Personal Budget (PGB)
What is it?
With a personal budget (PGB), you can purchase care, assistance, or support directly from a care provider of your choice.
Where do you apply?
You can receive a PGB under the Social Support Act or the Youth Act (through VraagWijzer), under the Long-Term Care Act (through the care administration office), or under the Health Insurance Act (through your health insurer).
Municipality
Are you eligible for benefits under the Social Support Act or the Youth Act, and would you like to arrange and purchase your own care, assistance, or support? If so, please let a VraagWijzer consultant know. You can do this during the assessment following a report of a care need. However, it is also possible to switch from care already provided in kind to a Personal Care Budget (PGB).
The amount of the PGB depends on the type of care, assistance, or support and the corresponding price agreement with a contracted provider of in-kind care. In addition, we will discuss with you who will provide the care, assistance, or support. If it is someone from your social network, 50% of the rate applies, with a maximum of €20 per hour. For a self-employed professional, the rate is 90%. If you engage a professional, the full rate applies.
If the PGB is for an assistive device—such as an (electric) wheelchair, a mobility scooter, or home modifications—different rules apply. VraagWijzer provide you with further information on this.
How does it work?
Right of withdrawal
Your PGB is not deposited into your personal account, but into an account held by the Social Insurance Bank (SVB). You must submit your care provider’s invoices to the SVB. The SVB then pays your care provider. This is known as the right of withdrawal. The right of withdrawal applies to all PGBs for recurring care, except for the PGB provided by the health insurer.
The right to a draw also does not apply if the PGB is for an assistive device or for home modifications. You can get more information from VraagWijzer.
Health Care Administration Office
Are you eligible for care under the Long-Term Care Act? If so, you can apply for a personal care budget (PGB) to cover that care. You must apply for this PGB at the care administration office. To qualify, you must Requirements certain Requirements . The care administration office will determine whether you are eligible for a PGB. The right of withdrawal also applies in this case.
Health insurance provider
For nursing and personal care, you can apply for a PGB from your health insurer: a Zvw-PGB. The district nurse will assess your situation and help you fill out the application form. The health insurer will ultimately decide whether you receive the PGB. To be eligible, you must meet the Requirements.
Tip: The reimbursement you receive for a particular type of care depends on your health insurance provider. It may therefore be a good idea to compare different plans and, if necessary, switch to a different health insurance provider at the end of the year.