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Determination of helplessness and levels of care allowance for war victims

If you are helpless as a result of injury, you can apply for a monthly care allowance.

Helplessness is assumed, for example, in these adverse effects of health:

  • Blindness and severe visual impairment
  • Paraplegia and other disabilities requiring the use of a wheelchair in the long term and permanently, including within the living room
  • Brain damage, seizure scare, mental disability and psychosis, if these health disorders alone require a degree of harm (GdS) of 100
  • Loss of two or more limbs, excluding lower leg or foot amputation on both sides

The principles set out in the Care Medicine Ordinance (VersMedV) apply to the determination of helplessness and the levels of the care allowance.

They are considered helpless if you need permanent help for a number of frequently and regularly recurring activities to secure your personal existence.

This also applies if:

  • assistance is required in the form of monitoring or guidance


  • the aid does not need to be provided on a permanent basis, but a constant willingness to provide assistance is required.

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

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