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One of the preconditions for receiving state social benefits and allowances for children with special needs is the determination of degree of severity of disability.
The degree of severity of disability is determined for a child under 16 if:
The Social Insurance Board determines the degree of severity of disability.
A recipient of social benefits for a disabled person must be a permanent resident of Estonia or have a temporary residence permit or be a person residing in Estonia on the basis of a temporary right of residence..
You can submit a disability determination application via the Social Insurance Board’s self-service portal ‘My benefits and services’ (the parent must log in as the child).
You can view your child’s health data and treatment information in the Health Portal.
Self-service
Self-service portal of the Social Insurance Board
You can submit a disability determination application via the Social Insurance Board’s self-service portal ‘My benefits and services’ (the parent must log in as the child).
Health Portal
You can view your child’s health data and treatment information in the Health Portal.
In the case of children, a disability is determined if the child requires more support than their peers in areas such as eating, hygiene, dressing, mobility, and communication.
There are three degrees of severity of disability:
Minor degree of severity of disability is not determined in Estonia.
Depending on the child’s activity limitation and need for assistance, the type of disability or abnormality in function is determined:
The degree of severity of disability may be identified in one or more functions.
The following will be taken into account in determining the degree of severity of disability:
For more information on the determination of degree of severity of disability, see the website of the Social Insurance Board.
To determine the degree of severity of disability, you must submit an application to the Social Insurance Board. You can fill in the application form conveniently at the Social Insurance Board’s self-service portal or download the application form from the Social Insurance Board’s website.
There are several ways to apply:
Based on the application and the child’s medical history, an expert will assess the degree of severity and type of disability. The expert opinion is document-based and carried out based on the facts and medical records entered into the Health Information System.
If you have documents that detail the child’s need for assistance, in addition to the medical records provided by the physician, please be sure to include them with the disability application. This could include decisions made by an external advisory team, a case plan created by the local government, or any other relevant documents.
For children, the degree of severity of disability is determined for 6 months to 3 years. Disability may be determined for permanent conditions that are unchanged and likely to deteriorate up to the age of 16 years (working age).
If the time limit for the decision to determine a child’s disability is about to expire and the child’s condition remains unchanged, a new application must be submitted to request an extension of the disability. You can submit an application starting from 50 working days before the deadline of the disability decision in force.
The degree of severity of disability does not change automatically based on health data. If the child’s health condition worsens during the disability period, a new application for reconsideration of the degree of severity of disability must be submitted to the Social Insurance Board. You can submit an early claim at any time before the expiry date of the valid disability decision.
Please note!
If you disagree with the decision of the Social Insurance Board and want it to be reconsidered, you have 30 days to lodge a complaint. You can download the claim form from the Social Insurance Board’s website.
There are several ways to lodge a complaint:
If you and your child have another visit to a family physician or specialist after the date of the contested decision, this constitutes new health information that is not included in the dispute process. In this case, you can submit a new application if you wish.
Social Insurance Board
