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Care homes in Hesse: the steepest rise of the year

No state’s care part grew as much in the first half of 2026 as Hesse’s. What it means over a year and how the co-payment develops with each year of stay.

Checked by Radif Partners · Editorial policy · How we calculate

0 = moving in now

empty = state average

Monthly co-payment, Hesse

€3,431

in month 1, supplement 15 %

Care (EEE) after supplement€1,898
Board and lodging€1,005
Investment costs€528
Fund pays the home€1,654
Monthly gap after pension€1,831
Savings last until the protected amount18 months
Co-payments over the next 36 months€110,120
By year in the home
Year 1 (15 %)€3,431
Year 2 (30 %)€3,096
Year 3 (50 %)€2,650
Year 4 (75 %)€2,091
Step-by-step calculation
  1. vdek average for Hesse on 1 July 2026: EEE €2,233 (incl. training levy €174), board and lodging €1,005, investment costs €528.
  2. Month 1 in the home: supplement 15 % of the EEE = €334.95 (section 43c).
  3. Co-payment = €1,898.05 + €1,005 + €528 = €3,431.05.

Estimate using the 2026 amounts in Book XI of the Social Code. Only the decision letter from your Pflegekasse is binding. How we calculate

In Hesse the care part of care home costs rose by €203 a month between 1 January and 1 July 2026, from €2,030 to €2,233, according to the two vdek analyses. That is the steepest increase of all German states (rank 1). The first-year co-payment is now €3,431 a month, rank 6 of 16; over a year new residents pay about €2,424 more than in January. Board and lodging cost €1,005 and investment costs €528, both roughly at the national average. With the care fund’s rising supplement the co-payment falls to €3,096 in year two, €2,650 in year three and €2,091 from year four. In neighbouring Rhineland-Palatinate the care part is much lower at €1,766, but board and lodging are higher.

Hesse over six months

vdek, average across homes.
Hesse Jan 2026Hesse Jul 2026Rhineland-Palatinate Jul 2026Germany Jul 2026
Care co-payment (EEE)€2,030€2,233€1,766€2,088
Board and lodging€978€1,005€1,280€1,068
Investment costs€525€528€508€521
Year 1€3,229€3,431€3,289€3,364
From year 4€2,011€2,091€2,230€2,111

Two lessons from the table. A rise in the care part hits new residents hardest, because the supplement absorbs only 15 percent in year one. And comparing with a neighbouring state is only a snapshot: which state is cheaper depends on how long someone stays.

Families planning savings should therefore feed the calculator the actual month of moving in, not just the state average. If the co-payment exceeds pension and savings for good, social assistance for care can help. See the care reform for the status of the draft.

What the rise means for savings

An example: a resident with a €1,700 pension and €50,000 of savings moves into an average-priced home in Hesse in July 2026. The gap in the first month is €1,731; at January prices it would have been €1,529. Over a year the rise eats several thousand euros more of savings, which must be used down to the protected €10,000 before the welfare office steps in. The calculator above shows the exact run-down with your own figures, which is useful for relatives abroad who manage a parent’s finances from a distance.

Questions families ask

How much more do Hesse care home residents pay since January 2026?

In the first year of residence, €202 a month, about €2,424 a year. Long-term residents feel less, because the higher supplement absorbs more of the care part: from year four it is €81 a month more than under the January rates.

Is Rhineland-Palatinate cheaper for families from Hesse?

In year one, yes, by €142 a month. From year four it reverses: Rhineland-Palatinate has high board and lodging costs that are never subsidised and reaches €2,230, Hesse €2,091. For a long stay, moving to the neighbouring state therefore gains very little.

Will the planned care reform slow the rise?

The federal cabinet adopted the draft Care Reorganisation Act on 30 September 2026. Whether and how it caps care home co-payments will only be decided in parliament. Until then the supplements under section 43c SGB XI apply, and those are what this calculator uses.

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Amounts 2026, read on