Help
Help & frequently asked questions
Answers about postpartum care, midwifery services, doula support, insurance billing, and using Kraam. Can't find your question? Write to us at the bottom of the page.
For families
What postpartum care, midwifery support, and doula support are, who pays, and how the Krankenkasse application works.
What is Mütterpflege?
Postpartum care covers practical support after birth: household tasks, meals, looking after older siblings, errands, and hands-on guidance with the baby. Mütterpflegerinnen are not midwives — they complement midwifery care with everyday help.
How is a Mütterpflegerin different from a midwife?
Midwives provide medical care — antenatal checkups, postnatal exams, medical questions, wound checks after a Caesarean. Mütterpflegerinnen take the everyday load off — they cook, do laundry, take the older kids to kindergarten, and watch the baby while the mother sleeps. The two roles often work side by side.
What does a Mütterpflegerin do?
Household work (cleaning, laundry, groceries, cooking), looking after siblings (kindergarten, school, play), helping with meals and baby care while the mother rests, hands-on guidance with the newborn (changing, carrying, sleep rhythm), emotional support, and following through on the midwife's recommendations.
Will my Krankenkasse cover the cost?
Yes, statutory health insurers (GKV) cover the cost of postpartum Mütterpflege (household help). For pregnancy complications or childbirth, § 24h SGB V provides a claim if you cannot continue to run the household — this applies even if there is no other child in the household, e.g., for prescribed bed rest due to being bedridden during pregnancy. For other illnesses, § 38 SGB V applies, which usually requires a child under 12 (or a disabled child) to live in the household. In all cases, no other person in your household can provide this help and a doctor's certificate is required. The insurer decides on the exact scope.
How do I apply for coverage?
Three steps: 1. Request the Haushaltshilfe application from your Kasse (online or by phone). 2. Get the doctor's certificate confirming the medical need — usually from your OB/GYN or family doctor. 3. Send both to your Kasse. Once approved, your Mütterpflegerin can start and bill the Kasse directly through Kraam — you don't have to pay upfront.
Which conditions are typically accepted?
Commonly accepted: high-risk pregnancy, multiple birth, C-section, birth injuries (tear, episiotomy), postpartum depression and other psychiatric diagnoses, chronic illness flare-ups, physical exhaustion. The final decision sits with your Kasse based on the doctor's certificate.
I'm not eligible — what does it cost privately?
Typical private rates are around €50/hour plus travel (often €0.30/km). Each professional sets her own rate and shows it on her public profile.
Can I combine Mütterpflege with a midwife?
Yes, and it's recommended. Midwife = medical (exams, medical questions, wound checks). Mütterpflegerin = everyday relief (household, siblings, sleep for the mother).
Is Mütterpflege tax-deductible?
Yes, for the portion you pay privately — it counts as haushaltsnahe Dienstleistungen and up to 20 % can be claimed (§35a EStG). Hours billed to your Kasse don't count again.
How do I find a Mütterpflegerin on Kraam?
Enter your city or postcode in the search. You'll see every approved Mütterpflegerin nearby, her preferred Kassen, the languages she speaks, and the next free date. Send a request directly — if she's a fit, she usually replies within 24 hours.
For professionals
Signup, profile approval, adding families, sending the Kostenvoranschlag, and payouts.
How do I sign up as a professional?
Under "Become a professional" — step 1: email + password. Step 2: a verification code by email (may take a few minutes). Step 3: short profile + ID document upload. Once our team approves you, you can start straight away.
I can't find the verification code — what now?
Check your spam folder first. If nothing is there, request the code again. For persistent delivery issues (often with corporate mail servers), reach us via the contact form and we'll set the code manually.
How do I add a family to my calendar?
In the calendar, tap an empty slot → "Visit" → pick an existing family or create a new one. Address, Krankenkasse and member number flow into the Kostenvoranschlag automatically when you prepare one.
How does my Kostenvoranschlag reach the Krankenkasse?
You build the KV inside the calendar, download the PDF, and send it through the channel your Kasse expects (post, fax, Kassen portal). For legal reasons Kraam does not submit Bewilligungsanträge on your behalf — you remain the contact for the Kasse.
How do I get paid?
For GKV-billed Haushaltshilfe you invoice the Kasse directly. When you create an invoice, Kraam asks for the payment details to print on it; you can save them for later or continue without saving. Doulas receive private payments through Stripe Connect once the private path is enabled. Midwives bill their GKV services directly to the Kasse via their IK number under the Hebammen-Vergütungsvereinbarung — likewise without funds passing through Kraam.
How do I delete my account?
Under Account → Delete account. Personal data is removed within 30 days; legally required records (invoices retained 10 years under §147 AO, Leistungsnachweise) stay pseudonymised and are auto-deleted when the retention window expires.
