Care homes in North Rhine-Westphalia: the 2026 co-payment
In NRW it is not care that weighs most, but board, lodging and the building. That matters for long-term residents and for the state’s housing allowance.
Checked by Radif Partners · Editorial policy · How we calculate
Monthly co-payment, North Rhine-Westphalia
€3,671
in month 1, supplement 15 %
| Care (EEE) after supplement | €1,686 |
|---|---|
| Board and lodging | €1,331 |
| Investment costs | €654 |
| Fund pays the home | €1,616 |
| Monthly gap after pension | €2,071 |
| Savings last until the protected amount | 15 months |
| Co-payments over the next 36 months | €120,242 |
| Year 1 (15 %) | €3,671 |
|---|---|
| Year 2 (30 %) | €3,373 |
| Year 3 (50 %) | €2,977 |
| Year 4 (75 %) | €2,481 |
Step-by-step calculation
- vdek average for North Rhine-Westphalia on 1 July 2026: EEE €1,983 (incl. training levy €173), board and lodging €1,331, investment costs €654.
- Month 1 in the home: supplement 15 % of the EEE = €297.45 (section 43c).
- Co-payment = €1,685.55 + €1,331 + €654 = €3,670.55.
Estimate using the 2026 amounts in Book XI of the Social Code. Only the decision letter from your Pflegekasse is binding. How we calculate
On 1 July 2026 North Rhine-Westphalia had the highest board and lodging costs of any German state, €1,331 a month, and the highest investment costs, €654, according to the vdek. Its care co-payment (EEE), by contrast, is €1,983, below the national €2,088. In the first year residents pay €3,671 a month on average, rank 3 of 16. Because the care fund’s supplement only reduces the care part, the co-payment falls more slowly in NRW than elsewhere: €3,373 in year two, €2,977 in year three and €2,481 from year four. From the fourth year NRW is therefore the most expensive state (rank 1). Board, lodging and investment costs together come to €1,985 and are never subsidised by the fund. For the investment costs, however, NRW offers a care home housing allowance (Pflegewohngeld) under its Care Act when income and savings are not enough.
NRW in figures
| Component | NRW July 2026 | NRW January 2026 | Germany July 2026 |
|---|---|---|---|
| Care co-payment (EEE) before supplement | €1,983 | €1,916 | €2,088 |
| Board and lodging | €1,331 | €1,307 | €1,068 |
| Investment costs | €654 | €646 | €521 |
| Co-payment, year 1 | €3,671 | €3,582 | €3,364 |
| Co-payment from year 4 | €2,481 | €2,432 | €2,111 |
Since January the year-one co-payment has risen by €89, mainly through the care part (€67 more). Investment costs barely moved. For long-term planning the fixed items still dominate: after three years they make up more than three quarters of the bill.
Check Pflegewohngeld before savings run out
Pflegewohngeld is specific to NRW (Consumer Centre NRW). It covers investment costs, averaging €654 a month, once savings are below €10,000 and income is insufficient. Use the savings run-down in the calculator above to see from which month an application makes sense; social assistance for care can close any remaining gap.