Benefits of the statutory health insurance for people with disabilities in fully inpatient facilities and special forms of housing Unfortunately this specification of service has not yet been completely translated.

Benefits of the care fund for people with disabilities in inpatient facilities or special forms of housing.

Live as a person with a disability (care level 2 to 5) in a fully inpatient facility where

  • participation in working life,
  • to education
  • social participation,
  • school education, or
  • educating people with disabilities

in the foreground?

Then the care fund takes over 15 percent of the costs.

The expenses of the care fund may not exceed 266 euros per calendar month in individual cases.

This also applies to special forms of housing (several people with disabilities together in a dormitory/group of residences). In doing so,

  • joint living and integration into society are in the foreground,
  • the Housing and Care Act apply,
  • the scope of care largely corresponds to the care in a fully stationary facility.

If you claim pro rata care allowance for the days on which you are cared for and cared for at home, the days of arrival and departure are considered full days of home care.

Check with your care fund which documents are required and whether there is a special application form.


  • People in need of care are accommodated in a fully inpatient facility for people with disabilities


  • live in a special residential for m
  • applies only to persons in need of care with care level 2 to 5

Related Links

  • § 43a Eleventh Book of the Social Code (SGB XI)
  • Section 71 (4) Nos. 1 and 3 Social Code Eleventh Book (SGB XI)
  • Guidelines of the GKV-Spitzenverband

The benefit must be applied for in writing at the care fund

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