responsibility finder
Schleswig-Holstein

Source: Zuständigkeitsfinder Schleswig-Holstein (Linie6PLus)

Service Description

As a disabled person, you are entitled to treatment for recognised health problems. If you are severely disabled, benefits will also be granted for non-medical conditions if and insofar as they are not otherwise provided (e.g. through membership of the statutory health insurance scheme); under the same conditions, the family members and carers of severely disabled persons as well as all surviving dependants may claim medical treatment.

The nature and scope of the benefits generally correspond to those of the statutory health insurance.

Treatment includes

  • Outpatient medical and dental treatment,
  • provision of medicines and dressings,
  • provision of remedies, including physiotherapy, exercise therapy, speech therapy and occupational therapy, as well as spectacle lenses and contact lenses
  • provision of dental prostheses,
  • treatment in a hospital (hospital treatment),
  • treatment in a rehabilitation facility,
  • home nursing,
  • provision of assistive devices,
  • stress testing and occupational therapy,
  • non-medical social-paediatric services,
  • psychotherapy as medical and psychotherapeutic treatment and sociotherapy.

Process flow

Benefits for curative and medical treatment are generally provided on application. The following benefits are provided directly by the competent pension office and must be applied for there:

  • Dentures
  • Aids
  • Exercise therapy
  • Speech therapy
  • Occupational therapy
  • Stress testing
  • Occupational therapy
  • bathing cures,
  • substitute services,
  • physical training for the disabled,
  • Allowance for wear and tear of clothes and linen

  • All other benefits are provided by the sickness insurance fund on behalf of the pension administration.
  • If an entitled person is not a member of a health insurance fund, he or she may apply to a statutory health insurance fund of his or her choice.
Requirements
  • Health disorders that are recognised as the consequence of an injury or have been caused by a recognised consequence of an injury (causality)
Which documents are required?
  • Application (informal application possible)
  • Certificate of recognition as a disabled person or severely disabled person
  • Insurance card from the health insurance fund
  • Certificate on the consequences of damage by the pension authority
What are the fees?

If only the consequences of injuries are treated, no co-payments and deductibles may be charged.

What deadlines do I have to pay attention to?

Benefits are provided only upon application.

Processing duration

As a rule, curative treatment is provided immediately. Certain benefits (e.g. orthopaedic care, dental prostheses) must be examined in an approval procedure and should therefore be applied for in good time.

Legal basis
Applications / forms
  • Informal application is possible
  • Forms can be requested from the competent authority according to the respective state law or are already available on the homepage.
Author

The text was automatically translated based on the German content.

Technically approved by

Lower Saxony Ministry for Social Affairs, Health and Equality

Professionally released on

29.10.2020

Process flow

Benefits for curative and medical treatment are generally provided on application. The following benefits are provided directly by the competent pension office and must be applied for there:

  • Dentures
  • Aids
  • Exercise therapy
  • Speech therapy
  • Occupational therapy
  • Stress testing
  • Occupational therapy
  • bathing cures,
  • substitute services,
  • physical training for the disabled,
  • Allowance for wear and tear of clothes and linen

  • All other benefits are provided by the sickness insurance fund on behalf of the pension administration.
  • If an entitled person is not a member of a health insurance fund, he or she may apply to a statutory health insurance fund of his or her choice.

Requirements

  • Health disorders that are recognised as the consequence of an injury or have been caused by a recognised consequence of an injury (causality)

Which documents are required?

  • Application (informal application possible)
  • Certificate of recognition as a disabled person or severely disabled person
  • Insurance card from the health insurance fund
  • Certificate on the consequences of damage by the pension authority

What are the fees?

If only the consequences of injuries are treated, no co-payments and deductibles may be charged.

What deadlines do I have to pay attention to?

Benefits are provided only upon application.

Processing duration

As a rule, curative treatment is provided immediately. Certain benefits (e.g. orthopaedic care, dental prostheses) must be examined in an approval procedure and should therefore be applied for in good time.

Legal basis

Applications / forms

  • Informal application is possible
  • Forms can be requested from the competent authority according to the respective state law or are already available on the homepage.

Author

The text was automatically translated based on the German content.

Technically approved by

Lower Saxony Ministry for Social Affairs, Health and Equality

Professionally released on

29.10.2020

Further information and offers