Mgr. ANNA VEJMELKOVÁ, advokát

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Dependency Levels for the Care Allowance: What They Mean and Why They Matter

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When Being Sick Is Not Enough

“My mother has Parkinson’s. She trembles, barely makes it to the toilet, often falls. Still, they only granted her the first level of dependency – because she can feed herself. But what’s the point when she lies in bed all day and I have to stay home with her?”

This is not an exception. People often assume that if someone is seriously ill, they will automatically get a high-level care allowance.
But that’s not how the system works. The key factor is not the diagnosis, but the so-called degree of dependency – and its assessment is often a source of confusion and frustration.

The dependency level is a crucial criterion for granting the care allowance. It determines how much money you receive – or whether you receive anything at all.
It depends on how many daily tasks the person cannot handle on their own – dressing, hygiene, mobility, orientation, communication.
It’s not about having a “serious illness,” but about how much real help is needed in daily life. And that’s where many mistakes happen.

📖 Expert Explanation: What Are Dependency Levels and How Are They Assessed?

What is a “dependency level”?

This legal term refers to how much a person depends on the help of another person in their daily life.
It is assessed under Act No. 108/2006 Coll., on Social Services – particularly Annex No. 1, which lists so-called life needs.

Authorities evaluate whether the person is able to:

  • take care of themselves (e.g., dressing, hygiene),

  • manage eating, movement, orientation, communication,

  • perform routine daily tasks.

Each area contains specific activities, and each is assessed separately.

What are the different levels?

Dependency LevelNumber of tasks managedAmount (adults)
I – mildmanages 4–5 needsCZK 880
II – moderatemanages only 2–3CZK 4,400
III – severemanages at most 1CZK 8,800
IV – completemanages noneCZK 19,200 (or 13,900 in institutional care)

Note: Different amounts apply to children.

Who determines the level?

The assessment is based on:

  • a home visit by a Labour Office social worker,

  • a medical evaluation by the Social Security Office (OSSZ),

  • supporting medical documentation from the applicant.

The final decision is made by the Labour Office, based on the medical recommendation.


⚠️ Risks and Common Mistakes

  • Underestimating the situation – applicants say they “manage somehow” during the visit.

  • Incomplete medical documentation – key specialist reports are missing.

  • Lack of understanding of criteria – people don’t know that failing certain tasks is enough to qualify.

  • Benefit reductions during reviews – even if the health status hasn’t improved.


✔️ Lawyer’s Recommendation

The dependency level is not a formality – it’s the core of the decision.
If you were granted a lower allowance than your reality warrants, you have the right to challenge it.
An appeal or court action can succeed – if it’s backed by strong arguments and evidence. I can help with that – often for a fixed fee.

📋 I can help you with the application, objection, or court petition.
⚖️ I’ll prepare your legal argument and represent you if needed.
💬 I offer a human approach and fixed prices – no cuts from your benefit.
📞 If the decision seems unfair, let’s fight it together.

Contact a legal professional – I specialize in administrative law.
Learn more here.

Do you want to know more?

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