Sickness assistance for children, adolescents, young adults and single parents with children in shared housing
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 who are the sole caregivers of a child under the age of six
There is an entitlement to sickness assistance. Sickness assistance - comparable to the benefits of the statutory health insurance fund - applies if no other health insurance cover exists 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
- to live in a foster family
- live in an inpatient child and youth welfare facility ("children's home")
- in an intensive socio-pedagogical one-to-one care
- live as a mentally handicapped 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 temporarily)
- are accommodated in a socio-pedagogically supervised form of housing during participation in school or vocational training measures or during professional integration
Mothers or fathers who
- have to care for a child under the age of six and live with the child in a shared form of housing for mothers/fathers/children, and
Children who
- live together with their mother or father in a shared form of housing for mothers/fathers and their children
Process flow
- The responsible Youth Welfare Office will check whether health insurance cover exists in other ways, 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
Sick care can be received
- 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 live in socio-pedagogically supervised housing while participating in school or vocational training or during professional integration.
- Mothers or fathers who are the sole caregivers of a child under the age of six and who live with the child in a shared living arrangement for mothers/fathers/children
- Children who live with their mother or father in a shared housing arrangement 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 young adult are entitled to this.
Which documents are required?
- A separate application is not required. In order to check the claim, the Youth Welfare Office will request 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.
