{"id":6697,"date":"2022-08-16T13:56:13","date_gmt":"2022-08-16T11:56:13","guid":{"rendered":"https:\/\/www.bwpn.de\/pflegenetzwerk\/?post_type=avada_faq&#038;p=6697"},"modified":"2022-08-16T13:56:19","modified_gmt":"2022-08-16T11:56:19","slug":"wird-das-pflegegrad-nach-widerspruch-nachgezahlt-2","status":"publish","type":"avada_faq","link":"https:\/\/www.bwpn.de\/pflegenetzwerk\/faq-items\/wird-das-pflegegrad-nach-widerspruch-nachgezahlt-2\/","title":{"rendered":"Wie lange hat die Pflegekasse Zeit nach einem Antrag?"},"content":{"rendered":"<p><\/p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\"><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#a0ce4e;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;text-transform:uppercase;\">Kurzfassung<\/h2><\/div><div class=\"fusion-text fusion-text-1\"><p>Stellen Sie erstmalig einen Antrag auf Leistungen der Pflegekasse, muss Ihnen innerhalb von 25 Arbeitstagen der Bescheid der Pflegekasse vorliegen!<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:30px;--awb-flex-wrap:wrap;\"><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#a0ce4e;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;text-transform:uppercase;\">25&nbsp; Arbeitstage nach Antragseingang bei der Pflegekasse<\/h2><\/div><div class=\"fusion-text fusion-text-2\" style=\"--awb-text-transform:none;\"><p>Als Antragsdatum gilt der Tag des Anrufs bei der Pflegekasse, bzw. bei Onlineantr&auml;gen das entsprechende Tagesdatum. Ab diesem Antragsdatum f&auml;ngt die Bearbeitungszeit von maximal 25 Arbeitstagen an zu z&auml;hlen. Innerhalb dieser 25 Arbeitstag muss die Pflegeversicherung alle nachfolgenden Arbeitsschritte erledigt haben, respektive von deren Erf&uuml;llungsgehilfen erledigen lassen.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:30px;--awb-flex-wrap:wrap;\"><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#a0ce4e;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;text-transform:uppercase;\">Einzelne Arbeitsschritte innerhalb der 25&nbsp; Arbeitstage<\/h2><\/div><ul style=\"--awb-line-height:37.4px;--awb-icon-width:37.4px;--awb-icon-height:37.4px;--awb-icon-margin:15.4px;--awb-content-margin:52.8px;--awb-circlecolor:#a0ce4e;--awb-circle-yes-font-size:19.36px;\" class=\"fusion-checklist fusion-checklist-1 fusion-checklist-default fusion-checklist-divider type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-arrow-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Antragsunterlagen schicken <em>(Pflegekasse)<\/em><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-arrow-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Antragsunterlagen nach Eingang sichten <em>(Pflegekasse)<\/em><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-arrow-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Medizinischen Dienst oder <a href=\"https:\/\/www.bwpn.de\/pflegenetzwerk\/glossar\/medicproof\/\" target=\"_self\" title=\"Medicproof - der medizinische Dienst der Privaten Als Tochterunternehmen des&hellip;\" class=\"encyclopedia\">MEDICPROOF<\/a> (privat Versicherte) beauftragen <em>(Pflegekasse)<\/em><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-arrow-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Begutachtungstermin festlegen und verschicken <em>(Gutachterdienst (MD oder MEDICPROOF))<\/em><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-arrow-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Begutachtung durchf&uuml;hren <em>(Gutachterdienst (MD oder MEDICPROOF))<\/em><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-arrow-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Formulargutachten erstellen und der Pflegekasse senden <em>(Gutachterdienst (MD oder MEDICPROOF))<\/em><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-arrow-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Auf Grundlage des Gutachtens den Bescheid erstellen und versenden <em>(Pflegekasse)<\/em><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:30px;--awb-flex-wrap:wrap;\"><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#a0ce4e;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;text-transform:uppercase;\">Anspruch auf Entsch&auml;digung bei &Uuml;berschreitung der 25&nbsp; Arbeitstage<\/h2><\/div><div class=\"fusion-text fusion-text-3\" style=\"--awb-text-transform:none;\"><p>H&auml;lt die Pflegekasse die Bearbeitungszeit nicht ein und &uuml;berschreitet die 25 Arbeitstage, muss die Pflegekasse dem Antragsteller (w\/m) f&uuml;r <strong>jede angefangene Woche<\/strong> 70 EUR Entsch&auml;digung zahlen!<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"faq_category":[366,65],"class_list":["post-6697","avada_faq","type-avada_faq","status-publish","format-standard","hentry","faq_category-pflegegeld","faq_category-gesetze"],"_links":{"self":[{"href":"https:\/\/www.bwpn.de\/pflegenetzwerk\/wp-json\/wp\/v2\/avada_faq\/6697","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bwpn.de\/pflegenetzwerk\/wp-json\/wp\/v2\/avada_faq"}],"about":[{"href":"https:\/\/www.bwpn.de\/pflegenetzwerk\/wp-json\/wp\/v2\/types\/avada_faq"}],"author":[{"embeddable":true,"href":"https:\/\/www.bwpn.de\/pflegenetzwerk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bwpn.de\/pflegenetzwerk\/wp-json\/wp\/v2\/comments?post=6697"}],"version-history":[{"count":9,"href":"https:\/\/www.bwpn.de\/pflegenetzwerk\/wp-json\/wp\/v2\/avada_faq\/6697\/revisions"}],"predecessor-version":[{"id":6706,"href":"https:\/\/www.bwpn.de\/pflegenetzwerk\/wp-json\/wp\/v2\/avada_faq\/6697\/revisions\/6706"}],"wp:attachment":[{"href":"https:\/\/www.bwpn.de\/pflegenetzwerk\/wp-json\/wp\/v2\/media?parent=6697"}],"wp:term":[{"taxonomy":"faq_category","embeddable":true,"href":"https:\/\/www.bwpn.de\/pflegenetzwerk\/wp-json\/wp\/v2\/faq_category?post=6697"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}