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Applying for medical treatment for social compensation for injured parties as a result of recognized consequences of injury

Injured parties with recognized consequences of injury can receive health treatment benefits. You can find out more here.

  • Basic information

    You can receive health treatment benefits (curative treatment) for recognized consequences of injury.

    The following benefits, among others, are eligible:

    • Medical treatment including psychotherapy as medical and psychotherapeutic treatment
    • Dental treatment
    • Provision of dental prostheses including dental crowns and superstructures
    • Provision of medicines, dressings, remedies and aids as well as digital health applications
    • Home nursing care, non-clinical intensive care and home help
    • Hospital treatment
    • medical rehabilitation benefits and supplementary benefits.

    The principles of service provision under statutory health insurance law apply.

    Coordination takes place with the relevant competent authority, which will inform you which other benefits you may be eligible for.

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

    Requirements

    • As the injured party, you have suffered a health impairment in Germany or, under certain conditions, abroad (§ 15 SGB XIV) due to a damaging event.
    • The health impairment has resulted in physical, psychological, mental or sensory impairments that have already been recognized as consequences of injury with a degree of damage.
    • You currently have a need for medical treatment with regard to these recognized consequences of injury.

  • Procedure

    When you apply for social compensation benefits, the social compensation institution will check whether you are entitled to medical treatment for injured parties as a result of recognized consequences of injury. The authority examines your application and decides on the granting of the benefit and its scope. You will receive a notification of the decision and, if applicable, information about the benefits granted as well as other necessary evidence.

    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 and advice.
    • 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 costs of medical treatment for the consequences of injury will be covered by your health insurance fund.

    More information

    Legal remedy
    Appeal: An appeal can be lodged against a decision within one month of its notification. Further information on 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.

  • Competent Department

  • Fees / Costs

    gebührenfrei

  • Deadlines & processing time

    What deadlines must be paid attention to?

    There is no deadline.

    How long does it take to process

    The prerequisite for processing is that all mandatory information has been provided. The processing time varies depending on the competent authority and the individual case. It is not possible to give an exact time and it depends on the complexity of the individual case.

  • Legal Bases

  • More Information

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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

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