Dear Diary,

Once again, I've had a lot of expenses for my care and treatments in the last few weeks. It feels like some kind of co-payment bill flutters into my house almost every day. This always amazes my carers and therapists. There don't seem to be many ALS patients with the highest care level and 90% severe disability who are not exempt from co-payments. But just like my ridiculous disability insurance (BU), my health insurance also says that I earn too much.

I earn too much.

I find this formulation somewhat unfortunate. Can you earn too much as an ALS patient?

I don't think so.

If you want to continue living your life with ALS - as I do - then there are certainly options. But the health insurance doesn't pay for them at all. For example, the conversion of my newly purchased Audi S4 to hand throttle, so that I can get to the office and to customers at all. Min platform lift in the staircase, which cost a mere €34,000. A full carbon wheelchair for €8,000, which I can lift with great difficulty from the passenger seat onto the road. All things that the AOK does not feel responsible for. So the question is, how does the "normal" ALS patient pay for this?

I have calculated for myself what I actually spend every month, just for my care and treatments. The result, phew, February was particularly heavy...

Date Receiver DemandCosts
15.02.2023Health insurance Health insurance (AN share)806,98 €
15.02.2023Health insurance Health insurance (AG share)806,98 €
15.02.2023Care insuranceLong-term care insurance (AN share)169,58 €
15.02.2023Care insuranceLong-term care insurance (AN share)169,58 €
16.02.2023AmazonIncontinence pads36,95 €
16.02.2023Nursing serviceCosts for Support in the hospital 6.768,00 €
27.02.2023PharmacyCo-payment medicines 24,96 €
01.03.2023PharmacyCo-payment medicines 21,95 €
06.03.2023Telephone companyTelephone charges for carers landline 26,00 €
06.03.2023PharmacyCo-payment medicines 10,00 €
13.03.2023Care insuranceCo-payment (prescription) Home nursing10,00 €
13.03.2023Care insuranceCo-payment (benefit) Home nursing2.848,20'€
15.03.2023Health insurance Health insurance (AN share)806,98 €
15.03.2023Health insurance Health insurance (AG share)806,98 €
15.03.2023Care insuranceLong-term care insurance (AN share)169,58 €
15.03.2023Care insuranceLong-term care insurance (AG share)169,58 €
17.03.2023AmazonWaste bags for care products35,05 €
17.03.2023SuppliersCo-payment for aids 66,87 €
17.03.2023SuppliersCo-payment for aids 33,06 €
17.03.2023SuppliersCo-payment for aids 7,05 €
19.03.2023Online pharmacy Aqua for humidifier149,50 €
19.03.2023AmazonDisinfectant for records 32,99 €
19.03.2023AmazonTork roller towels82,85
20.03.2023PharmacyCo-payment medicines54,02 €
23.03.2023AmazonSensor strips for roll towels352,94 €
24.03.2023AmazonMouth rinse against Bleeding gums 6,11 €
27.03.2023AmazonWound compresses30,50 €
29.03.2023Pharmacy Co-payment medicines10,00 €
29.03.2023Pharmacy Co-payment medicines10,00 €
29.03.2023Pharmacy Co-payment medicines9,99 €
31.03.2023PhysiotherapistRecipe fee87,28 €
Total?
Expenditure for care and therapy in the last six weeks

So I earn too much? As I said, I disagree. I seriously wonder how the "normal" ALS patient is supposed to pay for such costs. That's not possible at all, don't tell me.