Our employees only speak German in the office and on the phone.

Applying for benefits within the framework of social compensation in the event of a need for care

If the recognized consequences of the injury lead to a need for long-term care, injured parties can apply for further benefits under certain conditions.

  • Basic information

    If the recognized consequences of your injury lead to a need for long-term care, you can apply for social compensation benefits for long-term care needs. These benefits are intended to ensure that you receive appropriate care and support both at home and in inpatient facilities.

    You are also entitled to benefits for health disorders that are not a consequence of the injury but cause a need for care in connection with recognized injuries.

    If you are in need of long-term care due to an injury, you can receive the following long-term care insurance benefits, among others:

    • Care allowance,
    • Outpatient or inpatient care,
    • Care aids, for example wheelchairs or care beds,
    • measures to improve your living environment, such as a barrier-free bathroom, stair lifts or grab rails.

    If the need for care caused by the injury is only partially covered by the benefits provided by statutory long-term care insurance, supplementary social compensation benefits can be claimed to the extent necessary and appropriate.

    Alternatively, there is the option of claiming long-term care benefits under the employer model.

    The benefits are provided by the long-term care insurance funds or by the administrative authority. The specific entitlement depends on the individual care level, which is usually determined by the care insurance fund.

    Your social compensation provider will decide whether and to what extent you receive support.

    Requirements

    • You have suffered a health impairment in Germany or, under certain conditions, abroad (§ 15 SGB XIV) due to a harmful event.
    • The health impairment has resulted in physical, mental, intellectual or sensory impairments that have led to a need for care.
    • If applicable: The costs for your damage-related care needs are not fully covered by statutory long-term care insurance.

  • Procedure

    When you apply for social compensation benefits, the social compensation provider will check whether you are entitled to long-term care benefits. You will receive a notification of the decision and, if applicable, information on the benefits granted as well as other necessary documents.

    You can apply for social compensation benefits in writing.

    • If necessary, you can make an appointment with your contact person at the pension authority or at your responsible office.
    • You will then discuss whether you are entitled to social compensation benefits and what support services can be offered.
    • If necessary, the case management team can discuss the further procedure and possible entitlements to benefits with you that go beyond the general duty to provide information, advice and information.
    • If you are entitled to social compensation benefits, your contact person will discuss the next steps with you.
    • The contact person will provide you with the relevant documents. If necessary, complete the documents, enclose the required evidence or supporting documents and send the documents back to your contact person.
    • Your claims will be determined ex officio on the basis of the documents. The authority will inform you of the result in the form of a decision, which is usually sent to you by letter.
    • If entitlements to benefits have been determined, you will receive an approval notice. If no entitlements are determined, you will receive a rejection notice.
    • The eligible costs and approved cash benefits will be transferred to the account you have specified or to the account of the service provider (care service or care facility).

    More information

    Legal remedy
    Appeal: An appeal can be lodged against a decision within one month of its notification. Further information regarding the procedure and the competent authority to which you can lodge an appeal can be found in the notification of your application. The appeal can be submitted in writing and electronically.

  • Necessary Documents
    • Proof of need for care due to the recognized consequences of the injury

      For example:

      • Care reports
    • If applicable, proof that the costs are not or not fully covered by statutory long-term care insurance

      For example:

      • Notification from the long-term care insurance company that benefits have not been granted
      • Invoices that are not fully covered by the long-term care insurance benefits

  • Competent Department

  • Fees / Costs

    gebührenfrei

  • Deadlines & processing time

    What deadlines must be paid attention to?

    Not specified

    How long does it take to process

    Not specified

  • Legal Bases

  • More Information

Feedback on quality

Your feedback will help us to identify and solve problems. You will not receive a personal response. Please do not submit any personal data.

Did you find what you were looking for?

How do you rate this page?*

*Mandatory field

This page has been automatically translated by DeepL. We cannot guarantee that the translation is correct.

The official information in German is complete and correct. 07.11.2025

Dienstleistungen · syfq nzm