Service Finder
Apply for care aids
Service Description
If you are cared for at home by relatives, friends or a care service, you are entitled to care aids. These are intended to make home care easier, help alleviate your symptoms or enable you to lead a more independent life. You do not need a doctor's prescription for care aids, but you do need a recognized care degree and an application to your care insurance fund. Your care insurance fund is affiliated to your statutory health insurance fund. You can therefore use the same contact details.
Care aids such as disposable gloves, disinfectants or absorbent bed pads are used on a daily basis and can only be used once. Your care insurance fund pays a lump sum of up to EUR 40.00 per month for such products.
Reusable technical care aids such as care beds, shower trolleys or home emergency call systems are normally provided by your care insurance fund on loan and free of charge. For new purchases, you pay a co-payment of 10 percent, up to a maximum of EUR 25.00.
In practice, you often do not have to make the initial application for care aids yourself. The medical service, which prepares an expert opinion on your need for care, usually also informs your care insurance fund whether and which care aids are required. If you agree, this is also considered an application.
Furthermore, care professionals can make specific recommendations on the provision of aids and care aids as part of the provision of care benefits in kind, home nursing care, outpatient intensive care and advice in the home of the person in need of care. These recommendations also count as an application. Many mail-order companies and medical supply stores that specialize in care aids will also take care of the application process for you.
If you submit the application yourself or have an authorized person do so, please state which care aids you require each month. Subsequent changes to the type and quantity of products are possible. As a rule, you only have to apply once for the costs to be covered. However, some care insurance funds only approve care aids for a limited period of time, for example for 1 year.
You can find out which products are considered care aids and are therefore eligible for reimbursement or a loan in the list of care aids published by the GKV-Spitzenverband, the central lobby of the statutory health and care insurance funds in Germany.
Process flow
Unless the medical service, a care professional, a medical supply store, a specialized dealer or an expert submits the application for care aids for you, you can obtain the application form for care aids from your care insurance fund.
- You can submit the application for care aids by post, for example, or - with many long-term care insurance funds - in person at the office or online.
- The long-term care insurance fund will check your application and inform you of the result.
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The care insurance fund
- pays the agreed contract prices
- pays you the monthly lump sum for care aids,
- pays the costs of the technical care aids, less your own contribution, or
- lends you the technical care aid.
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If there are subsequent changes to the type and quantity of care aids, please submit a new application.
Requirements
- You have a care level
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You are cared for in your home environment
Which documents are required?
- Notification from the long-term care insurance fund about the determination of the degree of care (expert opinion from the medical service of the long-term care insurance)
- If applicable: power of attorney, guardian's certificate
- If applicable: medical documents
- If applicable: certificate of severe disability
- Proof of health and long-term care insurance
Depending on the individual case, further documents may be required. Please contact your care insurance fund for more information.
What are the fees?
You do not have to pay anything for the application.
What deadlines do I have to pay attention to?
In principle, the long-term care insurance fund must make a decision within 3 weeks of receipt of the application at the latest. If it obtains an opinion from the Medical Service, it must inform the insured person of this and make a decision within 5 weeks of receipt of the application. If the long-term care insurance fund is unable to meet these deadlines, it will inform the insured person in writing or electronically in good time, stating the reasons. If no sufficient reason is given, the benefit is deemed to have been approved after the deadline has expired.
Processing duration
Processing normally takes around 2 to 6 working days.
In order to process and decide quickly, your long-term care insurance fund must have all the necessary information and any required documents in a complete and meaningful form.
The long-term care insurance fund decides on applications promptly.
Please note that the processing time indicated 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 may be longer. The same applies if documents or records are sent to you or your long-term care insurance fund by post.
The medical service may need to be involved. This usually extends the processing of your request by around 3 to 4 weeks.
Applications / forms
- Objection
- Action before the social court
Appeal
- Forms: yes
- Online procedure possible: Many long-term care insurance companies offer an online procedure.
- Written form required: no
- Personal appearance necessary: no
Further Information
Author
The text was automatically translated based on the German content.
- Approval of care aids
Remark: Display of performance in the source portal
Technically approved by
Federal Ministry of Health
Professionally released on
22.11.2021
Source: Zuständigkeitsfinder Thüringen (Linie6PLus)