Care Indication and Application PGB

Care indication  

Care indication and PGB application 

A personal budget (pgb) is an amount with which you can arrange your care yourself. Since January 1, 2015 you can get a Pgb from 4 different laws. 
You can request a care indication from the Care Indication Center (CIZ). The clients of Babs Zorg Bureau receive a personal budget (PGB) from the Social Support low (WMO). With this, you can use to purchase your care. Our 24 hour caregiver is 100% affordable from this Personal budget (PGB). 

Pgb from Long-Term Care Low (Wlz) 

Do you need heavy care under the Long-Term Care Low  (Wlz)? Then you may also receive this care at home. But only if care at home is justified. And if the costs do not exceed the admission to an institution. You can purchase yourself with a PGB. You can request the pgb from the care office. 

The most important conditions are:  

• If you apply for a PGB, the care office invites you for an interview to see what type care best suits you. This can be a PGB, but it can also be that care in kind or a combination (modular package at home) that best fits you.  
• You describe in a budget plan which care you purchase and from which caregiver (s). 
• You conclude a contract with each caregiver and always add a care description. The Social Insurance Bank (SVB) can only pay the caregiver once the contract has been approved.
• You may appoint a representative to manage the PGB for you. This can also be mandatory.

You may not pay for treatment from the PGB.  

Pgb from the Social Support Low (Wmo) 2015

With home support you can choose from help in-kind assistance or PGB. You can apply for PBG from the municipality. The SVB pay it for you.

The most important conditions are:

• You must clearly state why you want a PGB. The municipality will check whether a PGB suits you.
• The municipality measure the quality of the services and resources that you purchase.
• Some PGB holders now use the PGB to pay for social network support. That is the help you get from family, friends or neighbors. It is possible that your municipality makes rules for this.

Pgb from the Youth Low

Since 1 January 2015, the municipalities have been responsible for all youth assistance. For the care of your child you can choose from care in kind or a PGB. You apply for the PGB from the municipality. The SVB pays the caregiver.

The most important conditions are:

• You must clearly explain why you want a PGB for your child and why care in kind is not appropriate. The municipality will check whether a PGB suits you.
• The municipality measure the quality of the services and resources that you purchase for your child.
• Some PGB holders use the PGB to pay for support through the social network. That is the help you get from family, friends or neighbors. It is possible that your municipality makes rules for this.

Pgb from the Healthcare Insurance Low (Zvw)

Nursing and care at home fall under the Health Insurance Low (Zvw). This care is reimbursed from the basic package. You can opt for care in kind or under conditions for a PGB. You request the PGB from your health insurer.

The most important conditions are:

• You describe in a budget plan which care you purchase with your PGB.
• You clearly state why you want a PGB. The insurer will check whether a PGB suits you.
• The insurer measure the quality of the care that you purchase.
• The rules for the PGB in the Health Insurance Low may differ per health insurer. You can find the rules in the policy conditions.

How do I request a Zvw-Pgb?

Multiple PGBs at the same time

For example, it is also possible that you receive several PGB’S at the same time. For example if you or your child has an indication for guidance, care and nursing. Then you will receive a pgb from the municipality (Wmo 2015 or Youth Low) and the health insurer. You can only spend the municipal budget on care and support for which the municipality is responsible. You can only spend the PGB of the health insurer on care for which the health insurer is responsible.

Client support

It may be wise to ask for help from a client support person who will look with you to see if the PGB fits you well. You can request client support from the municipality and it is free. 

Source: Central Government

Live in Caregiver  influences your payment

Our healthcare providers are always live in. If you opt for a longer period, the care provider must be registered in the GBA. If you have a social assistance benefit, taking live in carer or Care Au pair will have consequences for the amount of your benefit. If you have a UWV benefit, this will not affect your benefit. Taking  a live in caregiver also has consequences for your rent allowance, but not for your care allowance. If you are single, taking live in carer into your home will pay more city tax. Live in carer cannot be seen as a partner. If you have a WMO budget, the municipality may not shorten you on this.
In no municipality in the Netherlands is it stated in the municipal regulation or in a policy rule that the budget holder may be reduced when taking in a resident. 

What does live in caregiver cost per hour?

You have Home Care for an average of € 100 / day, 24 hours. The live in caregiver that we mediate is engaged in their work for about 8 hours a day, since they are live in carer there is always someone in the house to supervise. That gives confidence and a lot of peace.

This day and night care from Babs Zorg Bureau is cheaper than just night care through other care institutions. At other Dutch healthcare institutions you pay from € 150 for the night only. With us you pay less for day and night care.