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Home health care services for persons insured against accidents


You will receive home nursing care from your employers' liability insurance association or accident insurance fund if hospital treatment is necessary but not feasible due to an accident at work or on the way to work or a recognised occupational disease (for example, no free hospital beds). You can also receive home health care if hospital treatment can be avoided or shortened by home nursing.

An entitlement exists only if

  • if the goal of the treatment is not jeopardized,
  • insofar as it is not reasonable to expect a person living in the household to care for and care for you to the extent necessary, and
  • if home nursing is appropriate and justifiable, also taking into account the principles of economic efficiency.

The following services can be provided as part of home nursing:

  • Basic care,
  • Treatment care,
  • Help with household chores, e.g. shopping, cooking, cleaning
  • If your employers' liability insurance association or accident insurance fund is unable to provide you with a caregiver or if you can dispense with a caregiver, you will be reimbursed for the costs of a self-procured caregiver in an appropriate amount.

Process flow

In statutory accident insurance, the principle of official investigation applies. This means that your employers' liability insurance association or accident insurance fund will carry out all necessary investigations on its own initiative ("ex officio") as soon as it learns of your accident at work, commuting or an occupational disease.

  • The necessary basic and treatment care is prescribed by the attending physician.
  • The medical prescription must contain all the necessary information (such as the type, duration and daily number of hours of the service).
  • Home nursing care must be organised according to the care plan drawn up by the treating hospital.
  • The prescription must be approved by your employers' liability insurance association or accident insurance fund before the start of home nursing.
  • You and the attending physician will be informed of the decision by your employers' liability insurance association or accident insurance fund.

The attending physician must ensure that the home nursing care is carried out properly and that it is successful.

You can also contact your employers' liability insurance association or accident insurance fund online or by post.

Online Service:

  • Go to the online service.
  • You will be guided through the procedure on the accident insurance service portal.
  • You can sign up.
    • If you would like to receive the answer from your employers' liability insurance association or accident insurance fund in the mailbox of your BundID account or My company account, you must have an account and authenticate yourself.
    • If you would like to receive the answer by post, you can continue without registering.
  • Select your responsible employers' liability insurance association or accident insurance fund or find out more using the industry search.
  • Upload the required documents.
  • Fill out the online form and submit it.
  • Your report will be automatically forwarded to your employers' liability insurance association or accident insurance fund.
  • You will receive feedback in the desired way.

Online service of your employers' liability insurance association or accident insurance fund:

  • If you have access to the portal of your employers' liability insurance association or accident insurance fund, you may also be able to submit the report there electronically.

Message by mail:

  • Please send an informal letter to your employers' liability insurance association or accident insurance fund.
  • Pay attention to the required information and enclose the necessary documents.

Requirements

  • You have a health defect requiring treatment as a result of an accident at work, commuting or an occupational disease.
  • Home nursing care is medically necessary for you, taking into account the objective, and
  • there is no need for inpatient treatment.

Which documents are required?

  • You don't need to submit any documents.

What are the fees?

There are no costs.

What deadlines do I have to pay attention to?

There is no deadline.

Applications / forms

Forms available: No

Written form required: No

Informal application possible: Yes

Personal appearance required: No

Online services available: Yes

Appeal

  • Contradiction
  • Detailed information on how to file an objection can be found in the notice issued by your employers' liability insurance association or accident insurance fund.

Technically approved by

Federal Ministry of Labour and Social Affairs (BMAS)

Professionally released on

06.01.2023

Author

The text was automatically translated based on the German content.

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