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Apply for help with care

With the help of this application, you can apply for help with care.

If you are dependent on the help of others due to health impairments, under certain circumstances you are entitled to help with care in accordance with the Twelfth Book of the Social Code (SGB XII) in addition to the claims from long-term care insurance.

The reason for the need can be physical, cognitive or psychological impairments or health-related stresses or demands that cannot be compensated for and managed independently.

The determination of whether and to what extent there is a need for long-term care is carried out by the Medical Service of the Health Insurance (MDK), which is commissioned by your long-term care insurance. For more information on the assessment procedure, please contact your long-term care insurance company.

The Medical Service of the Health Insurance (MDK) determines your need for care. It assesses how independently you can still cope with your everyday life. The degree of care is determined using a point system. Your responsible long-term care insurance fund is then responsible for covering the costs of long-term care. However, depending on the type of benefit, the costs are only covered by long-term care insurance up to certain maximum limits. If it is not possible for you to cover the uncovered remaining costs, social welfare benefits (SGB XII) - such as assistance for care - are eligible, taking into account the findings of the MDK.

If you do not have long-term care insurance and therefore do not receive an expert opinion from the MDK and no classification in a degree of care by the long-term care insurance fund, the social welfare institution can commission the responsible health authority (so-called public health officer) with an assessment.

You will only receive care assistance if your income and assets (or those of your spouse or partner) are insufficient. Dependents are taken into account if their annual gross income is more than EUR 100,000.00, see also Act on the Relief of Dependent Relatives in Social Assistance and Integration Assistance (so-called Relatives Relief Act).

You are entitled to the following benefits:

From care level 1:

  • Care aids
  • measures to improve the living environment;
  • Digital care applications
  • Supplementary support for the use of digital care applications
  • a relief amount.

From care level 2 - 5:

  • Home care (in the form of care allowance, home care assistance, preventive care, care aids, measures to improve the living environment, other services, digital care applications, supplementary support for the use of digital care applications)
  • Semi-inpatient care
  • Short-term care
  • a relief amount
  • Inpatient care

Care assistance will be provided by the competent authority after your documents have been checked, provided that the necessary conditions are met.


Process flow

After the application has been submitted, the documents you have submitted will be checked and, if necessary, the need for care will be determined.

In addition, your income and financial circumstances will be checked. If the person in need of care is a minor and unmarried, the income and assets of their parents are taken into account.

If all requirements are met, you will receive a notification of approval.


  • You must have a physical, cognitive or psychological impairment that makes it difficult for you to be independent (at least care level 1).
  • You (or your non-separated spouse or partner) Your non-separated spouse or partner) do not have enough income or assets to cover the cost of care.

Which documents are required?

  • Previous benefits

For long-term care insured:

  • Proof of membership certificate for health and long-term care insurance
  • Medical report from the Medical Service of the Health Insurance
  • Notification of the long-term care insurance fund on the degree of care and benefits of the long-term care insurance

For those who do not have long-term care insurance:

  • Medical report

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.

Processing duration

A decision on the application will be taken as soon as possible. The processing time depends, among other things, on the completeness of the information and the submission of the evidence required for the processing of the application.


  • Contradiction
  • Complaint

What else should I know?

Although an informal application is possible, we need you to fill out the application form afterwards.

As of January 1, 2017, the previously applicable care levels "0", 1, 2 and 3 were replaced by the five new care levels 1, 2, 3, 4 and 5. Since then, care level 1, care level 2, care level 3, care level 4 and care level 5 have been used to classify the need for care of those affected. Within the framework of the Second Care Strengthening Act (PSG II), these changes are intended to ensure the same care services as those in need of physical care, especially for elderly people suffering from dementia.

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The text was automatically translated based on the German content.

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