Unlike the South Korean system, which has age restrictions, German citizens regardless of age are eligible to receive long-term care benefits. The method for determining eligibility for benefits is similar to South Korea, but differs in certain aspects. Physicians and nurses assess care levels under specific guidelines, as mandated by the Medical Review Board. To receive benefits, persons must have limitations in two ADLs that will persist for at least 6 months and a need for help in some instrumental activities of daily living (IADLs). In 2007, 30% of applications for assistance were rejected [19]. The system has three levels of care needs, similar to the five grades in South Korea: (1) need for considerable care, (2) need for intensive care, and (3) need for highly intensive care. Starting in 2008, there is also grade 0 for individuals with dementia. According to the German Federal Ministry of Health, the probability of being in need of care is 0.7% for persons younger than 60, 4.2% for persons between 60 and 80 years, and increases to 28.8% for persons older than 80 years