Sickness assistance for children, adolescents, young adults and single parents with children in shared living arrangements
For
- Children, adolescents and young adults who are accommodated outside the family within the framework of child and youth welfare,
as well as for
- Mothers or fathers caring for a child under the age of six on their own
there is an entitlement to sickness assistance. Sickness assistance - comparable to the benefits of the statutory health insurance - applies if there is no other health insurance cover or if it does not fully cover the necessary needs. This means that if these children, adolescents or young adults fall 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 an inpatient child and youth welfare facility ("children's home")
- are in intensive socio-pedagogical individual care
- live as a mentally disabled child or adolescent in a foster family or in an inpatient child and youth welfare facility
- have been taken into custody by the Youth Welfare Office (also provisionally)
- are accommodated in a socio-pedagogically accompanied form of housing during their participation in school or vocational training measures or during vocational integration
Mothers or fathers who
- have to care for a child under the age of six alone and live with the child in a common form of housing for mothers/fathers/children, and
Children who
- live together with their mother or father in a common form of housing for mothers/fathers and their children
Process flow
- The responsible youth welfare office checks whether there is other health insurance coverage, for example through 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 company).
Competent authority
The responsibility lies with the local youth welfare offices.
Requirements
You can get sick help
- 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 adolescents who have been (provisionally) taken into custody by the Youth Welfare Office,
- young people who live in a socio-educational form of housing while participating in school, vocational training or vocational integration.
- Mothers or fathers who care alone for a child under the age of six and live with the child in a common form of housing for mothers/fathers/children
- Children who live with their mother or father in a shared form of housing for mothers/fathers and children
It is important to:
- Sickness assistance is only granted if there is no other health insurance cover or if it does not fully cover the necessary needs.
- The legal guardians or the child or adolescent or the young adult are entitled to it.
Which documents are required?
- A separate application is not required. In order to check the claim, the Youth Welfare Office requests the necessary documents.
What are the fees?
There are no fees.
Fee: free of charge
What deadlines do I have to pay attention to?
There are no deadlines to be observed.
Legal basis
§ 40 Eighth Book of the Social Code (SGB VIII)
§ 42 Sozialgesetzbuch Achtes Buch (SGB VIII) Abs. 2 Satz 3 Halbsatz 1
Appeal
If the Youth Welfare Office refuses to provide health care, you can sue against it.
Technically approved by
Lower Saxony Ministry of Social Affairs, Health and Equality
Professionally released on
30.03.2021
Author
The text was automatically translated based on the German content.
