If this does not cover the costs, there is still the possibility of certain subsidies, for example in Vienna through the “Fonds Sozial Wien”.

9 Maggio 202014 Novembre 2020 redazione

If this does not cover the costs, there is still the possibility of certain subsidies, for example in Vienna through the “Fonds Sozial Wien”.

4. What expenses do the federal, state and local governments have?

The

Center for Administrative Research (KDZ)

recently surveyed the cost of public servicing. Even regardless of the elimination of the care regress in homes, future care financing is a financial challenge, according to the KDZ -Hour care has increased by 70 percent. The area of care services rose by 17 percent, the social assistance expenditure of the municipalities rose by 23 percent.

Depending on the federal state, the forms of care are different: In-patient services are most strongly developed in Carinthia and Styria, according to documents from the care service statistics, while mobile services are in Vorarlberg and Vienna. The range of day-care day care is particularly available in Salzburg, Vorarlberg and Vienna. Alternative forms of living are particularly well represented in Vienna, but are also used in Upper Austria and Styria.

According to the KDZ, the financing of care is characterized by a “high degree of complexity and a strong interdependence between the regional authority levels” Million euros are co-financed. The federal states spend around 1.9 billion euros on inpatient, semi-stationary and mobile care services, co-financed by the municipalities with 783 million euros. In addition, the funds flow from the care fund, which is funded jointly by the federal, state and local governments. There is also 151 million euros for 24-hour care, which is paid for jointly by the federal and state governments.

Overall, this results in a net burden on the public sector of almost 4.7 billion euros. The federal government bears the highest net expenditure at around 2.5 billion euros (54.3 percent). Around 1.2 billion euros (25.4 percent) are being financed by the federal states and 951 million euros (20.3 percent) by the municipalities.

In order to cope with the financing in the future, the KDZ sees an urgent need for reform: Mobile care, semi-stationary care and alternative forms of living are to be strengthened. In addition, a reform of the financing concept (consolidation of financing and responsibility for tasks), close cooperation between all the local authorities concerned and cross-regional strategies and concepts are recommended.

5. What subsidies do family carers receive?

Around 80 percent of Austrians in need of care are cared for at home by relatives, mostly women do this work. The state could not afford purely professional support. Caregiving relatives therefore have several options for financial support: Nursing leave, part-time care and care leave allowance were introduced on January 1, 2014.https://123helpme.me/ The minimum duration is one month, the maximum duration three months. The prerequisite for this is at least care level 3 that has been applied for. People suffering from dementia are excluded; care leave is sufficient in this case, care allowance level 1. The care leave allowance is based on the amount of unemployment benefit and you are insured for health and pension.

If the main caregivers are temporarily unable to look after the person in need of care due to vacation or illness and are represented by a professional, the state provides financial support: annual amounts between 1,200 euros and 2,200 euros are possible. The total monthly net income of the caregiver must not exceed EUR 2,000 (for care allowance levels 1–5) or EUR 2,500 (for care allowance levels 6–7).

In addition, measures such as preferential or free pension insurance for family caregivers, non-contributory co-insurance in health insurance and unpaid family hospice leave take effect. The latter has existed since July 2002 for employed relatives and is used to accompany dying close relatives (for a maximum of 6 months) and seriously ill children (for a maximum of 9 months). For this purpose, the working hours can be reduced, changed or an exemption from work can be asserted in return for no remuneration.

Despite all grants and financial support, relatives can still face some costs – apart from expensive private childcare options. According to one

Report of the Research and Advice Center for the World of Work (FORBA) 2017

Regarding the situation of employed caring relatives in Austria, the question remains, “What are the individual costs associated with care and care for caring relatives, if they limit or even give up gainful employment due to a lack of compatibility.” So far there have been hardly any studies on this.

1. How expensive is the state nursing home?

Are there no more additional costs for relatives in the state home? This question cannot be clearly answered in the negative. Because only the assets, but not the income, are affected by the abolition of the care recourse. First and foremost, the pensioner pays himself: 80 percent of the pension or income and a large part of the care allowance goes to the home. 20 percent of the pension including special payments and 45.20 euros of the care allowance remain at the home resident’s disposal per month.

If the pension / income and care allowance are not sufficient to fully cover the costs of the nursing home, the remaining amount is usually paid from funds from social assistance or minimum income. However, the federal states can get this money back through claims for reimbursement against third parties. In Austria, children cannot be used to reimburse their parents for the open nursing home costs, but spouses can. The cost reimbursement claims against third parties are regulated differently depending on the federal state:

In Vienna, social assistance providers collect up to 30 percent of their income from spouses and registered partners – provided the person in need of care is entitled to maintenance under civil law against the spouse. In Burgenland, Upper Austria and Carinthia it is between 33 and 35 percent. In Tyrol 33 percent, in Salzburg 35 to 40 percent and in Vorarlberg even 40 percent. In Lower Austria and Styria there is no obligation to pay compensation for spouses.

Often the fees for the home are made up of a basic amount and a surcharge that corresponds to the extent of the need for care – based on the care allowance. According to the “Agenda Austria” think tank, the costs for a day in a nursing home vary greatly depending on the federal state: between EUR 74 in Tyrol and EUR 238 in Vienna. In Upper Austria, the cost is 111 euros per day, the Austrian average is 127 euros.

2. What care options are there?

In total there are roughly five categories of care and support services:

Inpatient care facility: Full care takes place in a care home (as a rule, at least care level 3 is required). In 2016, according to Statistics Austria, 74,710 people were cared for in inpatient facilities with financial support from the public sector.
Partly inpatient care and support services: In this case, the person in need of care lives at home and visits a facility such as a day care center. Statistically, people who only use short-term care in inpatient facilities were recorded separately. In 2016, 7,486 people were cared for in this way.
Mobile care and support services: Care takes place within your own four walls, with a mobile care professional coming to the caregiver’s home. In 2016, 147,037 people were served by mobile services.
Alternative forms of living: These are supervised housing projects for older people or people in need of care. In 2016, 11,856 people lived in alternative forms of living.
Caring relatives: relatives who look after recipients of care allowance in their private sphere. According to the Ministry of Social Affairs, around 80 percent of all people in need of care in Austria are cared for at home by relatives.

In addition, numerous people in need of care and their relatives are supported every year by the social services of so-called case and care management. The case and care managers are supposed to guide you through the bureaucratic processes and act as contact persons. You are responsible for care planning and the organization of care support, taking into account individual needs.

3. What do mobile care and alternative forms of living cost?

In all federal states there are a number of private and publicly financed mobile care services that can take care of the person in need of care at home. There are offers from organizations such as Volkshilfe, Hilfswerk, the Red Cross and Caritas, among others. The amount of the costs depends on the type of care and varies a few cents per hour and 44 euros. When calculating the hourly rate, the income of the person requiring care and the care allowance are usually included. The offer ranges from help with the handling of everyday tasks, through home nursing to 24-hour care by trained specialists.

The majority of those in need of care who choose mobile care are also entitled to care allowance. In certain cases there is a subsidy from the health insurance company for home nursing. There are also additional financial subsidies that depend on the income of the person concerned, the level of care and the rental costs. For example, the subsidy for 24-hour care is between EUR 275 and EUR 1,100 per month. Prerequisites are at least care level 3 and an income limit of 2,500 euros net per month. The income limit increases for each dependent relative.

In some cases, the individual federal states still distribute subsidies from social assistance funds.

84 percent of those in need of care who choose an alternative form of living live in Vienna. Funding such as care allowance or other grants are also possible here. Publicly looked after facilities, such as the “Houses for Life” of the City of Vienna, are financed like inpatient care facilities through the pension (or the income) of the person requiring care and the care allowance. If this does not cover the costs, there is still the possibility of certain subsidies, for example in Vienna through the “Fonds Sozial Wien”.

4. What expenses do the federal, state and local governments have?

The

Center for Administrative Research (KDZ)

In order to cope with the financing in the future, the KDZ sees an urgent need for reform: Mobile care, semi-stationary care and alternative forms of living are to be strengthened.

If this does not cover the costs, there is still the possibility of certain subsidies, for example in Vienna through the “Fonds Sozial Wien”.

4. What expenses do the federal, state and local governments have?

5. What subsidies do family carers receive?

1. How expensive is the state nursing home?

2. What care options are there?

3. What do mobile care and alternative forms of living cost?

4. What expenses do the federal, state and local governments have?

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