Of around 1,21 million applications in 2019, 16 percent were not approved, as a response from the Federal Ministry of Health to the request of the left-wing parliamentary group, reported in the newspapers of the Funke media group (Monday editions). In 2018, the number of initial applications to the long-term care insurance funds was roughly the same at 1,22 million and the rejection rate at 15,2 percent.
According to the ministry, figures for 2020 are not yet available. At the same time, in an increasing number of cases, objections are being lodged against the refusals of the care insurance funds. In 2019 there were 142.000 so-called objection reports, with which those affected and their relatives defended themselves against the decision of the care insurance funds. This was the highest number since 2011.
26,8 percent and thus around every fourth opposition report was successful in 2019. In 2018 there were around 137.000 contradictions, the success rate was 28,3 percent. The social expert of the left in the Bundestag, Sabine Zimmermann, criticized: "Far too many people in need of care remain without care services after the care appraisal", around a sixth of those affected go empty-handed. Zimmermann accused the cash registers of trying “to save costs through the many rejections”.
In doing so, however, they caused higher follow-up costs in the future, "if, due to a lack of care services, light care cases turn into severe care cases". The chairman of the family committee in the Bundestag criticized that it could not be "that insured persons pay into the long-term care insurance for decades and then receive no benefits when they become long-term care".