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Applying for short-term care

Pflegekasse · temporary inpatient care — and who else pays

In writingFrom Pflegegrad 2

Short-term care (Kurzzeitpflege) under § 42 of Social Code Book XI (Sozialgesetzbuch Elftes Buch, SGB XI) is a temporary stay in an inpatient facility – typically after a hospital stay, during a crisis, or when home care is not possible for a while. It is limited to “eight weeks per calendar year” and requires care grade (Pflegegrad) 2.

Since 1 July 2025, respite care (Verhinderungspflege) and short-term care (Kurzzeitpflege) have shared a single pot. § 42a SGB XI gives it a name: “up to €3 539 per calendar year (combined annual budget, Gemeinsamer Jahresbetrag)”, and it covers “benefits of respite care under § 39 as well as benefits of short-term care under § 42” – without a fixed split between the two. This also means the once widely recommended trick of transferring half of one budget into the other no longer applies: there is now only one budget, which you divide up freely.

The law states this unambiguously: § 42 no longer names its own euro amount, but refers to “an amount equal to the combined annual budget under § 42a”. References to “€1,774 for short-term care” and guides on how to shift money from the respite care budget into it describe the system before July 2025.

After a hospital stay, three quite different benefits are regularly confused, and they come from two different institutions. Transitional care in hospital (Übergangspflege) under § 39e of Social Code Book V (Sozialgesetzbuch Fünftes Buch, SGB V) is paid by the health insurance fund (Krankenkasse) for “no longer than ten days” and only if home nursing care, short-term care, rehabilitation or benefits under SGB XI “cannot be provided, or only with considerable effort”. Short-term care in the absence of need for long-term care under § 39c SGB V is likewise paid by the Krankenkasse, but expressly only “if no need for long-term care with Pflegegrad 2, 3, 4 or 5 … has been established” – so it is the alternative for people without a Pflegegrad, and not an additional pot on top. And short-term care under § 42 SGB XI is paid by the long-term care insurance fund (Pflegekasse) from Pflegegrad 2 out of the combined annual budget.

Last updated27 August 2026
VerificationChecked against gesetze-im-internet.de (consolidated version)
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. Not legal advice. Personal contributions depend on the facility. 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.
Combined annual budget€3,539Shared with respite care
DurationUp to 8 weeksPer calendar year
Without PflegegradKrankenkasse§ 39c SGB V
Personal contributionAccommodation, mealsNot covered by the fund
Required documents

What you need

The notice (Bescheid) on Pflegegrad 2 to 5

Requirement for short-term care from the Pflegekasse. Without Pflegegrad 2 to 5, it is not the Pflegekasse that is responsible but the Krankenkasse under § 39c SGB V – that is a different application to a different body.

A reserved place

Short-term care places are scarce, and many facilities keep them available only seasonally. Secure the place before anything else – an approved application without a place is of no use. For a discharge from hospital, the discharge management (Entlassmanagement) helps with the search.

Cost estimate from the facility

It should itemise separately the amounts for care, accommodation and meals and investment costs. Only the care portion is covered from the annual budget; the rest remains a personal contribution.

Following on from a hospital stay: the discharge letter

It justifies the need and speeds up the approval. Speak to the hospital's social services team early – it knows the facilities with free places in the region.

The additional relief allowance (Entlastungsbetrag) as a supplement

The €131 a month under § 45b SGB XI can be used for short-term care and thereby reduce the personal contribution. Find out the current usage status before you plan.

Step by step

How to proceed

  1. 1

    First clarify who is responsible at all

    With Pflegegrad 2 to 5 it is the Pflegekasse under § 42 SGB XI. Without Pflegegrad 2 to 5 it is the Krankenkasse under § 39c SGB V – there the benefit is called short-term care in the absence of need for long-term care and is expressly intended for people without a Pflegegrad, not as an addition on top.

  2. 2

    Look for a place before you apply

    Short-term care places are the bottleneck, not the approval. Ask at several facilities, use the hospital's social services team and the care support centre (Pflegestützpunkt), and plan – if it can be planned – weeks in advance.

  3. 3

    Check the remaining balance of the shared pot

    Because respite care and short-term care share €3,539, one depends on the other. Ask the Pflegekasse about the amount used and remaining before you commit to a stay.

  4. 4

    Submitting the application — informal is enough

    One sentence with the period and the facility is enough; many funds have a form. In the case of an unplanned admission, subsequent billing is also possible, but clarifying things beforehand avoids discussions about cost coverage.

  5. 5

    Calculate the personal contribution realistically

    Only the care portion is covered from the annual budget. You bear accommodation, meals and investment costs yourself – this is the item that surprises most people. Have it shown separately in the cost estimate.

  6. 6

    Offsetting the Entlastungsbetrag

    The €131 a month can be used for short-term care and reduce the personal contribution. If anything is still carried over from the previous year, the deadline of 30 June applies to it.

  7. 7

    Plan for Pflegegeld (long-term care allowance) to continue

    During short-term care, half of the Pflegegeld continues to be paid. Factor it into the financing instead of regarding it as lost.

Fee information

Costs and payment

Who pays whatThree benefits, two institutions — and a personal contribution that remains
Short-term care from Pflegegrad 2Pflegekasse, § 42 SGB XI
Combined annual budget€3,539.00, shared with respite care
DurationUp to 8 weeks per calendar year
Without Pflegegrad 2 to 5Krankenkasse, § 39c SGB V
Transitional care in hospitalKrankenkasse, no longer than 10 days
Accommodation and mealsPersonal contribution

For short-term care, § 42 SGB XI has stopped naming an amount of its own since July 2025 and instead refers to “an amount equal to the combined annual budget under § 42a” – that is, to the €3,539 that it shares with respite care. References to €1,774 and guides on transferring between two budgets date from the time before that. What the annual budget does not cover is the reason for most unpleasant surprises: the care portion is paid, but not accommodation, meals and investment costs. These remain a personal contribution and add up considerably depending on the facility – have them shown separately in the cost estimate and budget for them. The personal contribution can be reduced through the Entlastungsbetrag of €131 a month, which may be used for short-term care. And finally the question of responsibility, which is regularly misrepresented: after a hospital stay, three quite different benefits are regularly confused, and they come from two different institutions. Transitional care in hospital under § 39e SGB V is paid by the Krankenkasse for “no longer than ten days” and only if home nursing care, short-term care, rehabilitation or benefits under SGB XI “cannot be provided, or only with considerable effort”. Short-term care in the absence of need for long-term care under § 39c SGB V is likewise paid by the Krankenkasse, but expressly only “if no need for long-term care with Pflegegrad 2, 3, 4 or 5 … has been established” – so it is the alternative for people without a Pflegegrad, and not an additional pot on top. And short-term care under § 42 SGB XI is paid by the Pflegekasse from Pflegegrad 2 out of the combined annual budget. One point on responsibility that explains many misunderstandings: the Pflegekasse is a separate institution, but under § 46 SGB XI it is established at the Krankenkasse. You write to the same address and often speak to the same office – but legally they are two funds with two separate schedules of benefits. That is why so many benefits get filed under the wrong fund.

Good to know

Important notes

There is no longer a separate short-term care budget. § 42 refers to the combined annual budget of €3,539 under § 42a SGB XI.

References to €1,774 are outdated, as is any guide on transferring between two budgets – there is now only one.

Accommodation and meals are a personal contribution. The annual budget covers the care portion, not the stay.

Without Pflegegrad 2 to 5, the Krankenkasse is responsible, under § 39c SGB V – and that is an alternative, not an additional pot.

Transitional care in hospital is something different: § 39e SGB V, no longer than ten days, and only if nothing else works.

The bottleneck is the place, not the approval. Search early and at several facilities.

The Entlastungsbetrag reduces the personal contribution. €131 a month can be used for short-term care.

Half of the Pflegegeld continues to be paid. Factor it into the financing.

Avoid these mistakes

Common mistakes

Counting on a separate short-term care budget of €1,774. It has not existed since July 2025; the shared pot is what counts.

Looking for the option to transfer. It ceased to exist with the shared budget.

Not planning for the personal contribution for accommodation and meals. It is the item that dominates the bill.

Believing that § 39c SGB V applies on top. It expressly applies only when no Pflegegrad 2 to 5 has been established.

Applying first and then looking for a place. Doing it in this order costs you the very weeks in which you need the place.

Not checking the remaining balance of the shared pot. What was spent on respite care in the summer is now missing.

Frequently asked questions

Questions and answers

How much does the Pflegekasse pay for short-term care?

Up to the combined annual budget of €3,539 – which it shares with respite care, however. § 42 SGB XI has stopped naming an amount of its own since July 2025 and instead refers to “an amount equal to the combined annual budget under § 42a”. So if you have already made use of respite care in the current year, correspondingly less is available. Therefore ask your Pflegekasse about the remaining amount before committing to a stay. References to €1,774 relate to the old system with two separate budgets, which applied until June 2025.

What do I have to pay myself?

Accommodation, meals and investment costs – and this is the item that surprises most people. The care portion is covered from the combined annual budget; the stay as such remains a personal contribution, similar to a stay in a care home. How much it comes to depends entirely on the facility, which is why we do not give a figure here: ask for a cost estimate in which the care portion, accommodation and meals, and investment costs are shown separately. You can reduce the personal contribution with the Entlastungsbetrag of €131 a month, which can be used for short-term care, and with the half-rate Pflegegeld that continues to be paid during the stay.

I do not have a Pflegegrad — do I still get short-term care?

Possibly yes, but from a different fund. § 39c SGB V provides for short-term care in the absence of need for long-term care, borne by the Krankenkasse – and expressly only “if no need for long-term care with Pflegegrad 2, 3, 4 or 5 … has been established”. It comes into consideration when home nursing care is not sufficient because of a serious illness or acute deterioration, especially after a hospital stay. The flip side is important: anyone who already has Pflegegrad 2 or higher cannot receive this benefit in addition – it is the alternative, not a second pot. Duration and amount are governed by § 42 Abs. 2 SGB XI.

What is transitional care in hospital?

A third, again different benefit – and the shortest. § 39e SGB V grants insured persons an entitlement to transitional care “following hospital treatment, for no longer than ten days”, provided in the hospital itself or in a cross-sector care facility. It is expressly a fallback provision: it applies only if home nursing care, short-term care, rehabilitation or benefits under SGB XI “cannot be provided, or only with considerable effort”. It is borne by the Krankenkasse; insured persons aged 18 and over pay a daily co-payment (Zuzahlung) for no longer than 28 days per calendar year. Speak to the hospital's social services team about this if nothing else can be arranged after discharge.

Can I combine respite care and short-term care?

Yes, and that is exactly what the shared pot is for. Both benefits are financed from the same combined annual budget of €3,539, and § 42a SGB XI provides for no fixed split – you decide how much goes to which. Both are additionally limited to eight weeks per calendar year each. In practice this means: if you have used respite care by the hour in spring and need short-term care in autumn, one eats into the other. So keep an eye on how much has been used and ask about the remaining balance before longer stays – this is the most important practical consequence of combining the two.

How do I find a place?

Early, and through several channels at once, because the place is the bottleneck, not the approval. Short-term care places are scarce; many facilities keep only a limited number available, or only seasonally, and they are in particular demand during holiday periods. Use the hospital's social services team when it comes to a discharge – it knows the free places in the region and takes on part of the organisation as part of discharge management. Also ask at the care support centre and directly at several facilities. If the stay can be planned, for instance for your own holiday, reserve weeks in advance.

How long can I make use of short-term care?

Eight weeks per calendar year, as § 42 SGB XI expressly determines. This limit applies regardless of how much money is still left in the combined annual budget – time and money are two separate limits, and both must be observed. The eight weeks do not have to be taken all at once; several shorter stays within the same year are possible, as long as the total adds up. If the budget is not enough for the full eight weeks, you can finance the remaining time yourself or – if funds are lacking – apply to the Sozialamt (social welfare office) for care assistance under social assistance law (Hilfe zur Pflege).

What happens to the Pflegegeld during short-term care?

It continues to be paid at half the rate, for the duration of the short-term care. So you do not lose it, and this half amount helps to cover the personal contribution for accommodation and meals – factor it into the financing. The same rule applies to respite care. Only with day care for people in need of long-term care (Tagespflege) is it even more favourable: there, § 41 SGB XI expressly determines that it is added “without this being offset against these entitlements” – the Pflegegeld then remains fully intact. The concern that every relief measure causes you to lose the Pflegegeld is unfounded in all three cases.

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