Applying for household help for people with statutory health insurance during pregnancy and after childbirth

Source: Serviceportal Rheinland-Pfalz

Under statutory health insurance, you can receive household help if you are temporarily unable to continue running your household due to pregnancy-related complaints or after giving birth. The prerequisite is that there is no other person living in your household who can continue to run the household.

During pregnancy and childbirth, you are entitled to support from a home help if you are unable to continue running your household because

you have pregnancy symptoms such as anemia, nausea or cramps,
your doctor has instructed you to take it easy physically, for example due to a high-risk pregnancy,
your health is weakened after giving birth.

You will need a certificate to apply for home help from your health insurance fund. Your doctor or midwife will confirm the need for home help and state the extent and duration of the home help you are likely to need.

If your statutory health insurance fund approves your application, it can arrange a home help from a care service or a comparable organization. If the health insurance fund is unable to provide domestic help or there is a reason not to do so, you can organize the domestic help yourself. You will then be reimbursed a reasonable amount of the costs.

If your parents, siblings or other close relatives up to the 2nd degree help you in the household, your health insurance fund cannot reimburse them. However, it can reimburse travel costs and, in some cases, loss of earnings. Please contact your statutory health insurance fund for more information.

If you fall ill during pregnancy or after giving birth, you may be able to apply for household help in the event of illness. The conditions for applying for home help in the event of illness are different from those for pregnancy or childbirth. You will also have to make an additional payment.

You can apply for household help during pregnancy and childbirth by post or - in the case of many statutory health insurance funds - in person at the office or online.

Complete the application form from your statutory health insurance fund and submit it to your health insurance fund together with confirmation of the necessity, duration and scope of the household help.
Your health insurance company will check your entitlement to home help and advise you on suitable providers. Alternatively, you can choose a home help provider yourself, provided they are a contractual partner of your health insurance company.
You hire the home help.

Processing Time: 1 - 15 Working days
Die Bearbeitung dauert normalerweise etwa 1 bis 15 Werktage. Für eine schnelle Bearbeitung und Entscheidung müssen Ihrer Krankenkasse die notwendigen Informationen sowie gegebenenfalls erforderliche Unterlagen vollständig und aussagekräftig vorliegen. Die Krankenkasse entscheidet über Anträge zeitnah, wobei zum Schutz der Patientenrechte die gesetzliche Bearbeitungsfrist eingehalten wird. Bitte beachten Sie, dass es sich bei der angegebenen Bearbeitungsdauer um einen Durchschnittswert aller Krankenkassen handelt. Sie kann im Einzelfall abweichen. Die exakte Bearbeitungsdauer hängt darüber hinaus von der Komplexität des Einzelfalls ab und kann sich entsprechend verlängern. Gleiches gilt, wenn Dokumente oder Unterlagen per Post an Sie oder Ihre Krankenkasse versandt werden. Gegebenenfalls muss der Medizinische Dienst eingebunden werden. Dieser benötigt für die Bearbeitung Ihres Anliegens zusätzlich bis zu 5 Wochen.

Applying for household help for people with statutory health insurance during pregnancy and after childbirth

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