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Apply for care allowance in the social care insurance


If you need care, you decide for yourself by whom and where you will be cared for. If you are cared for at home by family members, acquaintances or other volunteers, you will be paid care allowance under the care insurance scheme. You apply for this from your long-term care insurance fund. The nursing care insurance fund is affiliated with your statutory health insurance fund, so you can use the same contact details.

You are entitled to care allowance if

  • you are classified in care degree 2, 3, 4 or 5 and
  • the person you choose provides complete home care. This may include, for example, personal hygiene, laundry and cooking.

The care allowance is paid to you monthly by your care insurance fund. You can give it to the person who cares for you independently as recognition and compensation for expenses. The amount of the monthly care allowance is graduated according to your care level:

  • Care degree 2: EUR 316.00
  • Care degree 3: EUR 545,00
  • Care degree 4: EUR 728,00
  • Nursing degree 5: EUR 901,00

During short-term care or substitute care, 50 percent of the care allowance will continue to be paid to you.

If you receive care allowance, you will receive a counseling visit at home every six months - for care degree 2 or 3 - or every quarter - for care degree 4 or 5. You decide who carries out this visit: You choose a care service or a recognized counseling center and make an appointment. The law prescribes the counseling visits. These are to ensure that you are well cared for at home. You and your caregiver receive nursing tips and support at these appointments. In long-term care insurance, the long-term care insurance fund pays for the costs of the counseling visits and settles these directly with the service provider.

Process flow

You can apply for care allowance by mail, for example, and - with many care insurance companies - hand it in personally at the office or submit it online.

  • You submit the application for care allowance to your care insurance fund. If you are not able to do this yourself, you can authorize someone in writing.
  • The long-term care insurance fund checks your application for long-term care benefits and
  • transfers your care allowance to you every month.

Requirements

  • You are classified in care level 2, 3, 4, or 5
  • You are cared for at home by a private, non-professional caregiver who is able to provide your home care

Which documents are required?

You do not need to submit any documents for the application for care allowance.
Depending on the individual case, further documents may be required. Please contact your long-term care insurance fund for more information.


What are the fees?

You do not have to pay anything for the application.

What deadlines do I have to pay attention to?

Entitlement to care allowance applies from the date of application, but not earlier than the date on which the conditions for entitlement are met. If the application is not submitted in the calendar month in which the need for care arose, but later, benefits are granted from the beginning of the month in which the application is submitted. You should therefore submit the application in good time.

Processing duration

Processing usually takes about 2 to 3 working days.
For a quick processing and decision, your long-term care insurance fund must be provided with the necessary information as well as any required documents in a complete and meaningful manner.
The care insurance fund decides on applications promptly.
Please note that the processing time given is an average value for all care insurance funds. It may vary in individual cases.
The exact processing time also depends on the complexity of the individual case and may be longer accordingly. The same applies if documents or records are sent to you or your care insurance fund by mail.
If necessary, the medical service must be involved.






Applications / forms

Forms: yes

Online procedure possible: many long-term care insurance companies offer an online procedure.

Written form required: no

Personal appearance required: no

Appeal

  • Objection
  • Action before the social court

Technically approved by

Federal Ministry of Health

Professionally released on

28.10.2021

Author

The text was automatically translated based on the German content.

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