Apply for an upgrade in care level
Application for a reassessment and upgrade of the care level due to a deterioration in the health of the person requiring care.
How to proceed
- 1
Submit an application to the long-term care insurance fund
In writing or by phone, stating the reason for the deterioration.
- 2
Assessment by the MDK
Home visit by the Medical Service for a reassessment.
- 3
Notice regarding a new care level
Applies retroactively from the date of application.
Required documents
- Care JournalOften forgotten
Documentation of daily care requirements in preparation for the assessment.
Responsible authority
The authority of your main place of residence is responsible.Find authority →
Fees
Varies by case
Processing time
approx. 3 weeks
Official: max. approx. 4 weeks
Online application
In person or by post
Common mistakes
- • No care log kept (makes assessment more difficult)
- • Attended the assessment appointment without preparation
Common reasons for rejection
- • No significant change in care needs was observed
- • MDK assessor reaches a different conclusion than expected
You can usually file an objection against a rejection.
The essentials before applying
Who is eligible?
People in need of care whose care needs have increased significantly since their last assessment.
Income limit
The limit varies by household and region – see the table at the responsible authority or in the application assistant.
Processing time
Nationwide: approx. approx. 3 weeks
Success rate
approx. 68.0 % (estimate)
Most common mistakes
- •No care log kept (makes assessment more difficult)
- •Attended the assessment appointment without preparation
Common reasons for rejection
- •No significant change in care needs was observed
- •MDK assessor reaches a different conclusion than expected
Alternatives
- Check related services in the application assistant
- Use social counselling before applying
If rejected
File a written objection within 30 days – with reasons why the decision is wrong and any missing evidence.