Applying for home care for disabled persons with long-term care insurance

Service Description

Do you live as a person with a disability in a residential home or another fully inpatient facility that enables you to participate socially and helps you to integrate into working life? Then your care insurance fund will cover 15% of the costs under certain conditions.

However, the care insurance fund pays a maximum of EUR 266.00 per month and you bear the remaining costs yourself. If your income is not sufficient for this, you are entitled to basic security benefits in old age and in the event of reduced earning capacity or housing benefit. To do this, you must submit an application to the social welfare office. This is usually the social welfare office in your place of residence.

This also applies to special forms of housing such as a residential home or a residential group for people with disabilities. This must

  • the focus must be on communal living and integration into society,
  • the Housing and Care Act must be applied and
  • the scope of care must largely correspond to the care provided in a fully inpatient facility.

If you are at home with your relatives at the weekend or during the vacations, you are entitled to the following benefits for this time:

  • Care benefits in kind: This refers to the services of an outpatient care service. Your entitlement to care benefits in kind is reduced by the amount that the care insurance fund pays for accommodation in a residential home or boarding school during this month. For example, if you are at home 10 days a month, the amount paid by your care insurance fund for the 20 days you spent in a residential home or boarding school will be deducted from the amount you are entitled to in kind each month.
  • Care allowance: If you are supported by relatives or volunteers during your time at home, you can receive care allowance. For each day you spend at home, you will receive 1/30 of the monthly care allowance. The day of arrival and departure counts as a full day at home. You will also receive care allowance if you receive care services in kind at the same time. This does not reduce your care allowance.

Source: Zuständigkeitsfinder Thüringen (Linie6PLus)

Competent Authority

Liste der Krankenkassen auf der Seite des GKV-Spitzenverbands (Spitzenverband Bund der Krankenkassen)