Table 1.
Benefits per month in the German LTC insurance
| Cash payment (home) | Care-in-kind (home) | Nursing home | |
|---|---|---|---|
| Level I | 225 € | 440 € | 1.023 € |
| Level II | 430 € | 1.040 € | 1.279 € |
| Level III | 685 € | 1.510 € | 1.510 € |
Table 2.
Beneficiaries in the German LTC insurance in 2009
| 2.34 Million people are dependent on nursing care and eligible for benefits from the LTC insurance | ||
|---|---|---|
| 1.62 Million (69%) are cared for in their own homes | 717.000 (31%) are cared for in nursing homes | |
| 1.07 Million people are cared for by family/informal carers only and receive cash payments: | 550.000 people are utilizing a professional home care service and receive care-in-kind-benefits: | |
| 63.9% on level I | 54.5% on level I | 36.8% on level I |
| 28.4% on level II | 33.9% on level II | 41.2% on level II |
| 7.7% on level III | 11.6% on level III | 20.5% on level III |
Table 3.
Modules and items of the NBA
| Module | No. of items | Items |
|---|---|---|
| Mobility | 5 | Change of position, keeping stable sitting position, rising up from sitting position, moving along in dwelling place, climbing stairs |
| Cognitive and communication abilities | 11 | Recognition of significant others, spatial and temporal orientation, memory, decision-making in everday life, understanding of facts and information, detection of risks and dangers, conveyance of basic needs, understanding of requests and participation in conversations |
| Behaviour and mental health | 13 | Agitation, nocturnal restlessness, self-endangering and auto-assaultive behaviour, verbal and other aggression, delusions/illusions, anxiety, refusal of supportive actions, vocal deviant utterances |
| Self-care | 12 | Items related to personal hygiene, dressing/undressing, eating, drinking, toiletting |
| Ability to deal with illness-/therapy-related demands and burden | 15 | Medication, s.c./i.m./i.v. applications, taking and interpreting body parameters, dressing/woundcare, therapeutic measures in the home (e.g. exercises), visits to physicians/therapeutic facilities |
| Managing everyday life and social contacts | 6 | Shaping daily routine, resting and sleeping, occupying oneself, making plans for the future, interacting with people in direct social contact, contacting people outside the direct surroundings |
| Activities outside the house | 7 | Movements outside of the home, participation in various activities |
| Household maintenance | 7 | Grocery shopping, preparing basic meals, tidying and cleaning, use of services, regulating financial matters and administrative measures |