For Citizens - Service Finder
Apply for home care for insured persons with disabilities
As a person with a disability, do you live in a dormitory or other fully inpatient facility that enables you to participate in social life and supports you in integrating into working life? Then, under certain conditions, your nursing care fund will cover 15 percent of the costs.
However, the nursing care fund pays a maximum of EUR 266.00 per month. The remaining costs are borne by you. If your income is not sufficient for this, you are entitled to basic security benefits in old age and in the event of reduced earning capacity or housing benefit. To do this, you must submit an application to the social welfare institution. As a rule, this is the social welfare office of your place of residence.
This also applies to special forms of housing such as a dormitory or a residential group for people with disabilities. In doing so,
- the focus is on shared living and integration into society,
- the Housing and Care Act apply and
- the scope of care largely corresponds to the care in a fully inpatient facility.
If you are at home with your relatives at the weekend or during the holidays, you are entitled to the following benefits for this period:
- Care benefits in kind: This refers to the services of an outpatient care service. Your entitlement to care benefits in kind is reduced by the amount paid by the nursing care fund in that month for accommodation in a dormitory or boarding school. For example, if you are at home 10 days a month, the amount you are entitled to monthly benefits in kind will be deducted from the amount paid by your care fund for the 20 days you spent in the dormitory or boarding school.
- Care allowance: If you are supported by relatives or volunteers during your time at home, you can receive care allowance. For every day you spend at home, you will receive 1/30 of the monthly care allowance. The day of arrival and departure is considered a full day at home. You will also receive care allowance if you make use of care benefits in kind at the same time. Your care allowance is not reduced as a result.
For example, you can submit the application for reimbursement of costs for care in a fully inpatient facility for people with disabilities by post and – with many nursing care funds – hand it in personally at the office or submit it online.
- Submit the application for full inpatient care in facilities for people with disabilities to your nursing care fund. If you are unable to do so yourself, you can authorize someone in writing.
- The nursing care fund will check your application and inform you of the result.
- After your application has been processed, your nursing care fund transfers the monthly benefit contribution directly to your institution.
- Your care fund can also give you a list of approved facilities for the disabled, where you can compare the services and prices.
- You have care level 2, 3, 4 or 5.
- You live in a
- fully inpatient facility for people with disabilities or
- comparable form of living.
- if applicable: power of attorney, supervisor card
- Decision of the nursing care fund on determination of the degree of care (expert opinion of the Medical Service of the Long-Term Care Insurance)
- if applicable: medical documents
- if applicable: Severely disabled person's pass
- Proof of health and long-term care insurance
Depending on the individual case, further documents may be required. Please contact your nursing care fund for more information.
You do not have to pay anything for the application.
You will only receive the benefit from your care fund from the month in which you submitted the application, but at the earliest from the time when the eligibility requirements are met. If the application is not made in the calendar month in which the need for care occurred, but later, the benefits are granted from the beginning of the month of the application.
Processing usually takes about 2 to 6 working days.
For a quick processing and decision, your nursing care fund must have the necessary information and, if necessary, necessary documents completely and meaningfully.
The nursing care fund decides on applications promptly.
Please note that the specified processing time is an average value of all nursing care funds. It may vary in individual cases.
The exact processing time also depends on the complexity of the individual case and can be extended accordingly. The same applies if documents or documents are sent by post to you or your nursing care fund.
If the need for care or the entitlement to care benefits has not yet been determined in your case or if an application for an upgrade with regard to the degree of care is submitted, the medical service must be involved. As a result, the processing of your request is usually extended by about 3 to 4 weeks.
- Forms: yes
- Online procedure possible: Many nursing care funds offer an online procedure.
- Written form required: no
- Personal appearance required: no
- Contradiction
- Action before the Social Court
The text was automatically translated based on the German content.
Federal Ministry of Health
Source: Serviceportal Niedersachsen (Portalverbund des Bundes und der Länder)