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Specialized outpatient palliative care (SAPV)

Seriously ill people often want to spend their final time at home. Specialized outpatient palliative care (SAPV) makes this possible with a special team. It supplements the usual care and is a benefit of statutory health insurance.

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Insured persons with an incurable, progressive, and far-advanced illness and a special care need are entitled to specialized outpatient palliative care (§ 37b SGB V). It is medically prescribed.
SAPV is provided by a palliative team of doctors and nursing staff, often reachable around the clock. It aims to relieve symptoms and enable people to remain in familiar surroundings.

What you should do now

  1. 1

    1. Clarify the need

    Talk with the treating doctor about the need for palliative care.

  2. 2

    2. Obtain a prescription

    Have the SAPV medically prescribed.

  3. 3

    3. Bring in the team

    The palliative team takes over care at home.

  4. 4

    4. Act on refusal

    You can file an objection against a refusal by the fund.

How to spot the scam

  • Those affected are unaware of the entitlement to SAPV.
  • No prescription is issued even though the need exists.
  • A refusal is accepted without an objection.

Frequently asked questions

What is SAPV?

Specialized outpatient palliative care is a special form of care for seriously ill people at home or in a hospice, provided by a palliative team of doctors and nursing staff. It aims to relieve symptoms and enable a dignified life in familiar surroundings (§ 37b SGB V).

Who is entitled?

Insured persons with an incurable, progressive, and far-advanced illness with a limited life expectancy and a particularly complex care need. The doctor establishes the need and prescribes the SAPV.

What does SAPV cost?

As a benefit of statutory health insurance, SAPV is generally free of co-payment for insured persons. The health insurer bears the costs. If it refuses, you can file an objection; a medical justification of the need helps with this.

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General information for self-help, not legal advice (RDG). In case of a high loss or uncertainty: contact a consumer advice center or a lawyer.