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Determination of helplessness and levels of care allowance for war victims

If you are helpless as a result of an injury, you can claim a monthly care allowance.

Helplessness is assumed, for example, in the case of these health impairments that are recognised as consequences of an injury:

  • blindness and severe visual impairment
  • Paraplegia and other disabilities that require the use of a wheelchair permanently and permanently, even within the living space.
  • Brain damage, seizure disorders, mental retardation and psychoses, if these health disorders alone cause a degree of impairment of 100
  • Loss of two or more limbs, with the exception of amputation of the lower leg or foot on both sides.

The principles set out in the Versorgungsmedizin-Verordnung (VersMedV - Ordinance on Medical Care) apply to the determination of helplessness and the levels of the care allowance.

You are considered helpless if you permanently need outside help for a number of frequently and regularly recurring activities to secure your personal existence.

This also applies if:

  • the assistance is required in the form of supervision or guidance


  • the assistance does not have to be provided permanently, but a constant readiness to provide assistance is required.

Process flow

The examination as to whether and, if so, to what extent an impairment-related helplessness exists is usually carried out by means of a medical assessment (possibly in the context of a home visit).

Competent authority

The supply according to the Federal Supply Act and the ancillary laws has been transferred by the legislature to the services of the war victim care. These are the state health care offices, pension offices, orthopaedic care centres and health care centres.


  • Helplessness must be present

Which documents are required?

  • Documents to determine helplessness (report of the medical service of the health/care insurance fund, if available)

What are the fees?


Fee: free of charge

Technically approved by

Lower Saxony Ministry for Social Affairs, Health and Equality

Professionally released on



The text was automatically translated based on the German content.

competent Bodies

Niedersächsisches Landesamt für Soziales, Jugend und Familie
Postal address: Post Office Box 10 08 44 , 31108 Hildesheim
Address: Domhof 1 , 31134 Hildesheim
Telephone: 0180 2001560
Fax: 05121 304-611
Transport Connection:
Station "Bohlweg" oder "Schuhstr."
Bus: 1,2,4 und 5
Building Access
elevator available, wheelchair-accessible

Data protection information

Landesbeauftragte für den Datenschutz Niedersachsen
Address: Prinzenstraße 5, 30159 Hannover
Telephone: +49 511 12045-00
Fax: +49 511 12045-99

Source: Serviceportal Niedersachsen (Portalverbund des Bundes und der Länder)