Overview
- During short-term or respite care, the insurer pays half of the usual cash benefit for up to eight weeks per year, with no reduction on admission or discharge days, and the joint annual budget in place since July 1, 2025 does not alter this rule.
- For hospital treatment, inpatient rehabilitation or equivalent home nursing, payments continue for four weeks and are suspended from day 29 until home care resumes.
- Combining cash benefits with ambulatory services reduces the cash share by the percentage of in-kind services used for the six‑month allocation period, while day or night care does not reduce the cash benefit.
- Missing mandatory counseling visits allows the insurer to cut or temporarily stop payments, which resume in full from the date the consultation is completed.
- A permanent move to full inpatient care ends entitlement, reassessments adjust amounts under the 4.5% higher 2025 rates, and the full month is paid in the month of death if entitlement existed on any day.