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Home health care services for persons with statutory accident insurance

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 home health care can avoid or shorten hospital care.

A claim exists only if

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

Within the framework of home health care, the following services can be provided:

  • basic care,
  • treatment care,
  • Help in the household, for example for 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 a reasonable amount.

Process flow

In the 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 or commuting accident or an occupational disease.

  • The necessary basic and treatment care is prescribed by the attending physician.
  • The doctor's 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 in accordance with the care plan drawn up in 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 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 also continue without registering.
  • Select your local employers' liability insurance association or accident insurance company or use the industry search to find out what you are looking for.
  • 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 on the desired path.

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 can also submit the report electronically there if necessary.

Message by post:

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

Requirements

  • You have damage to your health that requires treatment as a result of an accident at work or on the way to work 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 do not 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 notification of 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)