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Organizing Care in Berlin

Apply for care level, benefits and support

Progress0 of 9 steps completed
9 Schritte · ca. 6 Minuten0%

✓ Du bist in 6 Minuten fertig

Step 1

Recognize care needs & document

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

Before applying for anything: Keep a care diary! Document daily life for at least 7-14 days – mobility, personal hygiene, memory, behaviors. Without this documentation you'll lose money later.

📄 Required Documents

💡 Tips
  • What counts as need for care? Help needed with hygiene, nutrition, mobility, memory
  • First signs: Forgetfulness, unsteady walking, problems dressing/washing
  • Care diary: Note time, activity, help needed, duration
  • Also document nighttime help!
  • Berlin: 36 care support centers for free initial advice
Step 2

Contact Berlin care support center

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Frist: Before application · This counseling is worth gold and completely free. Many families give away thousands of euros because they skip this step!

Berlin has 36 care support centers (3 per district) – use the free counseling BEFORE you apply! The advisors know all the tricks and help you not forget anything.

📄 Required Documents

💡 Tips
  • Hotline: 0800 59 500 59 (Mon-Fri 9am-6pm, free!)
  • 36 locations across Berlin – 3 per district
  • Counseling also in Arabic, Russian, Turkish, Vietnamese
  • Home visits possible if needed
  • Topics: Application, benefits, MDK preparation, appeal
Step 3

Apply for care level

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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

💡 Tips
  • 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 4

Prepare for MDK assessment

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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) will come to your home. This assessment decides the care level! Preparation is crucial.

📄 Required Documents

💡 Tips
  • 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 5

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!

📄 Required Documents

💡 Tips
  • Always request MDK assessment – you have a right to it!
  • File appeal in writing
  • Justification: What wasn't considered?
  • Attach care diary as proof
  • Berlin care support center helps with appeals!
  • About 30-40% of appeals are successful!
Step 6

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

💡 Tips
  • 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 7

Organize care & aids

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

⚠️€42 monthly for care aids (disposable gloves, disinfectant etc.) is available to you – often forgotten!
As needed💰 Meist Kostenübernahme durch Pflegekasse

📄 Required Documents

💡 Tips
  • €42 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 €4,180 subsidy per measure
  • Compare several care services – quality varies!
Step 8

Use relief benefits

€131 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

💡 Tips
  • €131 relief amount monthly (all care levels)
  • Usable for: Household help, supervision, daily accompaniment
  • Respite care: up to €1,685/year when caregiver is absent
  • Short-term care: up to €1,854/year for temporary home placement
  • Respite + short-term care combinable = up to €3,539
  • Relief amount can be saved up!
Step 9For permanent impairment

Apply for disability ID

Many care recipients are also entitled to a disability ID. In Berlin apply at LAGeSo (welfare office). Processing time about 130-158 days!

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

📄 Required Documents

💡 Tips
  • LAGeSo Berlin: Sächsische Str. 28, 10707 Berlin
  • Online application at berlin.de/lageso possible!
  • Tel. 030 115 for questions
  • From 50% disability degree = disability ID
  • Tax allowance: 50% = €1,140, up to 100% = €2,840/year
  • Processing time: about 130 days (first), 158 days (reassessment)

Frequently Asked Questions

How long do I have time?
Sofort beginnen
What does it cost?
0 €, 0 €, 0 €, 0 €, 0 €, 0 € (du bekommst Geld), Meist Kostenübernahme durch Pflegekasse, 0 € (Leistungen der Pflegekasse), 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.

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