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Care homes in Saxony-Anhalt: the cheapest, but not cheap

Saxony-Anhalt has Germany’s lowest care home co-payment. Why it is still too high for many pensions and how quickly it is growing.

Checked by Radif Partners · Editorial policy · How we calculate

0 = moving in now

empty = state average

Monthly co-payment, Saxony-Anhalt

€2,891

in month 1, supplement 15 %

Care (EEE) after supplement€1,694
Board and lodging€852
Investment costs€345
Fund pays the home€1,618
Monthly gap after pension€1,291
Savings last until the protected amount29 months
Co-payments over the next 36 months€92,120
By year in the home
Year 1 (15 %)€2,891
Year 2 (30 %)€2,592
Year 3 (50 %)€2,194
Year 4 (75 %)€1,695
Step-by-step calculation
  1. vdek average for Saxony-Anhalt on 1 July 2026: EEE €1,993 (incl. training levy €104), board and lodging €852, investment costs €345.
  2. Month 1 in the home: supplement 15 % of the EEE = €298.95 (section 43c).
  3. Co-payment = €1,694.05 + €852 + €345 = €2,891.05.

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

On 1 July 2026 Saxony-Anhalt was the German state with the lowest care home co-payment: €2,891 a month in the first year of residence, according to the vdek, €473 below the national average. The fixed items are what make it cheap: board and lodging cost €852, investment costs €345, and the nursing training levy within the care part is among the lowest at €104. The care co-payment (EEE) itself, at €1,993, is close to the average. From the fourth year the co-payment falls to €1,695. Cheap does not mean stable, though: since 1 January 2026 the first-year figure has risen by €171, 6.3 % in six months and one of the steepest rises among the states. With pensions in eastern Germany often lower, many residents still face a monthly gap here.

The cheapest state against its neighbours

vdek, 1 July 2026.
Saxony-AnhaltSaxonyThuringiaGermany
Care co-payment (EEE)€1,993€2,136€2,045€2,088
Board and lodging€852€881€971€1,068
Investment costs€345€455€454€521
Year 1€2,891€3,152€3,163€3,364
From year 4€1,695€1,870€1,936€2,111

Saxony-Anhalt is cheaper than Saxony and Thuringia on every line, most clearly in investment costs. The lead is shrinking: the care part grew by €155 in half a year. Anyone moving in now should expect further increases and enter the home’s EEE in the calculator.

Same price at every grade

Within a home every resident from grade 2 to 5 pays the same care part (section 84(2) SGB XI), so a higher grade does not lower the bill. Time does: from month 13 the fund covers 30 percent of the care part, from month 37 75 percent. Who pays when the pension falls short is explained in who pays for a care home.

Questions families ask

Why are care homes cheaper in Saxony-Anhalt than in the west?

Mainly because of board, lodging and investment costs, together €1,197 against €1,809 in Bremen. The care part is barely lower than the national average, because pay in nursing has risen strongly since collective wage rules became mandatory and keeps rising.

Could a home in Saxony-Anhalt suit a family living in the west or abroad?

Some families deliberately choose a home in a cheaper state, for example where the parents used to live or near one of the children. On averages that saves several hundred euros a month. Check the individual home, travel for visits and which welfare office becomes responsible if social assistance for care is needed later.

How fast are care home costs rising in Saxony-Anhalt?

Between January and July 2026 the first-year co-payment rose from €2,720 to €2,891, almost entirely through the care part (€155 more). Homes adjust their rates after negotiations with the care funds; the contract must announce and justify an increase in advance.

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Amounts 2026, read on