Apply for medical rehabilitation benefits to avoid the need for care and limitations in earning capacity

Prerequisites

The treatment goal (maintaining the ability to work or avoiding the need for care) cannot be achieved without medical rehabilitation.

Documents required

Please contact your responsible accident insurance institution.

Please note

The statutory accident insurance is a branch of the German social security system. Employers are legally obliged to protect employees against accidents at work, on the way to and from work and against occupational diseases.

Deadlines

Please contact your responsible accident insurance institution.

Procedure

An insured event that leads to an inability to work for more than three calendar days must be reported by the company to the relevant trade association or accident insurance fund. The insurer will tell you everything else.

Processing time

Please contact your responsible accident insurance institution.

Fees

No

Legal remedies

Not specified

Legal basis

§§ 26, 27 ff Book 7 of the Social Code (SGB VII)

http://www.gesetze-im-internet.de/sgb_7/__26.html

http://www.gesetze-im-internet.de/sgb_7/__27.html


Section 26 paragraph 1 number 2 of the Ninth Book of the Social Code (SGB IX)

https://www.gesetze-im-internet.de/sgb_9_2018/__26.html

In the event of an insured event, you will receive medical benefits, among other things, if there is no other way to maintain your earning capacity or if there is no other way to avoid the need for care.
After the occurrence of an insured event, the accident insurance institutions have the task of restoring the ability to pay using all suitable means.

The treatment can be provided on an outpatient or inpatient basis.

You will receive all the services that are necessary for the care. These include e.g

• medical treatments
• nursing
• Supply of medicines, bandages, remedies and aids
• Treatment in hospitals and rehabilitation facilities

Damage to health that requires special accident medical treatment is treated in special facilities.
All of these services are targeted as part of rehabilitation management and coordinated with the attending physicians, physiotherapeutic staff and you, and accompanied by the rehabilitation manager of the responsible accident insurance institution.