comparative tables - european commission · 2006. 5. 9. · [naredba no 4 za uslovijata i reda za...

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.


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.


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.


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


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


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.


Provided by local municipalities. Day-care i


Table XII

313

anised locally. 2. Semi statutory care

Slovenia

Appendix

No semi stationary care. Org


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.


Provided by local municipalities. - Institutio- Rehabili- Institutio

ter, and - Nursing


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


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


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.


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


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


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.


benefits in kind. 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


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.


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

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