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Sickness assistance for children, adolescents, young adults and single parents with children in shared living arrangements


For

  • children,adolescents andyoung adults who are accommodated outside the family within the framework of child and youth welfare,

and for

  • Mothers or fathers who are solely responsible for a child under the age of six.

are entitled to health care assistance.Sickness assistance - comparable to the benefits provided by the statutory health insurance fund - applies if there is no other health insurance cover or if this does not fully cover the necessary needs. This means whenIf these children, adolescents or young adults become ill, the responsible youth welfare office ensures that the costs are covered.

children, adolescents and young adults who

  • live in a foster family
  • live in a stationary institution of child and youth welfare ("children's home")
  • are in intensive social-pedagogical individual care
  • live as a mentally handicapped child or young person in a foster family or in an in-patient child and youth welfare facility
  • have been taken into care (also temporarily) by the youth welfare office
  • are accommodated in a socio-educationally accompanied form of accommodation while participating in school or vocational training measures or during vocational integration

mothers or fathers who

  • have sole responsibility for a child under the age of six and live with the child in a shared form of accommodation for mothers/fathers/children, and

children who

  • live with their mother or father in shared accommodation for mothers/fathers and their children

Process flow

  • The competent youth welfare office checks whether health insurance cover exists elsewhere, for example via family insurance or voluntary continued insurance.
  • If there is no priority option for health care or health insurance, the youth welfare office ensures health care (for example by registering with a statutory health insurance fund).

Competent authority

The responsibility lies with the local youth welfare offices.

Requirements

Sickness assistance can be given to

  • Children, adolescents or young adults who live in a foster family or in an inpatient child and youth welfare facility ("children's home").
  • Children and young people who have been (temporarily) taken into care by the youth welfare office,
  • young people who are living in a socio-educationally accompanied form of accommodation while participating in school or vocational training measures or during vocational integration .
  • Mothers or fathers caring alone for a child under six years of age and living with the child in a shared mother/father/child living arrangement.
  • Children living with their mother or father in a shared living arrangement for mothers/fathers and children.

Important:

  • Health assistance is only granted if there is no other health insurance cover or if this does not fully cover the necessary needs.
  • The legal guardians or the child or the adolescent or the young adult have a claim.

Which documents are required?

  • A separate application is not required. In order to check the entitlement, the Youth Welfare Office requests the necessary documents in each case.

What are the fees?

There are no fees.

Fee: free of charge

What deadlines do I have to pay attention to?

No deadlines need to be observed.

Appeal

If the Youth Welfare Office refuses to provide health care, you can sue against it.

Technically approved by

Lower Saxony Ministry for Social Affairs, Health and Equality

Professionally released on

30.03.2021

Author

The text was automatically translated based on the German content.

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