Specialised outpatient palliative care for those with health insurance Financing
Insured persons are entitled to specialised outpatient palliative care (SAPV) at home or in the family.
Description
As a legally insured person, you are entitled to specialised outpatient palliative care (SAPV). The service includes medical and nursing services including their coordination - in particular for pain therapy and symptom control. The aim is to enable care in the familiar environment of the home or family area. These include, for example, institutions of integration assistance for people with disabilities, child and youth welfare and care facilities. The special needs of children and young people must be taken into account.
The SAPV is a team effort in which different professional groups work together: doctors, nurses and cooperation partners.
Included are - depending on individual needs
- Consultation
- coordination of care,
- supportive partial care or
- complete supply
If you have been admitted to an inpatient hospice, you will receive the medical care required under the SAPV as part of the benefit.
Competent office
The responsibility lies with the respective health insurance company.
Contact person
Liste der Krankenkassen auf der Seite des GKV-Spitzenverbands (Spitzenverband Bund der Krankenkassen)
Keywords
gesetzliche Krankenkasse, zuständige Krankenkasse
Required documents
- Medical prescription
Prerequisites
- an incurable, progressive and advanced disease.
- life expectancy is limited and particularly complex care is required.
- The service must be prescribed by a panel doctor.
Basis for legal action
Legal remedy
If the health insurance company refuses the care, you can appeal against it.
Costs
There is no additional payment to be made.
Area of validity
Hesse
Official approval
Officially approved by Hessian Ministry of Social Affairs and Integration on 12.11.2021
Keywords
Palliativversorgung, Kassenleistung, SAPV, spezialisierte Palliativversorgung, Krankenkassenleistung