Care aids

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The use of care aids can facilitate the care of a person in need of care or reduce their symptoms. Persons who are in need of care in accordance with Section 40 of Book XI of the Social Code (SGB XI) or persons who need to prevent an impending disability or compensate for an existing disability are entitled to financial support for the costs of care aids . In part, the benefits depend on whether the beneficiary is cared for by a private person in the home environment (also with partial support from professional care services ) or in an inpatient facility.

If the necessary care aids cannot be provided by health insurance or other competent service providers due to illness or disability , the costs will be covered in whole or in part by the care insurance . The prerequisite for this is a valid medical prescription only for benefits according to SGB V (GKV). For benefits according to SGB XI (long-term care insurance), the claimant must apply to the long-term care insurance directly; a doctor's prescription is not required, the application must be checked by the long-term care insurance company or its MDK. From 2016/2017, nursing care aids at the expense of the nursing care fund can also be initiated by the agents of the nursing care fund / MDK directly from the nursing care fund without the need for a medical prescription. Depending on the cost unit, there are different requirements regarding the approved providers and the product selection. If a certain product is required, it may have to be purchased on your own account.

Technical care aids

Technical care aids are long-lasting care aids that are primarily given to the insured on loan. According to § 40 SGB ​​XI, the entitlement includes the necessary changes, repairs and replacement procurement as well as training in their use in addition to the care aid itself. Insured persons who have reached the age of 18 must make an additional payment of 10%, but no more than 25 euros per care aid, to the issuing agency, unless they are in accordance with Section 62 Paragraph 1 Clause 1, 2 and 6 and Paragraph 2 and 3 of SGB V are wholly or partially exempt from additional payments. The list of care aids contains the following care aids to be reimbursed by the care insurance:

Product group 50: Care aids to facilitate care

  • Care beds
  • Nursing bed accessories
  • Nursing bed adjustments
  • Special nursing bed tables
  • Nursing chairs

Product group 51: Care aids for personal hygiene / hygiene

  • Washing systems
  • Shower trolley
  • Products for hygiene in bed ( bed pans , urine bottles , urine boats, reusable absorbent bed pads)

Product group 52: Care aids for more independent living / mobility

Product group 53: Care aids to alleviate complaints

  • Storage rollers
  • Storage half-rollers

Care aids for consumption

In accordance with Section 40 of Book 11 of the Social Code (SGB XI), those in need of care have the right to use care aids. Consumable care aids, such as hygiene and protective products that enable sterile and safe care, are especially suitable for single use. The service providers for care aids intended for consumption are the care funds.

The list of care aids contains the following care aids to be paid for by the care insurance:

Product group 54: Consumable care aids

Nursing aids in product group 54 can be obtained directly from approved service providers such as pharmacies, homecare companies or medical supply stores.

Nursing aids flat rate

The support can be granted by the long-term care insurance in the form of the monthly flat rate for care aids. This has been increased by the 1st Care Strengthening Act, which came into force on January 1, 2015, from 31 euros to 40 euros per month.

Web links

Individual evidence

  1. ↑ Aid directory hilfsmittel.gkv-spitzenverband.de
  2. ↑ Aid directory hilfsmittel.gkv-spitzenverband.de
  3. ↑ The first Care Support Act bmg.bund.de