-
303
Comparative tables
Organisation
I Financing
II Health care
III Sickness – Cash benefits
IV Maternity
V Invalidity
VI Old-Age
VII Survivors
VIII Employment injuries and occupational diseases
IX Family benefits
X Unemployment
XI Guaranteeing sufficient resources
Appendix: Long-term care
-
Table XII Appendix
3
Hungary Latvia
f 1993 on Social Assistancei III. törvény a szociálisól és
szociális ellátásokról).
No provisions.
ary based decision. No provisions.
No provisions.
04
Bulgaria Czech Republic Estonia
Applicable statutory basis • Social Assistance Act (Закон
засоциално подпомагане [Zakon za sot-sialno podpomagane]) from
1997;
• Regulation for Application of SocialAssistance Act from 1997
(Правилникза приложение на Закона за социалноподпомагане [Pravilnik
za prilojeniena Zakona za sotsialno podpoma-gane]);
• Medical Establishments Act from 1998(Закон за лечебните
заведения[Zakon za lechebnite zavedenija]);
• Ordinance № 4 from 16 March 1999regarding the conditions and
sequencefor providing social services (Наредба№ 4 за условията и
реда заизвършване на социални услуги[Naredba No 4 za uslovijata I
reda zaizvarshvane na sotsialni uslugi]);
• Houses for Raising and Education ofchildren, deprived of
parental care Reg-ulation from 1 February 2000 (Наредбаза
отглеждане и възпитание на деца[Naredba za otglejdane I vazpitanie
nadetsa, lisheni ot roditelski prava]).
Act No 100/1988 on social security (lastamendment 258/2000)
(zákon č. 100/1988 o sociálním zabezpečení)Directive MOLSA 182/1991
on provid-ing Act No 100/1988 on social security(last amendment
72/2001) (vyhláška 182/1991 Sb., kterou se provádí zákon osociálním
zabezpečení a zákon Českénárodní rady o působnosti orgánů
Českérepubliky v sociálním zabezpečení)Directive MOLSA 82/1993
(last amend-ment 73/2001) on settlements under stayin institutional
social care (vyhláška 82/1993 Sb. o úhradách za pobytv zařízeních
sociální péče)Directive MOLSA 83/1993 on settle-ments food in
institutional social care(last amendment 146/1998) (vyhláška
83/1993 Sb. o stravování v zařízeníchsociální péče)Directive MOLSA
310/1993 on settle-ments social care in institutional medicalcare
(vyhláška 310/1993 Sb. o úhradě zaposkytování sociální péče ve
zdravot-nických zařízeních)
Act No 48/1997 on public health insur-ance (last amendment
258/2000) (zákon48/1997 Sb.o veřejném zdravotnímpojištění)Act
20/1966 on care and health people(last amendment 260/2001) (zákon
20/1966 o péči o zdraví lidu)Act No 160/1992 on health care in
non-goverment medical arrangement (lastamendment 258/2000) (zákon
č. 160/1992Sb., o zdravotní péči v nestátníchzdravotnických
zařízení).
Social Welfare Act 1995 (Sotsiaalhoole-kande seadus).
Act III o(1993. évigazgatásr
Basic principles • Establishment of public institutions inorder
to provide specific care for disad-vantaged people - disabled and
ill peo-ple, elderly people, children with socialproblems and
others;
• Covering the specific living and medi-cal needs of these
people through provi-sion of different social services;
• Using the long-term care system, whenthe opportunities for
providing this careat home are exhausted.
Provision care in case of long term indis-posed health,
malfunction of family, ageetc.
Social assistance and social services onthe basis of need.
Discretion
Risk covered Health (handicap), malfunction of fam-ily, age
-
Table XII
305
Sloveniaspecific law related to long term care.g term care
benefits included in Pen- and Invalidity Insurance Act andial
Protection Act. See Chapter Validity"; Chapter VI "Old-age" andpter
XI "Guaranteeing sufficientources".
Applicable statutory basis
Basic principles
d for permanent assistance anddance for basic human needs.
Institu-
alisation in public institutions for old-and institutions for
disabled adultschildren.
Risk covered
Appendix
Lithuania Poland Romania SlovakiaAct on Social Services of 9
October 1966(Lietuvos Respublikos socialiniupaslaugu istatymas
I-1579).
No specific scheme. See Chapters II-III(especially
“Rehabilitation allowance”)and V (especially “Medical Care
Supple-ment”).
• Urgent Decision of Government nr.102/1999 on special
protection andemployment of the handicapped per-sons (Ordonanta de
urgenta a Guvernu-lui privind protectia speciala siincdrarea in
munca a persoanelor cuhandicap);
• Act No. 19/2000 on the public systemof pension and other
rights of socialinsurance (Lege privind sistemul publicde pensii si
alte drepturi de asigurarisociale).
No special provisions – see Chapter II“Health care” regarding
benefits in kindand Chapter III “Sickness – Cash bene-fits” and
Chapter V “Invalidity regardingcash benefits”.
No LonsionSoc"InvChaRes
Granted for all residents in need for long-term care. Financed
by State, local budg-ets and Health Insurance Fund.
• Social dependency benefit: socialassistance at local
level;
• Special supplement: general scheme.
Old age, disability. Neeattentionage and
-
Table XII Appendix
3
No provisions.
No provisions.
Hungary Latvia
06
Definition See Field of application. The arrangement of
long-term careincludes 3 systems:• health care (e.g. arrangement
medical
rehabilitation, arrangement long-termmedical care)
• social care (e.g. pensioners houses,arrangement for physical
or psychicalhandicapped people)
• education care (e.g.. children's home) The arrangement may be
public or non-governmental.
The means of subsistence and the abilitiesto cope of the
individual and his/her fam-ily are insufficient.
Field of application • children and adults with physical,
men-tal and sensitive handicaps;
• disabled people; • families with under aged children, dis-
eased, disabled, elderly people ;• disadvantaged children and
adults;• children with deviating behaviour;• maltreated children
and women;• alcoholics, drug addicts, persons that
have been imprisoned;• prostituting children and adults;•
children and adults facing other social
problems; • blind persons;• people with psychical problems
or
dimension; • orphans;• children of divorced parents or
mothers
taking care of their children by them-selves;
• homeless children;• elderly people on the age of 60, with
restricted mobility; • children without parental care;•
children, which parents suffer from
heavy chronic disease or psychical;disease dangerous for the
health of thechild;
• children which parents or one of themare disabled, deprived of
parental rightsor prisoner;
• children and adults with chronic dis-eases and medi-social
problems.
All residents. All residents.
Bulgaria Czech Republic Estonia
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Table XII
307
Definition
Field of application
Slovenia
Appendix
Persons requiring regular aid from a thirdparty in order to
accomplish the basicdaily tasks.
• Supplementary allowance for the con-stant aid of a third
party: recipients ofpension for invalidity or work injury;
• Compensatory allowance for third par-ties: disabled persons
with 1st degree ofinvalidity.
Lithuania Poland Romania Slovakia
-
Table XII Appendix
3
No provisions.
No provisions.
Hungary Latvia
08
Conditions The homes for the elderly people, thehomes for people
with physical disabili-ties • and the social patronage at home
pro-
vide services to persons who:• are unable to organize and
satisfy their
living needs by themselves;have a certified first or second
disabil-ity category and the active treatmenthas ended;
• do not have close relatives taking careof them;
• have not concluded a contract for provi-sion of property
against the obligationof maintenance and/or care.
War veterans are given advantages whenusing the social
services
The persons having sensory disabilitiesand/or mental
difficulties are accommo-dated in institutions for social
serviceswhen the necessary care cannot be pro-vided in the habitual
home environment.
Children answering the following condi-tions are accepted in the
homes for chil-dren with mental and/or physicaldifficulties with
priority, disregarding thesequence of acceptance of the documents.•
orphans;• coming from disadvantaged families;• coming from families
with many chil-
dren;• coming from unemployed families.
1. Age There exists a large age differentiation inthe various
institutions. Generally, onecan say that children are entitled to
longterm care from the age of 0 – 18 years,and the old persons –
above 60.
Non limited.The arrangements are diversificated byage of client
(for children, juveniles,adults, seniors).
No special scheme.
2. Qualifying period • children – until 18 years;• elderly
people above 60 by the end oftheir life; • However, there are
certain cases inwhich single mentally disordered orseverely
physically handicapped areadmitted after the age of 18 in homes
forelderly people.
No special scheme. No special scheme.
Bulgaria Czech Republic Estonia
-
Table XII
309
Conditions
1. Age
2. Qualifying period
Slovenia
Appendix
Residents in need for long term care.
Retirement age. Not depending on age inthe case of Group I or II
disability.
No special scheme.
No contributory period required. No special scheme.
Lithuania Poland Romania Slovakia
-
Table XII Appendix
3
No provisions.
Hungary Latvia
10
Benefits in kind1. Home care
Social patronage at home (Социаленпатронаж [Sotsialen
patronaj]). The social patronage at home is form forattendance at
home of persons, who havedifficulties to organize their living
bythemselves or with the help of their rela-tives. It covers:• food
supply;• observing the personal and home
hygiene of the person that is being serv-iced;
• facilitating the supplying with the nec-essary personal
technical aides for disa-bled or ill people;
• facilitating the communication andsocial contacts,
entertainment and otheractivities inside or outside the home.
• services related to home activities- pur-chasing of food and
other basic necessi-ties, payment of electric energy andheating,
telephone, etc. with resourcesof the assisted person;
• facilitating the preparation of the docu-ments required by the
labour expertmedical committee.
Health and social services by client’sneeds.
Provided by local municipalities. Home help
Bulgaria Czech Republic Estonia
-
Table XII
311
anised locally. Benefits in kind1. Home care
Slovenia
Appendix
People in need for care at home are regu-larly visited by social
workers from localsocial assistance administration.
Home help (personal assistant). Org
Lithuania Poland Romania Slovakia
-
Table XII Appendix
3
nstitutions, No provisions.
Hungary Latvia
12
2. Semi statutory care Day-care centres (Дневни домове[Dnevni
domove]).The day-care centers are form for socialattendance of
groups of elderly peopleand disabled persons as well as of
physi-cally and mentally disabled children.
The day-care centres for elderly peopleand disabled persons
provide breakfastand lunch, conditions for rest, hygienicservices,
entertainment and occupations,purchasing if the attended is willing
andwith his/her own pecuniary resources,administrative, financial
and legal serv-icesThe day-care centres for children
provideservices for children in the day-time aswell as performing
of rehabilitation activ-ities. Centres for social rehabilitation
and inte-gration (Центрове за социалнарехабилитация и интеграция
[Tsen-trove za sotsialna rehabilitatsija I inte-gratsija]).The
centres for social rehabilitation andintegration provide: •
rehabilitation;• social and legal consultations• guidance towards
institutions provid-
ing social services• programmes for social integration and
re-integration;• educational and vocational guidance;•
vocational training of people with men-
tal difficulties.
Public canteens (Общественитрапезарии [Obshtestveni
trapezarii]).Public canteens provide meals to theneedy persons and
families.
Clubs of disabled people (Клубове наинвалида [Klubove na
invalida]).Clubs of disabled people organise socialcontacts and
provide opportunities foractive living to persons with
disabilities.
Health and social services by client’sneeds.
Provided by local municipalities. Day-care i
Bulgaria Czech Republic Estonia
-
Table XII
313
anised locally. 2. Semi statutory care
Slovenia
Appendix
No semi stationary care. Org
Lithuania Poland Romania Slovakia
-
Table XII Appendix
3
ns providing care and nursing, tation institutions, ns providing
temporary shel-
houses
No provisions.
Hungary Latvia
14
3. Nursing home care Social patronage at home.Offices for social
services (Бюра засоциални услуги [Bjura za sotsialniuslugi])See
“Home care” above and “Other bene-fits” below.
Health and social services by client’sneeds.
Provided by local municipalities. - Institutio- Rehabili-
Institutio
ter, and - Nursing
Bulgaria Czech Republic Estonia
-
Table XII
315
anised public nursing home institu-s for elderly, disabled
adults and chil-.
3. Nursing home care
Slovenia
Appendix
Nursing homes (homes where people inneed for long tem care stay
permanently)are available in all main regions. Some ofthem are
owned by Government (countyadministration), smaller ones by
munici-palities and by private owners.Special commissions of county
adminis-tration and/or municipalities decidewhich applicants should
be placed innursing homes. Stay in special care hospitals is
financedby Health Insurance Fund for no longerperiod than for 4
months in one case.
No provisions. Orgtiondren
Lithuania Poland Romania Slovakia
-
Table XII Appendix
3
rvice, ssistance service.
No provisions.
Hungary Latvia
16
4. Other benefits • The offices for social services
providethrough qualified personnel:- social and legal consultations
on
issues related to social assistance;- allocation of humanitarian
relief;- social work with children, disadvan-
taged persons and families;- consultations and assisting with
the
purpose of finding employmentrelated to babysitting, taking care
ofelderly and ill people;
- consultation and assisting familieswishing to adopt a
child.
• The system of homes providing long-term care also includes:-
Homes for children and adults with
physical handicaps, incl. sensory(домове за деца и възрастни,
вкл. исензорни [Domove za detsa Ivazrastni sas fizicheski
uvrejdanija,vkljuchitelno I senzorni]);
- Homes for children and adults withmental difficulties (домове
за деца ивъзрастни с умствени увреждания[Domove za detsa I
vazrastni sumstveni uvrejdanija]);
- Social institutions for vocationaltraining (Социално
учебно-професионлани заведения [Sot-sialno uchebno
profesionalnizavedenija]);
- Settlements for children (детскиселища [Detski selishta]);
- Homes for the elderly (Домове застари хора [Domove za stari
hora]);
- Homes for temporary accommoda-tion (домове за
временнонастаняване [Domove za vremennonastanjavane]);
- Asylums (Приюти [Prijuti]);- Seasonal homes (Сезонни
домове
[Sezonni domove]).
There are also two types of institutions inthe system of
Ministry of Education andScience and Ministry of Health
providinglong-term care as follows:•Homes for medi-social care for
children(Домове за медико - социални грижи[Domove za
medico-sotsialni griji]) per-form:
- long medical observation of childrenwith chronic diseases and
medi-socialproblems;
- diagnosticating, medical treatmentand rehabilitation of
children withchronic diseases and medi-socialproblems;
- specific care for of children withchronic diseases and
medi-socialproblems;
Compensatory aids (by general healthinsurance).
Technical appliances (incl. prosthesis)financed by the
state.
- Meals se- Family a
Bulgaria Czech Republic Estonia
-
Table XII
317
4. Other benefits
Slovenia
Appendix
Special protection of disabled persons:• domestic education for
persons unable
to move;• exemption for the payment of radio and
TV subscription;• priority to install a phone line free of
charge, plus a certain number ofmonthly free impulses;
• free local transport;• free interurban transport, in the limit
of
6 two-way travels (12 if the handicap isserious; it also applies
for their compan-ion or personal assistant);
• medical assistance;• minimum rental charge when renting an
appartement belonging to the state.
Lithuania Poland Romania Slovakia
-
Table XII Appendix
3
exception of engaged parties,f major age who cares for and
handicapped (without an ager ill persons below the age of 18,
unable to care for themselvesuire durable supervision (seefee).ses,
the nursing allowance can-s than the lowest old-age pen-nt.
No provisions.
Hungary Latvia
18
a)raising;b)upbringing and educating;c)preparing for integration
in the soci-
ety through visiting of child institu-tions, integration in the
family,preparing for adoption;
d)social-legal support of solitary preg-nant women and solitary
mothers aswell as of children, raising at home.
• Homes for raising and educating chil-dren (Домове за
отглеждане ивъзпитание на деца [Domove zaotglejdane I vaspitanie na
detsa]) in thesystem of the Ministry of Educationand Science - for
children from 2,5 to 18 years,
deprived of parental care;- providing conditions for
compulsory
education of children under 16 andfor completing of secondary
educa-tion from the children living in thesehomes.
There are two types of these homes forraising and educating
children:- for children under school age from
2,5 to 7 years;- for children from I to ХII class.
Cash benefits Not applicable.
1. Home care Not applicable. No special scheme. No special
scheme. With the relatives onurses:• severely
limit), o• durably
who areand reqnursing
In both canot be lession amou
Bulgaria Czech Republic Estonia
-
Table XII
319
Cash benefits
pecial scheme. 1. Home care
Slovenia
Appendix
1.If municipalities are not able to provideneeded social
services, they may pay so-called "money for care" (Globos
pinigai)so the recipient should buy needed serv-ices.2.Care benefit
for totally disabled persons(Slaugos pasalpa visiskos negalios
invali-dui): Paid to totally disabled persons orpersons taking care
of them. Paid fromState Budget and equal to 100% of socialinsurance
basic pension (see Chapter VI"Old-age"). It is paid on top of
disabilitypension.
No provisions. No s
Lithuania Poland Romania Slovakia
-
Table XII Appendix
3
scheme. No provisions.
e (ápolási díj). eople who provide permanentisabled relative.
The independ-overnments decide the amount by local decree. The
amountless than 60% of the minimum old age pension. (see
Chaptere")
No provisions.
scheme. No provisions.
benefits in kind. No provisions.
scheme. No provisions.
scheme. No provisions.
Hungary Latvia
20
2. Semi statutory care Not applicable. No special scheme. No
special scheme. No special
3. Nursing home care Not applicable. No special scheme. No
special scheme. Nursing fePaid to pcare to a dent local gof
benefitcan no be amount ofVI "Old-ag
4. Other benefits Not applicable. Contribution towards caring
for a relativeor other person (příspěvek při péči oosobu
blízkou):Provided to a citizen caring for a relativewho is
predominantly or completely inca-pacitated or who is older than 80
yearsand partially incapacitated or who is olderthan 80 years and
according to a state-ment by a doctor needs the care ofanother
person.
No special scheme. No special
Participation of the beneficiary
Not applicable. Fundamental health care is free (paid bystate,
general health insurance), in case ofother services: co-payment by
client orfamily.
Beneficiary pays for accommodation andcatering in social welfare
institutionsaccording to the contract with the institu-tion.
In case of technical appliances includedin the list established
by the Minister ofSocial Affairs, the state covers 50-90% ofthe
price, the rest is paid by the benefici-ary.
In case of
Accumulation Not applicable. Client of arrangement may be
recipient ofsocial benefits and pensions.
Not applicable. No special
Taxation Not applicable. No special scheme. Not applicable. No
special
Bulgaria Czech Republic Estonia
-
Table XII
321
pecial scheme. 2. Semi statutory care
e covers the costs for persons who dohave means or do not have
sufficientns to cover those costs themselves.e covers total cost
for institutionalisedtally and physically handicappeddren.
3. Nursing home care
4. Other benefits
Participation of the beneficiary
Accumulation
Taxation
Slovenia
Appendix
No cash benefits. No s
No provisions. Statnot meaStatmenchil
Special protection of disabled persons:State allowance: 195 270
ROL/month forthose inapt of working due to the handi-cap; for blind
persons the allowance is inamount of 359 980 ROL/month.
Beneficiaries in nursing home do not paymore than 80% of his/
her income (usu-ally pension), but no more than theamount of two
times of social insurancebasic pension.
No participation.
Special protection of disabled persons:Not possible. Exception
is made for theblind.
No special scheme. Not subject to taxation.
Lithuania Poland Romania Slovakia
-
Comparative tablesOrganisationI FinancingII Health careIII
Sickness – Cash benefitsIV MaternityV InvalidityVI Old-AgeVII
SurvivorsVIII Employment injuries and occupational diseasesIX
Family benefitsX UnemploymentXI Guaranteeing sufficient
resourcesAppendix: Long-term care
LithuaniaPolandRomaniaSlovakiaSlovenia