Applying for short-term care
Pflegekasse · temporary inpatient care — and who else pays
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.
