In need of care

Hessian Ministry for Social Affairs
In need of care –
What can be done
s for 2013
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Publisher
Hessian Ministry for Social Affairs
Public Relations Department
Dostojewskistrasse 4
65187 Wiesbaden
www.sozialministerium.hessen.de
Editors
Gesa Krüger (main editor)
Dieter Obst, Christiane Poetzsch
Editorial collaboration: Dr. Ingmar Sütterlin
Layout
Kirsch Kommunikationsdesign GmbH, Walluf
Printing
mww.druck und so... GmbH, Mainz-Kastel
As at
December 2012
3
Contents
Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
Long-term care insurance scheme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
In need of care – what can be done? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Benefits provided by long-term care insurance . . . . . . . . . . . . . . . . . . . . .
15
What benefits are provided by the
long-term care insurance company? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
Appendix
Overview of benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38
Further information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39
Services and assistance required in outpatient care . . . . . . . . . . . . . . . . .
40
The most important steps for selecting an
outpatient care service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41
Checking the contract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
Inpatient care institution checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45
Sample agreement on taking family care leave . . . . . . . . . . . . . . . . . . . . .
46
Long-term care support bases in Hesse . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
50
Emergency card to cut out . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Dear Reader,
The in-home care of persons in need of care
is performed by relatives in almost 75% of
the cases in Hesse. Such caretaking requires
a huge amount of energy, as the relatives are
generally needed around the clock. They
certainly make a decisive contribution to
making it possible for the family member
who is reliant on care to live in their own
home. However, care cannot always be provided without support in the long term,
whether it is because the family caregivers
run out of energy and need respite themselves or because other resources or aids are
required for the care of their relatives, such
as a special bed, for example.
In addition to physical and mental stress,
organisational problems often arise which
have to be resolved by the caregivers. What
financial and material aid can persons in
need of care and their relatives count on?
How are the different care levels defined?
What benefits do long-term care insurance
companies provide? This brochure aims to
answer these and other questions.
5
Furthermore, it also contains information
about what other offers and benefits are
available for persons in need of care and
their relatives. Here, I would like to especially draw your attention to the options that the
German Family Care Leave Act provides for
managing in-home care.
In addition, this brochure provides information about the new regulations of the German
Care Realignment Law, which came into
effect on 1st January 2013 and primarily
includes improvements in the benefits for
persons suffering from dementia.
Finally, I would like to refer you to our
Internet portal: www.pflege-in-hessen.de.
On our website, you can always obtain the
latest updated information with regard to the
advice and care of persons reliant on care in
Hesse.
Stefan Grüttner
Hessian Minister for Social Affairs
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Long-term care insurance scheme
The long-term care insurance scheme came
into effect on 1st January 1995. It provides
for partial insurance coverage – i.e. a portion
of the costs for care are compensated by this
insurance. The long-term care insurance represents a basic social security provision in
the form of supportive assistance, which
does not preclude, however, that a personal
contribution on the part of the insured person may be required.
On 1st January 2013, the contribution rate
increased to 2.05 percent and to 2.3 percent
for childless individuals, in particular to
finance the improved benefits for people
suffering from dementia.
Need for care – what is that?
German Social Code XI =
Social long-term care
insurance
As specified by the German Social Code XI,
persons “in need of care” are defined as anyone who is dependent on help to perform the
activities of everyday living in the long term
– i.e. for at least six months – as a result of a
physical or mental illness.
7
The terms “illness” and “disability” are
deemed to mean the following:
䡲 loss of use, paralysis or other dysfunctions of the musculoskeletal system,
䡲 dysfunctions or disorders of the internal
organs or the sensory organs,
䡲 central nervous system disorders, such as
apathy, memory disorders or orientation
disorders, as well as
䡲 psychoses, neuroses or mental disabilities.
The activities of daily living, known as basic
care, include physical care (e.g. washing,
showering, dental hygiene) as well as nutrition (preparation or intake of food), mobility
(e.g. dressing and undressing, climbing
stairs) and domestic support (e.g. shopping,
cooking, cleaning).
The decisive factor here is the need for assistance arising from the disease or disability,
not, however, the disease or disability itself.
Health insurance benefits
(Social Code V)
In-home nursing care, which is provided by a
home care agency, also covers basic care and
therapeutic care, as well as domestic help.
However, in-home nursing care is prescribed
by the doctor for a limited period of time
(generally up to 28 days) with the aim of preventing or shortening hospital stays. Therapeutic care, which includes, for example,
Long-term care insurance
refers to long-term basic
care and domestic support,
not to nursing care
8
The health insurance
company bears the costs
for (short term) in-home
nursing care
administering medicines, is prescribed by
the doctor to ensure that medical treatment is
actually provided. The health insurance company bears the costs for this and also decides
whether to grant its approval in each individual case. For any questions related to inhome nursing care services, please contact
your GP. In contrast to the need for care
referred to above, there is no permanent need
here, but the priority is to ensure that assistance is provided in the case of illness.
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In need of care – what can be done?
If you or a relative are dependent on outside
help, you can start by seeking assistance
from a social service centre at a hospital, a
senior citizen’s advice and information centre, a long-term care support base, or your
long-term care insurance company. The
long-term care insurance companies are legally required to inform insured persons and
their relatives about all matters relating to
the need for care in an understandable manner and to give advice as well. In addition,
the long-term care insurance companies have
to inform you that you are entitled to receive
the assessment by the medical service of the
health insurance company or by another
evaluator commissioned by the long-term
care insurance companies as well as a separate rehabilitation recommendation. Advice
and information centres at the local level
also provide a citizen-focused service and
give information about the health-related,
social care and psychosocial services offered
and provide the necessary assistance. At the
centres, you can obtain information about
what assistance could be considered.
You have to submit the application for longterm care benefits to your long-term care
insurance company. If this is the first time
you are submitting an application for care to
Seek advice
Submit an application for
long-term care benefits
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Right to receive advice
your long-term care insurance company, it
has to offer you a specific appointment for
an advising session, while also designating a
contact person, which has to take place no
later than two weeks after you submit the
application, or issue you a voucher for an
advising session, which lists advice and
information centres where you can be
advised free of charge within two weeks. If
you wish, the advising session can also take
place in your home. This advising session
can still also take place after the 2-week
deadline has expired. As a basic rule, however, insured persons receive the benefits of
health and long-term care insurance only
upon application. The application must be
informally submitted to the health insurance
and/or the long-term care insurance company where the insurance policy is held by the
insured person, his/her agent or his/her legal
representative.
The benefits are then granted starting from
the date the application is submitted, but at
the earliest from the time at which the eligibility requirements exist. If the application
for long-term care insurance benefits is submitted later than one month after the need
for care starts, the benefits are granted starting from the beginning of the month in
which the application was submitted.
After the application has been submitted, the
long-term care insurance company commis-
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sions the Medical Service of the Health Insurance Companies (MDK) or another independent evaluator to conduct an assessment,
which takes place during a visit to where you
live (e.g. your apartment or your room in the
nursing home). In exceptional cases, however, the examination in your home can be
dispensed with if the result has already been
unequivocally documented and established
based on the existing records. In urgent
cases, an emergency assessment can be performed in the hospital. In this case, the decision as to whether a care level will exist after
you leave the hospital is made on the basis of
the records. The final decision about your
need for care, is, however, only made after
you have been discharged from hospital after
the assessment by the MDK in your home
environment. The MDK and/or evaluator
will also ask you about your medical history
and your need for assistance. Furthermore,
information about your caregiver, your
living situation, any resources that are
already available to you and the daily assistance benefits you receive, will be required.
If an assessment has not taken place within
4 weeks of your application, or if an independent evaluator should perform the assessment, the long-term care insurance company
is obligated to provide you with the names of
at least three evaluators to choose from so
that an assessment can be performed in a
Assessment
The notification must be
issued no later than 5 weeks
after the application was
submitted.
See Section 18(3) SGB XI
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timely manner. If the long-term care insurance company has not issued a notification
about the benefits of the long-term care
insurance within five weeks after you submitted the application or if – e.g. in case of a
hospital stay – a shorter deadline for an assessment cannot be met, and if the long-term
care insurance company is responsible for
that delay, it must pay 70 Euros to the applicant for each week started which exceeds the
deadline. This does not apply if the longterm care insurance company is not responsible for the delay, or if the applicant is in
hospitalised care and at least care level I has
already been approved. The same legal provisions apply to insurance companies which
provide compulsory insurance on a private
basis.
The MDK or the commissioned evaluator
has to give a recommendation to the longterm care insurance company with regard to
what assistance is needed, and assesses the
daily amount of time needed for the required
help. The applicant has to be immediately
informed in writing about this recommendation by the Medical Service and/or by the
evaluator commissioned by the long-term
care insurance company.
In a separate rehabilitation recommendation,
it should be determined if rehabilitation is
necessary and reasonable for the person in
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need of care. This is to be documented by the
MDK or by the evaluator commissioned by
the long-term care insurance company. The
applicant must also be informed of any notification concerning the need for rehabilitation which is forwarded to the responsible
rehabilitation service provider as an application for the medical rehabilitation services.
A prerequisite is that the applicant must consent to this.
According to Section 18, the independent
evaluators may collect, process and use personal data for the purpose of the assessment.
The results of the assessment to determine
the need for care and the rehabilitation
recommendation may only be forwarded to
those persons who need the information to
fulfil their tasks. After five years, such personal data have to be deleted.
After the assessment, you will receive notification from the long-term care insurance
company concerning the amount of benefits
to which you are entitled. The assessment
must be sent to the applicant together with
this notification, if the applicant wished to
receive it. The sending of the assessment
report may also be postponed to a later time.
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If you are not happy with the classification
Objection
Keep a diary
If you do not agree with your classification
into a care level, you must make an objection against the official notification to the
relevant long-term care insurance company
and justify your objection. It is necessary to
state why you need a different classification. Keeping a “care diary” is helpful in
relation to this, in which the individual
cases of assistance can be listed. Here, you
should record who provides the help, as
well as when and for how long the assistance was necessary.
You can also make a petition to the relevant
supervisory body. The underlying problem
must be illustrated here.
Relevant supervisory bodies
䡲 The Hessian Ministry for Social Affairs, Dostojewskistrasse 4,
65187 Wiesbaden, is responsible for state long-term care insurance
companies (e.g. AOK Hessen).
䡲 The Federal (Social) Insurance Office, Friedrich-Ebert-Allee 38,
53113 Bonn, is responsible for national long-term care insurance
companies (e.g. DAK, TKK).
䡲 The Federal Financial Supervisory Authority,
Graurheindorfer Strasse 108, 53117 Bonn, is responsible
for private insurance companies.
䡲 The Hessian Ministry of the Interior and for Sport,
Friedrich-Ebert-Allee 12, 65185 Wiesbaden, is responsible
for matters relating to state aid.
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Benefits provided by long-term
care insurance
The benefits provided by long-term care insurance are based
on the care levels specified in the Social Code XI.
It distinguishes between 3 care levels:
Care level I: considerable need for care
Care level I exists if assistance is required at least once a day for at
least two activities of daily life and assistance is additionally necessary
several times a week for domestic chores (e.g. washing laundry, cleaning, shopping).
The time taken up with care must be ninety minutes per day on a weekly
average, where more than 45 minutes are required for basic care.
This means that the time needed to cover the care requirements for personal
hygiene, feeding and mobility must amount to more than 45 minutes.
Care level II: severe need for care
Here, assistance is required for physical care, feeding or mobility at
least three times a day at different times of day and for household
chores several times a week.
The time required for the care must be at least three hours a day
on a weekly average, where two hours must be required for basic
care.
Care level III: extreme need for care
Care level III is selected if help with physical care, feeding or mobility is
needed around the clock every day and help in the house is
needed several times a week.
The time required for the care must be at least five hours a day
on a weekly average, where at least four hours must be required for
basic care.
Special case of hardship
There is a special case of hardship if the requirement for assistance is much
greater than illustrated in care level III, if assistance is required to a greater
extent at night and if several people are required for this.
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What benefits are provided by the
long-term care insurance company?
Long-term care insurance
aims to primarily support
care at home, so that those
in need of care can remain
in their home environment
for as long as possible.
(Section 3, German Social
Code XI)
The benefits from the long-term care insurance company depend on whether care takes
place at home (outpatient) or as inpatient
care, and can be provided both in the form of
non-cash and cash benefits. A combination
of both alternatives is also possible.
Moreover, the following benefits are provided:
䡲 Care at home if the caregiver is prevented
from providing this
䡲 Day and night care
䡲 Temporary care
䡲 Full inpatient care
䡲 Medical aids and technical aids
䡲 Care courses for relatives and voluntary
caregivers
䡲 Benefits for the social security of the
caregiver
䡲 Additional support benefits for dementia
sufferers
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Care advice
Since 1st January 2009, policy holders who
have already received benefits from the
long-term care insurance companies or have
made an application are entitled to individual advice and support from a care consultant from the relevant long-term care insurance company upon selecting and claiming
long-term care benefits.
Establishment of long-term care support bases
in Hesse
To advise, supply and support the policy
holders located nearby, a longterm care support base will initially be set up in every
administrative district and every city with
district rights by the long-term care and
health insurance companies and the local
authorities. Care advice is also offered at the
long-term care support bases.
The contact information
for the long-term care
support bases in Hesse can
be found in the Appendix
of the brochure
Long-term care non-cash benefits
The person in need of care receives assistance from a commissioned outpatient care
service for various care expenses. The longterm care insurance companies pay subsidies
for the expenditure on assistance with physical care, mobilisation and feeding (basic
care), as well as domestic support. The condition for this is the assignment to a care
level. The benefits will then be granted to the
person in need of care as a non-cash benefit
when a care service is used.
Your long-term care insurance company can provide
you with a list of the outpatient care services near
you.
You can also receive important information at
www.sozialnetz-hessen.de
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Since 1st January 2012, long-term care
insurance companies pay for care provided
by an outpatient care service up to a total
amount of
The care contract can be
terminated at any time
䡲 Care level I
450 Euro
䡲 Care level II
1,100 Euro
䡲 Care level III
1,550 Euro
䡲 Special hardship cases
1,918 Euro
If you decide for care provided by an outpatient home care agency, conclude a care contract with the care service provider. At least
the type, content and scope of services and
the agreed-upon remuneration per type of
service have to be specified in the care contract. The care contract can be terminated by
the person in need of care at any time, without having to give a period of notice.
Care allowance
Care by relatives or in
the context of help from
neighbours
People in need of care can apply for the payment of a care allowance. In this case, they
have to guarantee the necessary basic care
and domestic support themselves in an
appropriate manner. This is the case, for
example, if the care is provided by relatives
or in the context of help from neighbours. It
is necessary to obtain advice from an
approved care service once every half year
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for care levels I and II and once every quarter for care level III.
The care allowance varies according to the
care level, and effective starting 1st January
2012 amounts to:
䡲 Care level I
235 Euro
䡲 Care level II
440 Euro
䡲 Care level III
700 Euro
Half of the care allowance previously
received will be continued during a temporary period of care (Section 42 SGB XI) and
respite care (Section 39 SGB XI) for four
weeks for each calendar year. This also
applies to proportionately paid amounts of
care allowance.
Combination of non-cash and cash benefits
A combination of non-cash (in-kind) and
cash benefits is also possible. If a person
needing care does not claim the non-cash
benefits to which they are entitled to their
full extent, a proportionate care allowance
may be paid. This would, for example, be the
case if a relative takes on the care, but
employs a care service for individual activities (such as bathing). Your long-term care
insurance will explain the precise calculation to you.
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Suspension of benefits
If you stay abroad longer than 6 weeks, the
benefits of the long-term care insurance will
be suspended. The entitlement to care allowance or proportionate care allowance will not
be suspended, however, if you stay in a member state of the European Union, or in
Iceland, Norway, Liechtenstein or Switzerland. In addition, the entitlement to the benefits of a care allowance is suspended if you
are hospitalised as an inpatient for more than
four weeks. Non-cash care benefits are suspended as of the day the inpatient stay started.
The long-term care insurance companies and
long-term care support bases can extensively
advise you on this matter.
In-home care when the caregiver is prevented
from providing care
Care allowance is
paid for substitute
care by relatives
When caregiver family members are absent –
whether because of a holiday or due to illness – the long-term care insurance company
will assume the costs of the necessary substitute care for a maximum of four weeks and,
since 1st January 2012, for a maximum of
1,550 Euro. The prerequisite for this is that
the caregiver must have cared for the person
reliant on care in his/her home for at least six
months before being prevented from doing
so. In the case of substitute care by relatives
up to the second degree of kinship or persons
who live in the same house as the person in
21
need of care, it is assumed that the substitute
care is not performed as a commercial activity. In such cases, only the care allowance for
the established care level will be paid.
Support for caring relatives
If caring relatives feel overburdened or if
they are unable to reconcile their care with
looking after their own family, their working
hours, or their own holiday, or in the case of
illness, they can fall back on the following
aid:
䡲 Partial inpatient care
䡲 Temporary inpatient care
䡲 Employment of an assistant
䡲 In-home care by an individual who is
approved by the long-term care insurance
company
䡲 Care leave
䡲 Family care leave
22
Partial inpatient care
Partial inpatient care is
either day or night care
If it is not possible for relatives to ensure
care at home to an adequate extent, the person in need of care is entitled to partial inpatient care – as day and night care.
The long-term care insurance company takes
over the expenses, which vary according to
the care level:
䡲 Care level I: expenses up to 450 Euro per
month as of 1st January 2012
䡲 Care level II: expenses up to 1,100 Euro
per month as of 1st January 2012
䡲 Care level III: expenses up to 1,550 Euro
per month as of 1st January 2012.
Temporary inpatient care
Temporary inpatient care comes into consideration when neither care at home nor partial inpatient care is possible or sufficient for
a temporary period of time. This is the case,
for example, if the need for care unexpectedly increases and e.g. the time until placement
in a suitable facility has to be bridged, or if
the caregiver is prevented from providing
care due to an illness or holiday.
Following a stay in a hospital, there is also
the option for temporary inpatient care during the transition period.
23
If your caregiver is in a facility which provides inpatient services for medical care or
rehabilitation, and if you require concomitant placement and care because you depend
on care, you are entitled to be placed in that
facility during this time as part of the temporary care.
Temporary inpatient care is reimbursed by
the long-term care insurance company for a
maximum of four weeks per year up to an
amount of 1,550 Euro.
During the period of temporary care (Section 42
SGB XI) or respite care
(Section 39 SGB XI), half of
the amount paid before the
start of temporary care or
respite care is continued
for up to 4 weeks per year
Employment of an assistant for domestic work
Caregiver relatives may employ an assistant.
In such a case, however, it is necessary to bear
in mind that social insurance contributions
have to be paid and income tax has to be
deducted. The work of the assistant must
remain restricted to domestic work. Caregiving services are not permitted.
Tax incentives are provided for the employment of this assistant. The tax reduction
amounts to 20% of expenditure up to an annual maximum of 510 Euro for minor employment or 4,000 Euro for employment subject
to social insurance.
You can find details
in the brochure “Domestic
employment, services and
manual work in private
homes” published by
the Hessian Ministry of
Finance
24
The placement of care workers is performed
by the local employment agency. Before a
worker is employed, the agency must check
whether the preferred employees are available. Only if no suitable people are worth
considering from this group of people –
generally German employees – is a placement of Eastern European domestic assistants possible.
The Hessian consumer
advice centre’s guidebook
can be recommended here:
“Help around the clock –
can it legally be from anyone?”
It is advisable to get in touch with the longterm care insurance company or the employment agency before employing an assistant.
Anyone who employs workers without a
work permit is supporting the black market.
Care at home by an individual person
In order to ensure care at home and supervision as well as domestic support, the longterm care insurance company should conclude contracts with individual caregivers in
order to help the person in need of care lead
an independent and self-determined life as
far as possible or to accommodate the special desires of the person reliant on care with
regard to organising the help. Contracts with
relatives or persons who live in the same
household as the person in need of care are
not permitted.
The long-term care insurance companies or a
long-term care support base can advise you
further on this matter.
25
Care leave
If you are intending to care for a close relative who has been assigned at least care level
I in his/her home environment, you are entitled to take care leave under certain conditions, i.e. you can
10
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䡲 take a leave from work for up to ten days;
䡲 be released from work for care leave lasting up to six months or
䡲 reduce your working hours.
You are only entitled to this if your employer
has more than 15 employees.
You must inform your employer of the care
leave in writing ten days before you claim it.
You must provide information about the
period for which and the extent to which you
want to claim care leave. You are released
from work without pay for this period.
If you would only like a partial release from
work, you have to state how you would like
to distribute this working time. In this case,
you will make a written agreement about the
reduction and the distribution of the working
hours. Your employer may only refuse your
request for a partial release for urgent operational reasons.
The following count as
close relatives: spouses,
civil partners, partners with
whom you are cohabiting,
grandparents, parents,
sisters, children, adopted
and foster children, grandchildren, as well as parentsin-law and sons- or daughters-in-law
26
You must provide your employer with evidence of the person’s need for care, for
example, in the form of the notification from
the long-term care insurance company.
You may only complete your care leave early
with the agreement of your employer.
The care leave ends before the expiry of the
period claimed with a transitional period of
four weeks in the following exceptional
cases:
䡲 the person being cared for dies
䡲 the person being cared for has to be
admitted to an inpatient care institution
䡲 caring for the close relative at home
becomes impossible or unreasonable for
other reasons.
All employees
may claim a temporary
release from work – regardless of the number of
employees working for
the employer in total
If a close relative is in severe need of care,
you have the right to be released from work
for up to ten days to organise good care for
her or him or to take on his / her care yourself
during this time. At the request of the
employer, you have to present a medical certificate about the expected need for care of
your relative and the necessity for a release
from work.
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Family care leave
Since 1st January 2012, employees have the
option to apply for family care leave. The
prerequisite for this is that a close relative
needs to be provided with care.
In the case of family care leave, employees
have the possibility to reduce their working
hours for a maximum period of 2 years to a
remaining work time of at least 15 hours. Their
salary is topped up by half of the reduced
wage. After returning to the regular working
hours, the reduced salary will be continued to
be paid to compensate for the advance in
salary until it has been balanced out.
Example:
An employee reduces his working hours by
50% in order to care for his mother. During
this time, he receives 75% of his last gross
salary. After the end of the family care leave
period, he returns to full-time work, however, he continues to receive 75% of the
gross salary until the working time account
is balanced again.
The employed person must take out insurance during this time, which ends on the last
day of the wage repayment.
Pension entitlements for caregiver relatives
are covered by contribution payments during
the family care leave period and benefits of
the long-term care insurance for the statutory
pension fund.
A sample agreement
for family care leave, published by the German
Federal Ministry of Family
Affairs, can be found in the
Appendix of this brochure
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Full inpatient care
You can obtain further
information and a checklist
for the correct selection of
a nursing home at
www.sozialnetz-hessen.de
If care at home or partial inpatient care is no
longer possible or is ruled out because of the
characteristics of the individual case, those
in need of care are entitled to care in an inpatient care institution (nursing home). The
long-term care insurance company shall only
bear the costs for the general care services.
The costs for accommodation and food, as
well as for any agreed-upon additional services, must be borne by the person in need of
care himself / herself.
As of 1st January 2012, the following flatrate sums are paid by the long term insurance
companies on a monthly basis:
䡲 Care level I
1,023 Euro
䡲 Care level II
1,279 Euro
䡲 Care level III
1,550 Euro
䡲 Special hardship cases
1,918 Euro
Persons in need of care who live in full inpatient care facilities for assisting disabled
people will receive the full care allowance
for the days in which they are provided with
in-home care.
Publication of the results of quality inspections
in outpatient and inpatient care facilities
Effective 1st January 2014, full inpatient
care facilities are obligated, after a routine
inspection, to inform the regional associations
of the long-term care insurance companies
29
with regard to how the medical, specialist
and drug provision is regulated in the respective facility.
The quality inspection of an outpatient care
facility must be announced one day in
advance.
If the persons in need of care have to be
examined more closely, and / or the care
documentation has to be inspected and the
employees at the care facility as well as the
persons in need of care and their relatives
have to be consulted in order to prepare the
inspection report, the consent of the persons
in need of care shall be required.
The results of the quality tests in nursing
homes and care services by the Medical
Service of the Health Insurance Companies
are published and can be retrieved at
www.pflegenoten.de.
Benefits for dementia
People in need of care being cared for at
home for whom a considerable need for
supervision and support has been established
by the Medical Service of the Health Insurance Companies receive additional support
benefits up to an amount of 100 Euro (basic
amount) or up to 200 Euro (increased
amount) each month. The amount of the entitlement is determined on an individual basis
by the long-term care insurance company, on
www.pflegenoten.de
30
the basis of the recommendation of the
MDK, and the person affected is informed of
this. This amount is earmarked for specially
acknowledged support benefits and must be
settled with the long-term care insurance
company using certificates and receipts.
Benefits for dementia,
also without an assigned
care level
People suffering from dementia with lower
care requirements which do not fulfil the
requirements of care level I (so called “care
level 0”), but receive additional support from
the MDK, can claim this benefit.
As of 1st January 2013, persons suffering
from dementia who are assigned to care level
0 will receive care allowance or non-cash
(in-kind) care benefits for the first time,
besides additional support benefits in the
amount of 100 Euro and / or 200 Euro.
Care level 0:
For care level 0, the care allowance is 120.00 Euro per
month or non-cash care benefits of up to 225.00 per month
will be allowed for an outpatient service.
Care level I:
For care level I, the care allowance increases from
450.00 Euro to 665.00 Euro per month for care provided
by an outpatient care service. The care allowance increases
from 235.00 Euro to 305.00 Euro per month for care provided by a relative.
Care level II:
In care level II, the care allowance increases from
1,100.00 Euro to 1,250.00 Euro per month for outpatient
care. For care provided by a relative, the care allowance
increases from the current amount of 440.00 Euro to
525.00 Euro per month.
31
Care at home
Persons in need of care who are assigned to
care levels I to III and insured persons not
assigned to a care level whose everyday
mental abilities are considerably limited are
entitled to in-home care until a law comes
into force which regulates a new concept for
determining the need for care and a corresponding assessment procedure.
Benefits for care at home include, in particular:
䡲 Support for activities in the context of
maintaining communication and social
contacts
䡲 Support in everyday household and
domestic matters, in order to maintain
a daily structure and comply with a
day/night rhythm tailored to the dependent person’s needs
These benefits can be jointly used by several
persons in need of care as a non-cash benefit
in the home environment of a person reliant
on care. A prerequisite, however, is that the
basic care and domestic support are assured.
Authorised group of
persons, see Section
45a SGB XI
32
Residential groups
Residential groups are intended for people
who can no longer live alone, but do not need
inpatient care.
A residential group is formed by at least
three persons in need of care living together.
Additional benefits
are regulated by Section
38a SGB XI
Funds to finance the
remodelling of accommodations for outpatient
supervised residential
groups are available up to
the end of 2015. Full
details are provided in
Section 45e SGB XI
If persons reliant on care establish an outpatient supervised residential group and if they
are entitled to additional benefits for persons
in need of care in outpatient supervised residential groups, they are entitled to receive a
one-off subsidy for age appropriate and
accessible remodelling of the shared residence up to 2,500 Euro per person. The funding is limited to 10,000 Euro per residential
group. In the case of more than four persons
entitled to benefits, the subsidy is divided
amongst the insurance providers of the entitled persons. The application for funding
must be submitted to the long-term care
insurance company within one year after
establishing the eligibility requirements. If
the establishment of an outpatient supervised residential group has taken place, the
long-term care insurance company pays the
amount of support.
33
Additional benefits for persons in need of
care living in outpatient supervised residential
groups
Persons in need of care are entitled to a flatrate supplementary payment of 200 Euro per
month, if
1. they live in an outpatient supervised residential group in a shared residence with
domestic care and support,
2. they receive benefits in accordance with
Section 36 SGB XI (non-cash care benefits), Section 37 SGB XI (care allowance)
or Section 38 SGB XI (combined benefits),
3. a caregiver is working in the outpatient
supervised residential group, who performs the organisational, administrative
or care tasks, and
4. it is a shared living arrangement comprised of at least three persons in regular
need of care with the purpose of sharing
communally organised care, which is not
contrary to the respectively relevant and
applicable rules of the facility or the
requirements placed on the service
provider.
If the freedom of choice to select the care,
support and supervisory services does not
exist, this form of outpatient care is not
available.
34
New types of
residential living arrangements will be supported
An additional 10 million Euro will be made
available for the funding and further development of new forms of residential living,
whereby particularly those forms of residential living will be considered which offer
individual care in addition to the full inpatient care.
If the facility has already received funding
for this reason (in particular in accordance
with Section 8(3) SGB XI), it is excluded
from further funding.
Medical aids and subsidies for care-related
renovations
Entitlement to aids,
equipment and
resources
People in need of care are entitled to be provided with medical aids which contribute to
facilitating the care or alleviating the difficulties of the person reliant on care. He / she
is also entitled to any resources or equipment
which enable him / her to lead a more independent life (e.g. a bath lift).
The long-term care insurance company can
approve subsidies of up to 2,557 Euro to
improve the individual living environment
and to facilitate the in-home care. However,
the person in need of care must also pay
his / her own appropriate contribution, taking
his / her income into consideration.
In the case of residential groups, subsidies
for measures to improve the shared living
environment may be pooled. These may not
35
exceed an amount of 2,557 Euro per person
in need of care. If utilised by more than four
qualified persons, however, the individual
measure may not exceed a total amount of
10,228 Euro and is to be divided proportionately amongst the individual long-term
care insurance companies.
Care courses for relatives and voluntary
caregivers
Care courses for relatives and voluntary
caregivers are provided by the long-term
care insurance companies and are intended
to help teach caregiving and nursing techniques to the participants or to improve their
existing skills.
Social security benefits for the caregiver
If you provide care for a relative for at least
14 hours a week and are not working yourself for more than 30 hours a week, the longterm care insurance fund will pay the contributions to your pension fund. The amount is
based on the severity level of the care
required by the person needing care and the
extent of the care provided. The extent of the
care you provide is determined in the MDK
report that will be prepared. You are insured
by the statutory social accident insurance
fund while performing the tasks and for all
travel activities involved in providing the care.
Courses in
caregiving techniques
36
You may continue to voluntary insure yourself in the unemployment insurance scheme
if you are not subject to making compulsory
contributions to unemployment insurance
elsewhere. The contribution to the voluntary
unemployment insurance must be paid by
yourself.
Your long-term care
insurance company
can provide information on this
A new provision specifies that a relative
does not have to care exclusively for just one
person in need of care for at least 14 hours
per week in order to be entitled to claim pension rights. Under the new Care Realignment
Law, it is also possible to care for several
persons in need of care for less than 14 hours
per week per person. The care provision
times are then added together and thus a
claim for pension rights can be made by the
caregiver relative. The only prerequisite is
that care level I must apply.
Provision of private care
The Federal Ministry of
Health provides information to the public via
a telephone helpline
(+49 030 / 3 40 60 66-02)
In addition to the statutory long-term care
insurance, insured persons should also make
private provisions for care. Anyone who
takes out insurance coverage for a private
care daily allowance on the basis of the Care
Provision Allowance Implementing Regulation will receive a government subsidy of
5 Euro per month, effective as of 1st January
2013. The prerequisite for this is that the
monthly minimum contribution to the eligible private care scheme is at least 10 Euro.
37
Tax relief
Tax incentives can be provided for all services that arise in the context of domestic
employment. The employer of the person
providing the service shall receive the tax
reduction. The incentive is applied for within income tax or can be entered as a tax-free
amount.
In addition, tax can be deducted for carerelated expenditure. Care costs which occur in
the domestic area and go beyond the benefits
provided by the long-term care insurance
policy are taken into consideration. The cash
benefits from the long-term care insurance
policy are taken into account at the same
time.
The condition for this
additional incentive is that
the care and support services are provided for a
person in need of care in
terms of the long-term
health insurance policy
The relevant tax office provides you with
information about this.
Protected assets of relatives
If the income of the person in need of care
and the benefits provided by the long-term
care insurance policy are not sufficient for
comprehensive care, social security benefits
may possibly be claimed. For this, a maintenance obligation for close relatives (e.g.
children) is checked. The extent to which the
relatives are enlisted depends on their income level, whereby amounts exempt from
taxation, known as protected assets, are
taken into consideration.
The relevant social
welfare office provides
you with information
38
Appendix
Overview of benefits
Care level
Care
allowance
Outpatient
care
Non-cash
(in-kind) care
benefits
Full inpatient
care
Day/night
care
(Partial
inpatient
care)
Care level I
since 1.1.2012
235 €
450 €
1,023 €
450 €
Care level II
since 1.1.2012
440 €
1,100 €
1,279 €
1,100 €
Care level III
since 1.1.2012
700 €
1,550 €
1,550 €
1,550 €
1,918 €
1,918 €
Hardship case
since 1.1.2012
Offers in Hesse
In order to ask for the current offer in your region, contact your long-term
care insurance and health insurance company or the employees of the
long-term care support base, if it has already been set up.
39
Further information
Further information brochures on the subject, published by the Hessian
Ministry for Social Affairs:
䡲
䡲
䡲
䡲
Tax tip “Domestic services in private households”
Guide for people with a disability
Guardianship law
Senior citizens political initiative
Brochures can be ordered by telephone +49 (0) 6 11 / 8 17 33 01
or downloaded as a PDF from the website of the Ministry for Social Affairs
at www.hsm.hessen.de
Information brochures issued by the Federal Ministry of Health.
Here is a selection:
䡲
䡲
䡲
䡲
Care at home
Charter of the rights of people in need of assistance and care
Long-term care insurance
When memory declines
Number of the Ministry of Health’s telephone helpline for long-term care
insurance: +49 (0) 30 / 3 40 60 66-02
Information brochure of the Hessian consumer advice centre
䡲 Help around the clock – can it legally be from anyone?
Number of the service telephone helpline at the consumer advice centre in
Hesse (Verbraucherzentrale Hessen): +49 (0) 1 80 / 5 97 20 10
On the internet, you can find further information at the following addresses:
䡲
䡲
䡲
䡲
䡲
䡲
䡲
䡲
www.pflege-in-hessen.de
www.sozialnetzHessen.de
www.mdk-hessen.de
www.mds-ev.org
www.bmg.bund.de
www.hilfe-und-pflege-im-alter.de
Website of your health or long-term care insurance company
www.verbraucherzentrale-hessen.de
40
Services and assistance required in
outpatient care
Help and support with the
following activities
Mon
Morning / lunchtime
C O C O C O C O C O C O C O
Afternoon / evening
C O C O C O C O C O C O C O
Night
C O C O C O C O C O C O C O
C: care service
Tues
Wed Thurs
Fri
Sat
Sun
O: other, e.g. relatives, friends, neighbours…
Examples of services and assistance
With care
With domestic support
䡲 Help with physical care,
e.g. washing, showering,
bathing
䡲 Beds and supports
䡲 Assistance with eating
䡲 Assistance with excretion
䡲 Assistance with walking and
climbing stairs at home
䡲 Shopping and running errands
䡲 Cooking, laying the table,
washing up
䡲 Washing laundry and ironing
䡲 Cleaning the residence
䡲 Other
(Source: Sozialnetz-hessen.de)
41
The most important steps for selecting an
outpatient care service
1
Obtain the addresses of several care services. You can use various
sources of information for this:
– Old people’s welfare advice and coordination centres
– Business directory (“yellow pages”)
– Doctor
– Internet (e.g. www.sozialnetz-hessen.de)
– Health insurance / long-term care insurance companies
– Regional Alzheimer’s societies (for people suffering from dementia)
– Social welfare offices and old people’s welfare departments in the
local authorities
– Self-help groups
– Senior citizen representatives in your local community
– Social service centre in a hospital
– Directory of the outpatient care services from the
State Statistical Office
– Directory of the authorised outpatient care facilities from the
long-term care insurance companies
2
If necessary, obtain further advice. In Hesse, there are a number
of advice centres that are available to give you advice with different
focuses:
– Advice centres of the associations of voluntary welfare work
– Old people’s welfare advice and coordination centres
– Local authorities: social welfare office, old people’s welfare
department
– Senior citizen representatives in your local community
– Health / long-term care insurance companies
– Self-help groups
– Social service centre in a hospital
– Consumer advice centre
42
3
Calculate your personal need for care. Use the form provided for this.
4
An outpatient care service provides a variety of services.
Different people can be responsible for the costs of these services.
Get an overview of who bears the costs for which services.
5
Apply to your long-term care insurance company for classification
into a care level.
6
Get in touch with at least two care services from your region.
Ask the care service to visit your home free of charge for information
purposes.
Obtain a detailed quote for a month and check whether the services
listed correspond with your requirements.
Ask a relative or another reliable person to participate in the discussion. To make the choice of the right care service easier for you, you
can find questions and criteria in the checklist which will help you to
prepare the discussions and enable you to assess the care services.
Make your decision on the basis of the criteria that are most important
for you in a care service.
Do not sign a care contract immediately, but obtain a copy that you
can check at home in your own time.
Additional note about seals of quality and certificate
Outpatient care services have been able to acquire a seal of quality or
a certificate from certain companies for some time. Seals of quality and
certificates can be based on different quality standards. It is, therefore,
completely possible that a care service with a seal of quality or a certificate does not provide the quality that you require. For this reason, ask
about the quality standards on which the certificate is based and compare
these with your own requirements.
43
Checking the contract
Check the following points, in particular, in a care contract with an outpatient facility:
䡲 The party to the contract should only be the person in need of care
himself / herself or a representative or a legal representative or legal
caregiver. If relatives also sign, they are also liable when invoices are
settled.
䡲 Relatives may conclude a “contract for the benefit of third parties.”
Thus, they are obliged to pay if another payer does not join them.
They may not use the money of the person in need of care for this.
䡲 The care contract should include a precise description of the agreedupon services that the outpatient care service is to render, as well as a
detailed presentation of the individual costs and the overall costs. You
must, in particular, be able to see how high the cost shares of the longterm care and health insurance company are and what share you have
to contribute yourself.
䡲 If you agree on additional services with the outpatient care service
(services for which the long-term care insurance company does not
bear any costs or which exceed the limits of your care level), the time
and costs should be specified precisely.
䡲 No advance payments or instalments should be specified in the care
contract.
䡲 Check whether you are granting the care service an authorisation for
a direct debit. It is better to settle the invoices by bank transfer after
inspecting them.
44
䡲 Check whether the clauses of the contract limit liability unduly. With
regard to the care services, liability may not be limited. Ensure that
the outpatient care service is liable for material damages and for a loss
of the key if you give them a key to your residence.
䡲 The notice periods for termination should be specified in the contract.
䡲 It is advantageous if it is specified in the contract that you can inspect
the care documentation and the performance records, which you have
to initial before paying the bill, at any time.
䡲 It should be specified in the contract, that the contractual relationship
ends immediately upon the death of the person in need of care.
45
Inpatient care institution checklist
1
Is there an appealing, understandable information brochure?
2
Who is the sponsor of the home?
3
Do I like its orientation, e.g. religious affiliation?
4
Can I be attended by a minister of my own religion?
5
Is the institution near to my previous environment?
6
Do I like the size of the home and is it manageable?
7
Can I take my pet with me?
8
Can I receive visitors at any time and without restrictions?
9
Are there particular conditions for acceptance or restrictions?
10
Does the institution have a supply contract with the long-term care
insurance company?
11
Does the institution have a long-term care rate agreement with
the social welfare authorities?
12
Is it necessary to move within the home or to move out completely
if the state of my health deteriorates / improves?
13
Is a trial residency period possible?
14
Can I have a copy of a home contract for inspection before
admission?
46
Sample agreement on taking family care leave, from the Ministry of Family
Affairs, in accordance with the Family Care Leave Law
(The agreement must be written in German.)
47
48
49
50
Long-term care support bases in Hesse
Contact information and office hours (status: 1st August 2012)
Bergstraße
Gräffstraße 11 · 64646 Heppenheim
Telephone:
0 62 52 / 9 59 87 40 and 41
Fax: 0 62 52 / 15 50 93
Tues.: 10.00–12.00
Thurs.: 15.00–17.00
E-mail: pflegestuetzpunkt@
kreis-bergstrasse.de
Darmstadt
Town Hall (Stadthaus)
Frankfurter Straße 71
64283 Darmstadt
Telephone: 0 61 51 / 6 69 96 31 and
0 61 51 / 6 69 29 71
Mon. and Wed.: 10.00–12.00
Wed. also 14.00–16.00
E-mail: pflegestuetzpunkt@
darmstadt.de
Fulda
Zentrum Vital
Gerloser Weg 20 · 36039 Fulda
Telephone:
06 61 / 6 00 66 92 and 93
Fax: 06 61 / 6 00 66 99
Tues. and Thurs.: 10.00–12.00
Wed.: 14.00–17.00
E-mail: pflegestuetzpunkt@
landkreis-fulda.de
Gießen
Kleine Mühlgasse 8 · 35390 Gießen
Telephone: 06 41 / 20 91 64 97
Mon. until Fri.: 10.00–12.00
Wed. also 13.00–15.00
E-mail: pflegestuetzpunkt@
landkreis-giessen.de
Darmstadt-Dieburg
Schlossgasse 17 · 64807 Dieburg
Telephone: 0 60 71 / 8 81-21 72
as well as -21 73, -21 56, -21 57
Fax: 0 60 71 / 8 81-21 74
Mon. until Fri.: 10.00–12.00
Wed. also 13.00–15.00
E-mail: pflegestuetzpunkt@ladadi.de
Groß-Gerau
District Office (Landratsamt)
Wilhelm-Seipp-Straße 4
64521 Groß-Gerau
Telephone: 0 61 52 / 98 94 63
Fax: 0 61 52 / 98 91 09
Mon. and Fri.: 8.00–12.00
Wed.: 14.00–16.00
E-mail: pflegestuetzpunkt@
kreisgg.de
Frankfurt
Town Hall for Senior Citizens
(Rathaus für Senioren)
Hansaallee 150 · 60320 Frankfurt
Telephone: 08 00 / 5 89 36 59
Mon. and Wed.: 10.00–12.00
Thurs.: 16.00–18.00
E-mail: pflegestuetzpunkt@
frankfurt.de
Hersfeld-Rotenburg
Klaustor 3 (Town Hall / Stadthaus)
36251 Bad Hersfeld
Telephone:
0 66 21 / 87 37 07, 09 and 10
Fax: 0 66 21 / 87 37 08
Mon. until Fri.: 9.00–12.00
Wed. also 14.00–16.00
E-mail: pflegestuetzpunkt@hef-rof.de
51
Hochtaunuskreis
District Office of Hochtaunus County
(Landratsamt des Hochtaunuskreises)
Ludwig-Erhard-Anlage 1–5
61352 Bad Homburg
Telephone:
0 61 72 / 9 99-51 71 and 72
Fax: 0 61 72 / 9 99-98 37
Tues.: 10.00–12.00
Thurs.: 15.00–17.00
E-mail: pflegestuetzpunkt@
hochtaunuskreis.de
Kassel Landkreis
Cultural Station, south wing
(Kulturbahnhof, Südflügel)
Rainer-Dierichs-Platz 1 /
Franz-Ulrich-Straße · 34117 Kassel
Telephone:
05 61 / 10 03-13 71 and -13 99
Mon., Wed. and Fri.: 10.00–12.00
Wed. also 14.00–17.00
E-mail: pflegestuetzpunkt@
landkreiskassel.de
Kassel Stadt
Obere Königsstraße 8 · 34117 Kassel
Telephone: 05 61 / 7 87 56 30
Fax: 05 61 / 7 87 56 38
Mon., Wed. and Fri.: 9.00–12.30
E-mail: pflegestuetzpunkt@
stadt-kassel.de
Limburg-Weilburg
Schiede 43 · 65549 Limburg
Telephone:
0 64 31 / 29 63 75 and 76
Fax: 0 64 31 / 29 64 98
Tues.: 10.00–12.00
Thurs.: 14.00–17.00
E-mail: pflegestuetzpunkt@
limburg-weilburg.de
Main-Kinzig-Kreis
Hailerer Straße 24, 1. Stock
63571 Gelnhausen
Telephone:
0 60 51 / 8 28-49 96 and 97
Mon.–Fri.: 9.00–12.00
Tues. also 13.00–15.00
Thurs. also 14.00–17.30
E-mail: pflegestuetzpunkt@mkk.de
Main-Taunus-Kreis
District Office (Landratsamt)
Am Kreishaus 1–5
65719 Hofheim am Taunus
Telephone: 0 61 92 / 2 01-19 89
Fax: 0 61 92 / 2 01-7 19 89
Mon., Wed. and Fri.: 9.00–12.00
Thurs.: 15:00–17:30
E-mail: pflegestuetzpunkt@mtk.de
Marburg-Biedenkopf
District Office (Landratsamt)
Im Lichtenholz 60 · 35043 Marburg
Telephone:
0 64 21 / 4 05-74 01 and 02
Fax: 0 64 21 / 4 05-74 10
Mon., Wed. and Fri.: 10.00–12.00
Thurs.: 14.00–17.00
E-mail: pflegestuetzpunkt@
marburg-biedenkopf.de
Offenbach Stadt
Town Hall (Stadthaus)
Berliner Straße 60 · 63065 Offenbach
Telephone: 0 69 / 80 65 24 53 and
0 69 / 80 65 35 42
Fax: 069 / 80 65 32 71
Tues. and Thurs.: 9.00–11.00
E-mail: pflegestuetzpunkt@
offenbach.de
52
Rheingau-Taunus-Kreis
District Administration
(Kreisverwaltung)
Heimbacher Straße 7
65307 Bad Schwalbach
Telephone:
0 61 24 / 5 10-5 25 and -5 27
Fax: 0 61 24 / 51 05 22
Mon. and Thurs.: 10.00–12.00
Tues.: 16.00–18.00
Wed.: 14.00–16.00
E-mail: pflegestuetzpunkt@
rheingau-taunus.de
Schwalm-Eder-Kreis
District Administration
(Kreisverwaltung)
Parkstraße 6 · 34576 Homberg (Efze)
Telephone:
0 56 81 /7 75-2 50 and -2 49
Mon., Wed. and Fri.: 9.00–12.00
Thurs.: 15.00–17.00
E-mail: pflegestuetzpunkt@
schwalm-eder-kreis.de
Vogelsbergkreis
District Administration
(Kreisverwaltung) · Goldhelg 20
36341 Lauterbach
Telephone:
0 66 41 / 9 77-20 91 and 92
Mon., Tues. and Fri.: 9.00–12.00
Thurs.: 14.00–17.00
E-mail: pflegestuetzpunkt@
vogelsbergkreis.de
Waldeck-Frankenberg
Am Kniep 50 · 34497 Korbach
Telephone:
0 56 31 / 95 48 81 and 82
Fax: 0 56 31 / 95 44 90
Mon. and Wed.: 9.00–12.00
E-mail: pflegestuetzpunkt@
landkreis-waldeck-frankenberg.de
Werra-Meissner-Kreis
Schlossplatz 1 · 37269 Eschwege
Telephone:
0 56 51/3 02 14 34, 35 and 36
Tues. and Wed.: 9.30–12.00
Thurs.: 14.00–17.00
E-mail: pflegestuetzpunkt@
werra-meissner-kreis.de
Wetteraukreis
Administrative Office
(Verwaltungsstelle)
Berliner Straße 31 · 63654 Büdingen
Telephone:
0 60 42 / 9 89 37 00 and 01
Fax: 0 60 42 / 9 89 37 09
Mon. until Fri.: 10.00–12.00
Thurs. also 14.00–17.00
E-mail: pflegestuetzpunkt@
wetteraukreis.de
Wiesbaden
Konradiner Allee 11
65189 Wiesbaden
Telephone: 06 11 / 31 36 48 and
06 11 / 31 35 90
Fax: 06 11 / 31 69 02
Mon., Wed. and Fri.: 10.00–12.00
Thurs.: 13.00–15.00
E-mail: pflegestuetzpunkt@
wiesbaden.de
Please cut here, complete and place beside the telephone
In an emergency
Attach this card visibly beside the telephone
Police
Ambulance and fire brigade
Stroke unit number
Poison emergency hotline
110
112
112
0 61 31 / 1 92 40
You should be able to answer these questions in an emergency:
Where is the assistance needed?
Name of caller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Anrufer
Name of injured person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Verletzte/r
Name of the owner of the residence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Wohnungsinhaber/in
Street, number, floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adresse
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What has happened?
Accident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unfall
What injury? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Welche Verletzung?
Heart attack
Stroke
Fall
Unconsciousness
Herzinfarkt
Schlaganfall
Sturz
Bewusstlosigkeit
Important information:
Previous illnesses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Vorerkrankungen
Dementia
Diabetes
Parkinson’s
Pace-maker
Demenz
Diabetes
Parkinson
Herzschrittmacher
Essential medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lebenswichtige Medikamente
In an emergency, please inform
Relatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Angehörige
Caregiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Betreuer/in
Friend or neighbour . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Freunde oder Nachbarn
Doctor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hausarzt/in
Additional information
Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Apotheke
Emergency number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hausnotruf
Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Krankenhaus
Health insurance company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Krankenversicherung
Other important information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Andere wichtige Stellen
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Please fill this form in when you have time and give the name and
telephone number in each case.
Hessian Ministry for Social Affairs
Dostojewskistrasse 4
65187 Wiesbaden
www.hsm.hessen.de