the goal of medical treatment
      o Home nursing care includes treatment care (a health insurance fund can also offer basic care and domestic care via its statutes)
      - Care is provided in the household, in the family or in another suitable place, in particular in assisted living facilities, schools and kindergartens, in the case of particularly high care needs also in workshops for disabled people
      - In the case of hospital avoidance and support care, there is a basic entitlement to care for four weeks per case of illness (four weeks per case of illness). for four weeks per case of illness (extension possible in justified exceptional cases), in the case of backup care for as long as medically necessary
      - Hospital avoidance and supportive care also include outpatient palliative care
      - Entitlement to home nursing care only exists if a person living in the household is unable to care for and look after the patient to the extent required
      - Prescription by a contract doctor and authorisation by the health insurance fund is required
      - Insured persons who have reached the age of 18 are entitled to home nursing care. Insured persons who have reached the age of 18 must make an additional payment (10 euros per prescription and 10 per cent of the costs for the first 28 days of treatment per calendar year)
    • responsible: Health insurance companies
       

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