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Organizing Care in Hamburg

Apply for care level, benefits and support

Progress0 of 12 steps completed
12 Schritte · ca. 8 Minuten0%

✓ Du bist in 8 Minuten fertig

Step 15–10 Min

Recognize care needs & document

🚨
Frist: Start immediately · Don't sugarcoat anything! Show real daily life, not the 'good day'. Every undocumented limitation can cost money.

Hamburg has 8 care support centers – one in each district (Wandsbek has 2). Plus a special center for children/youth. Advice is free and independent!

📄 Required Documents

💡 Weitere Tipps
  • 8 care centers: one per district (Wandsbek: 2)
  • Mon 8am-12pm + Thu 2pm-6pm: no appointment needed!
  • Tue + Fri 8am-12pm: phone consultation
  • Home visits possible on request
  • LGBTIQ*-sensitive counseling available
  • Stiftung Warentest rating: GOOD (2.5)
Step 25–10 Min

Apply for care level

🚨
Frist: Immediately – benefits from application date · Benefits are NOT paid retroactively! Every day without application is lost money. Apply immediately!

Submit the application to your care insurance (= your health insurance). The application can be informal – a short call or letter is enough. From the day of application you're entitled to benefits!

📄 Required Documents

💡 Weitere Tipps
  • Care insurance = health insurance (AOK, TK, Barmer, etc.)
  • Informal application is enough: 'I hereby apply for care insurance benefits for...'
  • Note the date of call/letter – entitlement starts from then!
  • Application can also be submitted by relatives
  • After application you'll receive forms by mail
Step 35–10 Min

Prepare for MDK assessment

🚨
Frist: Appointment will be communicated by care insurance · This is where most people lose money! Show real daily life, not the 'good day'. Relatives should be present.

After the application, an assessor from MDK (Medical Service) or Medicproof will come to your home. This assessment decides the care level! Preparation is crucial.

📄 Required Documents

💡 Weitere Tipps
  • Relatives MUST be present – they know daily life!
  • Show the bad day, not the good one
  • Have all aids ready
  • Don't tidy up specially – show reality
  • 6 assessment modules: Mobility, Behavior, Self-care, Illness, Daily life, Social
  • Appointment can be rescheduled if needed
Step 45–10 Min

Check decision & appeal

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Frist: 1 month after decision · Deadline for appeal: 1 month! After that it becomes very difficult. Appeal costs nothing and is often worth it.

You'll receive a decision with the care level. Check carefully: Is the care level too low? Then file an appeal within 1 month! It's often worth it.

📄 Required Documents

💡 Weitere Tipps
  • Always request MDK assessment – you have a right to it!
  • File appeal in writing
  • Justification: What wasn't considered?
  • Attach care diary as proof
  • Free advice from social associations (VdK, SoVD)
  • About 30-40% of appeals are successful!
Step 55–10 Min

Choose care allowance or benefits in kind

Now comes the core financial decision: Care allowance (if relatives provide care) or benefits in kind (if a care service comes). A combination is also possible!

⚠️You can adjust the choice at any time – test what works for you.
After care level decision💰 0 € (du bekommst Geld)

📄 Required Documents

💡 Weitere Tipps
  • Care allowance 2025: Level 2: €347, Level 3: €599, Level 4: €800, Level 5: €990
  • Benefits in kind 2025: Level 2: €796, Level 3: €1,497, Level 4: €1,859, Level 5: €2,299
  • Combination benefit: Part money + part care service
  • Adjustment possible at any time – notify care insurance
  • With care allowance: Advisory visit mandatory every 6 months (level 2+3) or 3 months (level 4+5)
Step 65–10 Min

Organize care (outpatient)

Now daily life begins: Find care service, apply for aids, adapt apartment. Much is paid by care insurance!

⚠️€40 monthly for care aids (disposable gloves, disinfectant etc.) is available to you – often forgotten!
As needed💰 Meist Kostenübernahme durch Pflegekasse

📄 Required Documents

💡 Weitere Tipps
  • €40 care aids allowance monthly – just apply!
  • Home emergency call: approx. €25/month, care insurance often pays
  • Care bed, walker etc.: Prescription from doctor → care insurance pays
  • Home adaptation: up to €4,000 subsidy per measure
  • Compare several care services – quality varies!
  • Care service Hamburg: Use comparison portal
Step 75–10 Min

Use relief benefits

€125 monthly relief amount is available to you – almost always forgotten! Plus: Respite care and short-term care for breaks.

⚠️Relief amount doesn't expire immediately – can be saved until June 30 of the following year!
Usable at any time💰 0 € (Leistungen der Pflegekasse)

📄 Required Documents

💡 Weitere Tipps
  • €125 relief amount monthly (all care levels)
  • Usable for: Household help, supervision, daily accompaniment
  • Respite care: up to €1,612/year when caregiver is absent
  • Short-term care: up to €1,774/year for temporary home placement
  • Respite + short-term care combinable = up to €3,386
  • Relief amount can be saved up!
Step 85–10 Min

Combine care & work

Caring relatives have special rights at work: Care leave, family care leave, time off. Your employer must make this possible!

⚠️Inform employer early! You have a legal right to care leave.
10 days before start of care leave💰 0 € (ggf. Lohnersatz)

📄 Required Documents

💡 Weitere Tipps
  • Short-term work absence: take up to 10 days immediately
  • Care Leave Act: up to 6 months leave (unpaid or partial)
  • Family care leave: up to 24 months part-time possible
  • Care support allowance: wage replacement for up to 10 days
  • Protection against dismissal during care leave!
  • Advice: Care support center or social association
Step 95–10 Min

Use care counseling

Care counseling is free and even mandatory when receiving care allowance! Use the care support centers in your city for individual advice.

⚠️Advisory visit with care allowance is mandatory – otherwise money can be reduced!
Every 6 months (level 2+3) / 3 months (level 4+5)💰 0 €

📄 Required Documents

💡 Weitere Tipps
  • Care support center Hamburg: Free on-site advice
  • Counseling §37.3: Mandatory with care allowance, but also brings benefits!
  • Care advisor also comes to your home
  • Topics: Benefits, aids, relief, home adaptation
  • Social associations (VdK, SoVD) also advise for free
  • Care insurance must offer counseling
Step 10If outpatient care is no longer sufficient5–10 Min

Nursing home / short-term care

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Frist: As needed · Personal contribution in nursing home can be €2,000-3,000/month. Plan early!

When care at home is no longer possible: Nursing home or short-term care. Care insurance pays a part, but a personal contribution remains.

📄 Required Documents

💡 Weitere Tipps
  • Short-term care: Max. 8 weeks/year, e.g. after hospital
  • Care insurance pays: Level 2: €770, Level 3: €1,262, Level 4: €1,775, Level 5: €2,005/month
  • Personal contribution: Accommodation, meals, investment costs
  • Care assistance (social welfare) if money isn't enough
  • Children only have to pay from €100,000 annual income
  • Visit and compare several homes!
Step 11For permanent impairment5–10 Min

Apply for disability ID

Many care recipients are also entitled to a disability ID. This brings important benefits: tax allowances, dismissal protection, additional vacation, parking benefits and more.

⚠️Care level and disability degree are different things! Apply for both separately.
Possible at any time💰 0 €

📄 Required Documents

💡 Weitere Tipps
  • From 50% disability degree = disability ID
  • Markers G, aG, H, Bl, Gl bring additional benefits
  • Tax allowance: 50% = €1,140, up to 100% = €2,840/year
  • 5 days additional vacation for employees with severe disability
  • Apply at welfare office / state social affairs office
  • Retroactive determination also possible!
  • Combination with care level often increases disability degree
Step 122–5 Min

🏥 Supplementary care insurance

Statutory long-term care insurance covers on average only about 50% of actual care costs. Supplementary care insurance closes the gap and prevents relatives from having to cover the costs.

⚠️Those who wait too long pay higher premiums or are rejected due to pre-existing conditions. Now is always the cheapest moment!
💡 Weitere Tipps
  • 💡 3 product types: care daily allowance, care cost insurance, care pension
  • 🏛️ State subsidy: "Pflege-Bahr" (€5/month for each contract)
  • 💰 From approx. €20-30/month good coverage
  • 📋 Self-contribution in care home 2024: approx. €2,400/month
⏱ 2 Minuten💰 Kostenlos🔒 Unverbindlich
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Frequently Asked Questions

How long do I have time?
Sofort beginnen
What does it cost?
0 €, 0 €, 0 €, 0 €, 0 € (du bekommst Geld), Meist Kostenübernahme durch Pflegekasse, 0 € (Leistungen der Pflegekasse), 0 € (ggf. Lohnersatz), 0 €, Eigenanteil variiert stark, 0 €
What happens if I miss the deadline?
Beschönige nichts! Zeige den echten Alltag, nicht den 'guten Tag'. Jede nicht dokumentierte Einschränkung kann Geld kosten.