Please enter a search term.
Please note:You can only obtain complete information if you indicate the place of residence, the place of business or the building project, depending on the procedure.

Applying for benefits for caregivers in acute care situations and care leave in social long-term care insurance


If you are working and a close family member is in acute need of care, you can be absent from work for up to 10 working days to organize the care of the family member. Your employer's consent is not required. The claim also exists in small companies with few employees. If you share care in the acute situation with other family members, you are jointly entitled to a total of 10 working days off from work.

The short-term release from your work is intended to enable you, for example, to:

  • to find out about care services,
  • organise a care service or caregiver for the family member,
  • to deal with administrative procedures and to submit applications.

If your employer does not pay you a salary for this period of acute care, you are entitled to a care support allowance. It amounts to 90 percent of the lost net salary, but no more than 70 percent of the health insurance contribution assessment ceiling. You apply for the care support allowance from the long-term care insurance fund of your family member in need of care. In addition, it will pay you subsidies for health and long-term care insurance upon application.

Only employees who are subject to social security contributions can receive the care support allowance. If you are self-employed, a civil servant or receive unemployment benefit II or III, you are not entitled to long-term care allowance. If you are an entrepreneur in agriculture, you are entitled to farm assistance for up to 10 days instead of the care support allowance. You can find out more from your health insurance company.

According to the law, an acute care situation exists if it occurs unexpectedly, for example due to an accident or stroke, or if an existing need for care suddenly deteriorates. In addition, a doctor must confirm that your family member in need of care is likely to be awarded care levels 1 to 5.

In addition to the time off in acute cases, you can take a full or partial leave of absence from your work for a maximum of 6 months in order to care for a close family member in need of care at home. This leave of absence is called caregiver leave. If you are no longer covered by your employer or family insurance during your care leave and therefore voluntarily take out insurance, you can receive subsidies for health and long-term care insurance. You apply for this from the long-term care insurance fund of the family member in need of care. The subsidy is a maximum of the minimum contributions you have to pay for voluntary health insurance and long-term care insurance. For more information, contact your family member's long-term care insurance fund.
 

Process flow

To take a leave of absence from work in an acute care situation and receive care support allowance, proceed as follows:

  • You inform your employer immediately of the inability to work and its expected duration. Upon request, you can provide the employer with a medical certificate stating that the family member is expected to be in need of care.
  • If you do not receive any remuneration from your employer during your time off, you can apply for long-term care allowance from the long-term care fund of the family member in need of care.
  • You can submit the application for care support, for example, by post or – in the case of many long-term care insurance funds – hand it in in person at the office or submit it online.
  • With your application, you submit:
    • the medical certificate stating the expected need for care of the family member
    • Employer's remuneration certificate
  • The long-term care insurance fund will review your application and
  • will transfer your care allowance to you.

To receive subsidies for health and long-term care insurance for the care period, proceed as follows:

  • You claim care leave from your employer.
  • You apply for the contribution subsidy from the long-term care fund of the family member in need of care.
  • You can apply for a contribution subsidy for care leave, for example, by post or – in the case of many long-term care insurance funds – hand it in in person at the office or submit it online.
  • The long-term care insurance fund will review your application and
  • will transfer the contribution subsidy to you.
     

Requirements

  • the person in need of care is a close family member, including:
    • Grandparents, parents, in-laws, stepparents
    • Spouses, life partners, partners in a cohabitation or civil partnership
    • Siblings, spouses of siblings and siblings of spouses, life partners of siblings and siblings of life partners
    • Children, adopted or foster children, the children, adopted or foster children of the spouse or partner, children-in-law and grandchildren
  • the person in need of care is a member of the German long-term care insurance

For the care support allowance:

  • the acute care situation has occurred unexpectedly
  • a doctor confirms that your family member is likely to be classified in care levels 1 to 5
  • You have informed your employer that you have been unable to work for a short period of time
  • You will not receive any remuneration from your employer during your time off

For the contribution subsidy for care leave:

  • You have taken care leave from your employer
  • You are no longer covered by your work or family insurance during your leave of absence, but have voluntarily taken out insurance
  • Your employer employs at least 16 people
     

Which documents are required?

For the care support allowance:

  • medical certificate attesting to the expected need for care of the family member
  • Remuneration certificate from your employer for calculating the care allowance

For the contribution subsidy for care leave:

  • Proof of the amount of your monthly contributions to health and long-term care insurance

What are the fees?

You don't have to pay anything for the application.

What deadlines do I have to pay attention to?

For acute care situations of up to 10 working days:

  • You must inform your employer immediately of your absence and its expected duration.
  • You must apply for the care support allowance immediately from the long-term care insurance fund or the care company of the family member in need of care.

For the contribution subsidy for care leave:

  • You must notify your employer in writing of the leave of absence at least 10 working days in advance.

Processing duration

It usually takes about 2 to 11 business days to process.
In order to process and make a decision quickly, your long-term care insurance fund must have the necessary information and, if necessary, documents complete and meaningful.
The long-term care insurance fund decides on applications in a timely manner.
Please note that the stated processing time is an average value for all long-term care insurance funds. It may vary in individual cases.
The exact processing time also depends on the complexity of the individual case and can be extended accordingly. The same applies if documents or records are sent by post to you or your long-term care insurance fund.
 

Applications / forms

- Forms: yes

- Online procedure possible: Many long-term care insurance companies offer an online procedure.

- Written form required: no

- Personal appearance required: no

Appeal

  • Contradiction
  • Appeal to the Social Court
     

What else should I know?

You can also apply for the long-term care allowance and contribution subsidies for care leave if the family member in need of care is not covered by statutory long-term care insurance, but by private care. They then submit the respective application to the private insurance company with which the family member is insured.

Technically approved by

Federal Ministry of Health

Professionally released on

28.10.2021

Author

The text was automatically translated based on the German content.

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