Updated on

Conversion claim: everyday help paid from the services budget

A dementia support group, a household helper, a companion: anyone not using the whole care service budget can put part of it towards these. What it brings and what it costs.

Checked by Radif Partners · Editorial policy · How we calculate

Conversion claim: everyday help from the services budget

Refunded via conversion

€250

at most 40% of€796
Allowance afterwards€238.02
Relief amount on top€131
Work out the combination in detail →

People with care grade 2 or higher who live at home can use up to 40 % of their monthly services budget for everyday support services recognised under state law (Umwandlungsanspruch, section 45a(4) of Book XI of the German Social Code, SGB XI). At grade 3 that is up to €598.80 a month. Typical examples are dementia support groups, companions, volunteer helper circles, family relief services and household services. No prior application is needed: the fund refunds the cost against receipts. Only what a care service has not already billed as services in that month can be converted; the care service’s bill comes first. Within the combined benefit the refund counts as services used, so the care allowance falls proportionally. At grade 3, every €100 converted costs about €40.01 of allowance. Conversion runs independently of the relief amount of €131, and both can be used side by side. For anyone using it, the rules on the home advice visit apply accordingly.

How conversion works

The services budget is a monthly budget for a registered care service. If the family does not use all of it, part can be “converted” into a refund for recognised everyday help (section 45a(4) SGB XI). Three rules set how much. First, the cap: at most 40 % of the grade’s services amount per calendar month. Second, the care service comes first: its fees are billed before anything else, and only what is left in the month can be converted. Third, the effect on the allowance: within the combined benefit under section 38 SGB XI, the refund counts as services used.

Engine calculation under sections 36, 37, 38 and 45a(4) SGB XI, with no care service in the same month.
Care gradeServices budgetconvertible at mostAllowance without conversionAllowance with full conversionAllowance cost per €100 converted
2€796€318.40€347€208.20€43.59
3€1,497€598.80€599€359.40€40.01
4€1,859€743.60€800€480.00€43.03
5€2,299€919.60€990€594.00€43.06

The last column matters most. It shows the price of conversion in allowance. Because the allowance is clearly smaller than the services budget at every grade, the family gets more help for each euro converted than it loses in allowance. But it swaps money it can spend freely for a refund tied to a purpose. For a parent whose allowance is passed on to a carer as recognition, that trade-off deserves a family conversation.

A worked example at grade 3

Assumptions: care service €600, recognised everyday help €400 a month. Engine calculation.
care service onlycare service and everyday help
care service bill€600€600
refund for everyday help (conversion)€0€400
share of services budget used40.1 %66.8 %
pro-rata care allowance€358.92€198.87
relief amount on top€131€131

The everyday help of €400 is refunded in full, and the allowance falls from €358.92 to €198.87. The relief amount is untouched in both cases because it runs separately (section 45b SGB XI). Using the relief amount first and converting only the remainder keeps more allowance.

How much allowance is left next to a care service

Allowance per month

€358.92

Services budget used40.1 %
full allowance€599
you pay€0
Work out the combined benefit in detail →

Which services count

Under the law, recognised everyday support services are supervision services in which mainly volunteers provide care under professional guidance, services that relieve carers, and services that relieve everyday life, for example in the household or in organising help (section 45a(1)). The law names dementia support groups, helper circles for relief by the hour, day supervision in small groups, one-to-one supervision by recognised helpers, agencies arranging relief services, family relief services, everyday companions, care companions and household services. Each federal state regulates recognition in its own ordinance (section 45a(3)). A private cleaning firm without that recognition does not count, however reliable it is.

Where do you find recognised providers? On request, the care fund must promptly send a list comparing services and prices for your area, which expressly includes everyday support services and their costs (section 7(3) SGB XI). The state associations of care funds update this list every quarter and publish it on their own website. Ask for it in writing; you can then compare hourly rates before the first invoice arrives.

Refunds and offsetting

The fund refunds against receipts for your own costs when you claim the money; for people entitled to Beihilfe the allowance office pays its share. If the allowance for a month has already been transferred before the refund is processed, more may have been paid than is due after conversion. The fund then deducts the excess from the refund instead of asking for money back. Submit receipts monthly, so it stays clear which month was billed how, especially if you handle the paperwork from abroad.

Advice visits apply to conversion too

For anyone using the conversion claim, the rules on advice at home apply accordingly. If a visit is missed, the cut or withdrawal affects the refund for everyday help, not just the allowance. More on dates, video and deadlines under home advice visit.

Counted over a year

Monthly amounts look small; annual figures make the decision tangible. If a family at grade 3 converts the full amount every month and uses no care service, it funds €7,185.60 of everyday help a year. In return €2,875.20 of allowance is lost. The relief amount of €1,572 a year comes on top either way. Whether the trade is worth it depends on what the allowance was used for. If it goes to a daughter who provides the care as recognition, conversion costs her real money; if she is exhausted and needs hours for herself, regular supervision may be worth more than the sum in the account. For relatives living far away, conversion has another advantage: a recognised companion comes reliably even when no family member is nearby, and bills the hours transparently.

When conversion pays off

  1. Relatives provide the care themselves but need regular relief through supervision or household help beyond what the relief amount covers.
  2. A care service visits only a few times, so much of the services budget would otherwise go unused.
  3. With dementia, a support group is attended several times a week and the relief amount alone cannot cover it.
  4. The allowance is not urgently needed for the carer’s own living costs.

It makes less sense when the care service already uses most of the budget. At grade 2 with a care service bill of €600, only €196.00 of a €400 everyday help bill can still be converted. The exact split between care service, conversion and allowance is shown by the combined benefit calculator.

Questions families ask

Do I need to apply before using the conversion claim?

No. The law states explicitly that no prior application is required (section 45a(4), third sentence, SGB XI). You use the recognised service and then submit the receipts when you claim the refund. For people entitled to Beihilfe, the allowance office refunds its share. Before the first session, just check that the provider is recognised under the law of the federal state.

Which services can be paid through the conversion claim?

Only everyday support services recognised under the law of your federal state. The law names three kinds: supervision services, services that relieve carers, and services that relieve everyday life, for example in the household. As examples it lists dementia support groups, helper circles, everyday companions, care companions, family relief services and household-related services.

How much care allowance does each converted euro cost?

It depends on the ratio between allowance and services budget at the grade, because the refund counts as services used. At grade 2, €100 converted costs €43.59 of allowance; at grade 5, €43.06. So you always get more help than the allowance you lose, but the money in the account goes down. The table on this page shows all grades.

Can the relief amount and conversion pay for the same household helper?

Yes, the law says the two run independently (section 45a(4), last sentence). A recognised household helper can bill some hours to the relief amount of €131 and further hours through conversion. The same invoice is refunded only once, of course. It usually makes sense to use the relief amount first, because it does not reduce the allowance.

What happens if the month’s allowance has already been paid out?

The fund offsets it. If more allowance has been paid for the month than is due after the conversion, the refund is offset against the allowance already paid (section 45a(4) SGB XI). You receive a smaller refund but do not have to repay anything actively. Bear this in mind when submitting receipts for several months at once.

Is conversion worthwhile if a care service already uses most of the budget?

Hardly. The care service is billed first, and only the part not drawn as services in that month can be converted. If the service already bills €600 at grade 2, only €196.00 of a €400 everyday help bill can be refunded. The relief amount remains for the rest.

Is the conversion claim available at care grade 1?

No. It requires at least grade 2, because it is funded from the services budget under section 36, which does not exist at grade 1. For recognised everyday help at grade 1 there is the relief amount of €131 a month, which at that grade may also be used for personal care by a registered care service.

Continue with

Laws and data

Written by

Publisher of German long-term care calculators: care grade, Pflegekasse benefits, care home costs

Updated on · Editorial policy · Contact

Amounts 2026, read on