Covering costs as a measure to improve the living environment?
In some cases, however, nursing care insurance companies cover these technologies. measure to improve the living environment. The term “measure to improve the living environment” refers to conversions and technical aids within one’s own four walls. Such measures are intended to make home care possible or significantly easier. The living environment can also be adapted to reduce the burden on the person in need of care or the caregivers and to enable them to lead an independent life.
If the requirements for such a measure are met, it will be subsidized with 4,000 euros per measure.
You must also have an approved nursing degree for this.
You must apply for this subsidy from the nursing care insurance fund. It is best to do this first and wait for approval before taking expensive measures. Otherwise, you may be stuck with the costs later.
Experience has shown that the adoption of measures to improve the living environment has not yet taken place uniformly. It is therefore not possible to estimate with certainty which measures will be paid for by the nursing care insurance fund in each situation.
Adoption of digital support systems by health insurers
The health insurance company must also cover the costs Adopt helpif the relevant requirements are met. In late 2020, a health insurer was convicted of Federal Social Court (B 3 KR 15/19 R) ordered to pay for a GPS wristwatch for a mentally disabled person: The BSG ruled: This watch allows the person in question to be in public without supervision. In this case, the watch compensates for the disability – so the responsibility lies with the health insurance company.
Compensation for persons with disabilities is not limited to minimum care, but rather, following the UN Convention on the Rights of Persons with Disabilities and the prohibition of discrimination in Article 3, Paragraph 3, Sentence 2 of the Basic Law, must meet the basic needs of everyday life and, in particular, the right to personal mobility.
The GPS watch is therefore not a nursing aid. The reason: the watch does not facilitate or enable care. This is why the nursing care insurance fund is not liable in this case.
What can you do?
Many details about adopting digital aides are still unclear. If you need a digital aide, you must apply to your nursing care insurer to take it on. If you are rejected, you can appeal.
As the district court’s decision shows, there’s a lot going on here.
Ultimately, there is also the possibility that the health insurer will have to cover the costs.