Have the GdB increased (worsening application)
The only application at this authority that can also cause harm
An application for a new determination — the so-called worsening application under § 48 SGB X (Social Code Book X, Sozialgesetzbuch Zehntes Buch) — opens the entire file, not only the deterioration being claimed. If another condition has meanwhile improved, for example after a successful operation, the individual GdB for that condition can fall and pull the overall GdB down with it. In the worst case, severe disability status is lost altogether. This is not a theoretical risk: because the overall GdB is formed from the interaction of all impairments, an improvement in one area can push the result down even where another area has got worse.
The consequences reach further than the pass. Under § 37 SGB VI (Social Code Book VI, Sozialgesetzbuch Sechstes Buch), the old-age pension for severely disabled people requires that you “are recognised as a severely disabled person at the start of the old-age pension” — severe disability status must therefore exist at the start of the pension, not at some point before it. Anyone whose GdB is reduced to 40 through a new determination also loses access to this pension, regardless of how long they were severely disabled beforehand.
That does not mean the application should not be made. It means that it is a decision, not a formality: it is worthwhile if new, documented findings show a clear deterioration — and it is risky if a successful treatment has taken place elsewhere since the last notice. Social associations advise on this before the application is submitted.
