BPC beneficiary with caregiver in a wheelchair

BPC beneficiary accompanied by a caregiver in a wheelchair during morning routine at home.

About this subject

The Continuous Cash Benefit (BPC) is a Brazilian constitutional right that guarantees a monthly minimum wage to elderly people aged 65 or older and to people with disabilities of any age who prove they cannot support themselves or have their support provided by their family. Established by the Organic Law of Social Assistance (LOAS) in 1993, BPC requires that the family per capita income be less than 1/4 of the minimum wage. In 2024, about 5 million Brazilians are beneficiaries, with approximately 2.5 million being people with disabilities.

The caregiver figure is essential for many BPC beneficiaries, especially those with reduced mobility who use wheelchairs. The caregiver can be a family member or hired professional responsible for assisting with daily activities such as feeding, hygiene, mobility, and medication management. In Brazil, the National Policy for the Elderly and the Statute of Persons with Disabilities (Law 13.146/2015) provide for the right to comprehensive care and social assistance, including caregiver support.

The morning routine of a BPC beneficiary with a caregiver involves tasks such as transferring from bed to wheelchair, personal hygiene, breakfast, and organizing medications. These activities, although routine, are fundamental for the beneficiary's quality of life and autonomy. The caregiver's presence reduces risks of falls and health complications, besides providing companionship and social stimulation.

Interestingly, the term "wheelchair" originates from the 16th century, when King Philip II of Spain used a wheeled device to move around. In Brazil, the first wheelchair was imported in the 19th century, but national production only consolidated in the 1940s. Today, the Unified Health System (SUS) offers wheelchairs free of charge to people with disabilities, upon medical evaluation and request at rehabilitation centers.

Frequently Asked Questions

Who is entitled to BPC?

Elderly people aged 65 or older and people with disabilities of any age who prove a family per capita income below 1/4 of the minimum wage. It is necessary to be registered in the Single Registry (CadÚnico) and not receive another social security benefit.

Does the caregiver of a BPC beneficiary receive any government assistance?

There is no specific benefit for caregivers under BPC. However, the caregiver may have access to social programs such as Bolsa Família if they meet income criteria. Some states and municipalities offer training programs and assistance for informal caregivers.

How to request a wheelchair through SUS?

The interested party must undergo a medical evaluation at a health unit or accredited rehabilitation center. After the prescription, the patient is referred to the SUS Orthotics, Prosthetics and Special Materials Center (OPM), which dispenses the equipment. The process can take 30 to 90 days.