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How to request a reassessment for long-term care in Germany

Your health has worsened—but your care level hasn't kept up. Here's how to fight for the support you're entitled to in Germany's system.

The image shows a poster with a flowchart depicting the different types of people who have been...
The image shows a poster with a flowchart depicting the different types of people who have been diagnosed with cancer. The text on the poster reads "Benefits and Services for Low-income Individuals". The flowchart is divided into sections, each representing a different type of health care provider, such as Medicare, Medicaid, and Social Security. Each section is further divided into subsections, with arrows connecting them to indicate the flow of information. The poster also includes a legend at the bottom that explains the meaning of each section.

How to request a reassessment for long-term care in Germany

Around 5.7 million people in Germany currently depend on long-term care support. As the population ages, the demand for these services continues to grow. Those already receiving care can request a reassessment if their health declines further.

Anyone needing more help than their current care level provides can submit a deterioration claim. No strict requirements exist, but the request must explain how their condition has worsened since the last evaluation. The claim can be made in writing, either through a simple letter or an online form offered by some insurers.

Once received, the long-term care insurance provider arranges a new assessment. The Medical Review Board or Medicproof evaluates independence in six key areas of daily life. Points are awarded in each category, determining the care level—ranging from no care (0 to under 12.5 points) up to level 5 (90 to 100 points). This process ensures that individuals receive the correct level of support and financial aid. Without reassessment, changes in health might go unrecognised, leaving people without the care they need.

A deterioration claim helps adjust care services to match current needs. The assessment focuses on daily independence, with points deciding the final care classification. Successful claims can lead to increased support and funding for those whose health has declined.

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