Can i apply for a level of care retrospectively?

Those in need of care have the option of applying for a degree of care and will then also receive care allowance and other grants accordingly. However, some people simply forget to apply for a level of care in good time. Is it then possible to apply for the level of care retrospectively?

It is not so easy to quickly assess whether a person is in need of care (a case of care) or not. Many believe that if you don’t have to be in bed all day, they are not eligible for nursing care. But this opinion is wrong. The view that only people in the nursing home are entitled to a level of care is not correct. You can get a first assessment of whether you may need care via my free care level calculator. However, this calculator is only a guide. Ultimately, the MDK (medical service of the health insurance) decides whether there is a need for care or not.

Apply for nursing care retrospectively

After it is clear that a care level / degree of care should be applied for, many ask: Can one apply for the level of care retrospectively? This question must be answered with a clear “no”. Why is it not possible to apply for a level of care retrospectively? I would like to answer the question using an example:

Imagine that you have been physically disabled for a long time and can no longer take care of yourself. Could you determine the exact point in time from which you are in need of care? Probably not. This is also the case for the MDK expert. He can only evaluate what he sees at the moment. It is therefore not possible for you to apply for a degree of care retrospectively.

You will only receive long-term care insurance benefits from the month of application if you have applied for a level of care and it has been approved.

At the same time, this also means that it is not possible to subsequently apply for nursing care allowance (the care allowance is only paid after approval of the level of care).

icon-info-circle An example of applying for a level of care

  • Suppose you submitted the application for care services on January 25.
  • In February, an employee of the medical service of the nursing care fund (MDK) comes for an assessment.
  • At the beginning of March you will receive a notification that your application for care services has been approved.

In this case, you will receive the full care benefits from the entire month of January.

My advice:

  • Apply for a level of care in good time. It is not only when you are completely dependent on the help of others that you need care.
  • A nursing service or a nursing base can make a first non-binding assessment of the chances of a nursing degree being approved.
  • In the case of a hospital or rehabilitation stay, the social service can also provide a non-binding assessment of the need for care. The social service can then apply immediately. This is usually better than if the application is made without professional help.
  • A level of care is often rejected on the first application. If your claim is justified, you must file an objection. A corresponding sample letter can be found here.
  • If a level of care / care level has been rejected and the condition has deteriorated, an application for care services should be made again immediately.


It is not possible to apply for a degree of care retrospectively. You will only receive benefits from the day of application.

Other interesting articles about nursing:

Source image material: Fotolia # 132412505 © agenturfotografin

Together with his wife, Otto Beier has been taking care of his parents and in-laws in need of care since 2012. He gives insider tips for those in need of care and their relatives and, as a carer, writes about his – directly from the front experience with the care jungle.

There is more on Facebook or Xing, but above all on "About me".

If the preventive care is increased by short-term care, can I settle the remaining contribution of € 806.00 using the relief contribution?

I am not allowed to advise you for legal reasons. Please clarify this with your pension insurance or a pension advisor. Thank you for your comprehension.

I have been caring for my husband since 2013. He is 5 years old. I am a pensioner and have had Diabetes 1 since 2011, and my pension entitlement could increase?

Anyone applying for short-term care benefits in accordance with Section 39c SGB V should not apply for care benefits in accordance with SGB XI at the same time, but rather wait 4 weeks because otherwise, if a degree of care is approved (retrospectively on receipt of the application), short-term care in accordance with Section 39c SGB V will apply retrospectively would be withdrawn; unfortunately, that’s what happened to me. If you have a level of care, you will not receive short-term care in accordance with Section 39c SGB V. You should only apply for SGB XI once you have already used the services in accordance with Section 39c SGB V..

Hi there. I have a huge problem ”my problem was already discussed on the radio and on television, but now something new has been added” and I live in Remscheid NRW Bergischland. At that time it was about an electric scooter to be independent and flexible Health insurance was based on the 6 kmh models which is a total no go here in Remscheid because I weigh about 130 kg and here and there a little more, and I am 201 cm Big this vehicle has difficulty driving from mountains so I had to apply for a 15 kmh vehicle several times. I applied to the AOK Remscheid and Düsseldorf. It did not take long and got an answer that the declined and that I should be satisfied with the 6 kmh model, now it was that I had seen the Domian on 1 Live on television, I had explained the situation to him and he was speechless and horrified by what the box office was doing so he gave it at midnight on the broadcaster WDR an appeal for donations to where I had great success ”I soon got a scooter with 15 kmh, but the whole thing is now about 8 months ago, now the batteries are broken. Whatever the reason, because I handled it very carefully and have always cleaned my vehicle, it still looks like new, now I called the distributor and asked about the guarantee ”and he said that the company only gives a 6 month guarantee” u nd for my vehicle the batteries are between 6 and 800 € what now? The cash register refuses to help the distributor refused, I no longer know in and out, now I had read that there are 80Ah batteries in the vehicle but the charging station is only designed up to 70 Ah, so it says on the charging station You tell me what I can do now because I am dependent on a wheelchair (scooter) I am only desperate because you have it so damn hard in life and you get stones from all corners.
If this continues I had already considered whether I would take my own life, you can not imagine how it is so humiliated that life is so damn difficult.
I wish I had never done this with the scooter and would have used a 25-30 km / h car from the beginning because I would have gotten away much cheaper .


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