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Official procedures at the Pflegekasse

Social long-term care insurance

12 official procedures available

The long-term care insurance fund (Pflegekasse) is attached to every statutory health insurance fund (Krankenkasse) and administers the benefits of social long-term care insurance under Social Code Book XI (Sozialgesetzbuch Elftes Buch, SGB XI). It finances care benefits for people who need help due to physical, cognitive or mental impairments.

The Pflegekasse covers Pflegegeld (long-term care allowance), benefits in kind, respite care (Verhinderungspflege), care aids, home adaptation and much more — depending on the care grade (Pflegegrad 1–5).

Last updated 27 August 2026
Competent authority Pflegekasse (at the Krankenkasse)
Verification Checked by AmtsDeutschland.de
Written and reviewed byAndrés Sánchez Botta
Independent information site: We are not your Pflegekasse, not an authority and not a paid advisory service — we do not submit applications for you. All information comes from official sources and is explained simply here; the competent body is always authoritative. All information provided without guarantee. We are neither lawyers nor tax consultants: we document official procedures and check the information against the official source — this is information, not legal or tax advice.
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Pflegegrad & benefits

Support benefits

Useful information

Processing time 25 working days
From application to official notice (Bescheid)
€70/week if delayed
Jurisdiction Pflegekasse
At your Krankenkasse
Every GKV has a Pflegekasse
Submission of the application Informal application
Phone, letter, email
Remember the date = start of benefits
Pflegegrad levels 5 Pflegegrad levels
PG1 (minor) to PG5 (most severe)
MD assessment decides

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Frequently asked questions

Questions about the Pflegekasse

How much is Pflegegeld in 2026?

PG2: €347, PG3: €599, PG4: €800, PG5: €990 per month. Pflegegrad 1: no Pflegegeld, but €131 Entlastungsbetrag.

How do I apply for a Pflegegrad?

An informal application to the Pflegekasse (phone call, letter, email). The Medical Service (Medizinischer Dienst) carries out an assessment at home within 25 working days.

What is the combined budget?

Since July 2025: €3,539/year for respite care and/or short-term care. Can be used flexibly. From Pflegegrad 2.

How much is the grant for home adaptation?

Up to €4,180 per measure. In a shared care household (Pflege-WG): up to 4 x €4,180 = €16,720. Apply BEFORE the alteration!

Can I lodge a Widerspruch?

Yes, within 1 month of the Bescheid. Free of charge. Often successful — many assessments are corrected on review. Legal action before the Sozialgericht (social court) is likewise free of charge.

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