How does it work if you need care?
How are HHC costs reimbursed?
Happyhomecare actively supports our clients throughout the entire reimbursement process, particularly within the Long-Term Care Act (Wlz).
We do this by assisting you with your CIZ assessment application and guiding you through the Personal Budget (PGB) application with the Healthcare Office. We also assist with developing your care plan and handling the administrative process, ensuring your care is properly financed.
Below you will find an overview of the application procedure from start to finish:
Indication:
Don't have a Ciz indication yet? We're happy to help you apply. We can support you directly or assist you with another discipline that can guide you through this process.
CIZ Assessment:
The CIZ (Center for Healthcare Assessment) determines your care needs based on the documents provided by us, your doctors, and you. Based on this assessment, the necessary budget for your care is released.
Contact the Health Insurance Office:
Once your needs assessment has been established, you will receive a notification from the healthcare office to apply for a personal care budget (PGB). Our team is ready to fully support and guide you through this process, ensuring the budget is used correctly to purchase the right care.
Drafting a Care Plan:
Our healthcare professionals will work with you to develop a personal care plan, tailored to your individual needs and wishes.
Care agreement and financing:
We will work with you to handle the administrative processing of your healthcare agreement and ensure direct billing to the healthcare insurance company, so you don't have to worry about the financial aspects.
Would you like to know exactly what monthly amount applies to your situation? Please feel free to contact us for a no-obligation consultation. We will be happy to help you understand the costs and the possibilities for reimbursement.
Reimbursements
Long-Term Care Act (Wlz)
The most common financing option for 24-hour care at Happyhomecare is the personal budget (PGB) from the Long-Term Care Act (Wlz). With a PGB, you can choose your own caregivers and purchase care.
If you require permanent intensive care or 24-hour supervision, you may be eligible for a Long-Term Care Act (Wlz) assessment. If you choose to receive this assessment in the form of a personal budget (PGB), you will receive an annual budget with which you can purchase and use 24-hour live-in care.
Health Insurance Act (ZVW)
If the intensive care is related to medical care, it is possible that the care will be reimbursed by the health insurer up to 24 hours per day under the Health Insurance Act (ZVW).
How does the PGB Personal Budget (PGB) for 24-hour care work?
The Personal Budget (PGB) is money from the government that you can use to purchase care yourself. The amount of this budget depends on your care needs and the indication you receive under the Long-Term Care Act (Wlz). This indication is determined by the Care Assessment Center (CIZ).
If your Wlz indication from the CIZ assigns a care profile that entitles you to permanent supervision or 24-hour care in your vicinity, you can pay for Happyhomecare's care from your PGB. The government sets the PGB rates for this each year.
Because the monthly amount depends entirely on your personal situation and your specific care profile, we cannot give you an exact amount without a personal consultation. However, we can give you a general idea of the rates set by the government. These rates serve as a guideline and form the basis for your total care budget.
When will you receive a CIZ indication for 24-hour care?
The Care Assessment Center (CIZ) assesses what long-term care is needed and which care profile suits the diagnosed chronic illness. This is only granted in cases of serious and long-term care needs that cannot be met with less intensive forms of care.
The main conditions for a Wlz indication are:
You have a condition, disability, or illness that requires long-term care, such as a mental or physical disability, dementia, or a serious mental disorder.
You need permanent supervision or 24-hour care in your vicinity.
The care cannot be provided by informal caregivers or volunteers because your care needs are too complex or intensive for lighter forms of care, such as home care or day care.
In addition, the CIZ also looks at your personal situation, for example, how you live and whether informal caregivers are available. Based on this assessment, the CIZ decides which indication you will receive.