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Source: BUS Sachsen-Anhalt (Linie6PLus)

Long-term care benefits for persons insured under statutory accident insurance

Description

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

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

Your percentage of dependency determines the amount of your long-term care allowance. There is a minimum and a maximum amount laid down by law.

Care at home, if desired, takes precedence over accommodation in an inpatient care facility. Both private caregivers, such as relatives, and professional outpatient services can care for you at home.

The benefits of the statutory accident insurance due to the need for long-term care take precedence over the benefits of the social long-term care insurance and the associated long-term care funds. If you receive corresponding benefits from the statutory accident insurance, you are entitled to long-term care benefits from the social long-term care insurance.

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

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

You do not have to apply. Nevertheless, you are free to apply for care benefits from your employers' liability insurance association or accident insurance fund online or by post.

Online service:

  • Go to the online service.
  • You will be guided through the procedure on the accident insurance service portal.
    • If you would like to receive the answer from your employers' liability insurance association 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 answer by post, you can continue without registering.
  • Select your local employers' liability insurance association or accident insurance fund or use the industry search to find it.
  • Upload the required documents.
  • Fill out and submit the online form.
  • Your report will be automatically forwarded to your accident insurance institution.
  • You will receive feedback in the desired way.

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 may also be able to submit the report electronically there.

Notification by post:

  • Please send an informal letter to your employers' liability insurance association or accident insurance fund.
  • Pay attention to the required information and enclose the necessary documents.

You are entitled to long-term care benefits from the statutory accident insurance from the day on which you are helpless or in need of care. In other words, you

  • require the help of other people to a considerable extent
    • for the usual and regularly recurring activities in the course of daily life
    • due to the consequences of an insured event
      • Accident at work, commuting accident or occupational disease
  • You do not have to submit any documents.

There are no costs.

  • Contradiction
  • Detailed information on how to lodge an objection can be found in the notification of your employers' liability insurance association or accident insurance fund.

Forms available: No

Written form required: No

Informal application possible: Yes

Personal appearance required: No

Online services available: Yes

There are no clues or peculiarities.

The text was automatically translated based on the German content.

Federal Ministry of Labour and Social Affairs (BMAS)

No authority found