responsibility finder
Schleswig-Holstein

Benefits in the event of a need for care for people with statutory accident insurance

Source: Zuständigkeitsfinder Schleswig-Holstein (Linie6PLus)

Service Description

If you become in need of care as a result of an accident at work, a commuting accident or an occupational illness, you can receive care allowance and other benefits from the statutory accident insurance.

Your employer's liability insurance association or accident insurance fund as the accident insurance provider pays care allowance.

The amount of care allowance depends on the one hand on the type or severity of your health impairment. On the other hand, the extent of the assistance required also plays a role. Both together result in the so-called need for care, which is measured using a percentage. There is no care degree determination as in the statutory long-term care insurance.

The amount of your care allowance is based on your percentage of need for care. There is a statutory minimum and maximum amount.

Care at home, if desired, has priority over placement in an inpatient care facility. Both private carers, for example relatives, and professional outpatient services can provide care at home.

The benefits provided by statutory accident insurance due to the need for care take precedence over the benefits provided by social long-term care insurance and the associated long-term care insurance funds. This means that if you receive corresponding benefits from statutory accident insurance, your entitlement to care benefits from social long-term care insurance is suspended.


Process flow

Your employer's liability insurance association or accident insurance fund will check on its own initiative ("ex officio") whether you are entitled to care benefits.

  • The assessment begins as soon as there are indications that you are in need of care.
  • Your employer's liability insurance association or accident insurance fund will determine the percentage of care dependency
  • You will receive a corresponding notification.

You do not have to submit an application. However, you are free to apply for care benefits from your social accident insurance institution online or by post.

Online service:

  • Call up the online service.
  • You will be guided through the process on the accident insurance service portal.
    • If you would like to receive the reply from your Berufsgenossenschaft or accident insurance fund in the mailbox of your BundID account or My Company Account, you must have an account and authenticate yourself.
    • If you would like to receive the reply by post, you can continue without registering.
  • Select your responsible employers' liability insurance association or accident insurance fund or find them using the industry search.
  • Upload the required documents.
  • Complete the online form and send it off.
  • Your notification will be automatically forwarded to your accident insurance institution.
  • You will receive feedback via the desired channel.

Online service of your employers' liability insurance association or accident insurance fund:

  • If you have access to the portal of your employers' liability insurance association or accident insurance fund, you can also submit the notification electronically there if necessary.

Notification by post:

  • Send an informal letter to your employers' liability insurance association or accident insurance fund.
  • Make sure you provide the required information and enclose the necessary documents.
Requirements

You are entitled to care benefits from the statutory accident insurance from the day you become helpless or in need of care. This means that you

  • require a considerable amount of help from other people
    • for the usual and regularly recurring activities of daily living
    • due to the consequences of an insured event
      • accident at work, commuting accident or occupational illness
Which documents are required?
  • You do not need to submit any documents.
What are the fees?

There are no costs.

What deadlines do I have to pay attention to?

There is no deadline.

Legal basis
Appeal
  • Appeal
  • Detailed information on how to lodge an appeal can be found in the notification from your employer's liability insurance association or accident insurance fund.
Applications / forms

Forms available: No

Written form required: No

Informal application possible: Yes

Personal appearance necessary: No

Online services available: Yes

What else should I know?

There are no indications or special features.

Author

German Social Accident Insurance (DGUV)


Forwarding service: Deep link to the original portal

The text was automatically translated based on the German content.

Technically approved by

Federal Ministry of Labor and Social Affairs (BMAS)

Professionally released on

06.01.2023

Teaser

If you become in need of care as a result of an accident at work, a commuting accident or an occupational illness, you can receive care allowance and other benefits from the statutory accident insurance.

Process flow

Your employer's liability insurance association or accident insurance fund will check on its own initiative ("ex officio") whether you are entitled to care benefits.

  • The assessment begins as soon as there are indications that you are in need of care.
  • Your employer's liability insurance association or accident insurance fund will determine the percentage of care dependency
  • You will receive a corresponding notification.

You do not have to submit an application. However, you are free to apply for care benefits from your social accident insurance institution online or by post.

Online service:

  • Call up the online service.
  • You will be guided through the process on the accident insurance service portal.
    • If you would like to receive the reply from your Berufsgenossenschaft or accident insurance fund in the mailbox of your BundID account or My Company Account, you must have an account and authenticate yourself.
    • If you would like to receive the reply by post, you can continue without registering.
  • Select your responsible employers' liability insurance association or accident insurance fund or find them using the industry search.
  • Upload the required documents.
  • Complete the online form and send it off.
  • Your notification will be automatically forwarded to your accident insurance institution.
  • You will receive feedback via the desired channel.

Online service of your employers' liability insurance association or accident insurance fund:

  • If you have access to the portal of your employers' liability insurance association or accident insurance fund, you can also submit the notification electronically there if necessary.

Notification by post:

  • Send an informal letter to your employers' liability insurance association or accident insurance fund.
  • Make sure you provide the required information and enclose the necessary documents.

Requirements

You are entitled to care benefits from the statutory accident insurance from the day you become helpless or in need of care. This means that you

  • require a considerable amount of help from other people
    • for the usual and regularly recurring activities of daily living
    • due to the consequences of an insured event
      • accident at work, commuting accident or occupational illness

Which documents are required?

  • You do not need to submit any documents.

What are the fees?

There are no costs.

What deadlines do I have to pay attention to?

There is no deadline.

Legal basis

Appeal

  • Appeal
  • Detailed information on how to lodge an appeal can be found in the notification from your employer's liability insurance association or accident insurance fund.

Applications / forms

Forms available: No

Written form required: No

Informal application possible: Yes

Personal appearance necessary: No

Online services available: Yes

What else should I know?

There are no indications or special features.

Author

German Social Accident Insurance (DGUV)


Forwarding service: Deep link to the original portal

The text was automatically translated based on the German content.

Technically approved by

Federal Ministry of Labor and Social Affairs (BMAS)

Professionally released on

06.01.2023

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