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How much long-term care insurance do pensioners pay in Germany?

In short

How much long-term care insurance do pensioners pay in Germany? In 2026 they pay 3.6 per cent of their pension, childless pensioners 4.2 per cent. On a 1,500 euro pension that is 54 euros a month, or 63 euros without children. Pensioners pay the contribution alone (§ 59 (1) SGB XI); unlike health insurance, the pension fund adds nothing.

How much long-term care insurance do pensioners pay in Germany?

What it costs

Monthly care contributions for pensioners in statutory long-term care insurance, 2026.

ExampleTypical range
Pension 1,500 euros, children over 2554 euros a month
Pension 1,500 euros, childless63 euros a month
Pension 2,000 euros plus company pension 300 euros, with children82.80 euros a month
Pension 2,000 euros plus company pension 150 euros, with children72 euros a month, company pension below the threshold
Maximum, childless244.13 euros a month

Statutory values, as of October 2026: rate 3.6 per cent, childless surcharge 0.6 points,

contribution ceiling 5,812.50 euros, threshold for company pensions 197.75 euros a month.

Worked example

Retired couple, one adult son

He receives a 1,800 euro statutory pension and a 400 euro company pension, she a 1,100 euro pension. Both are compulsorily insured.

He: 3.6 per cent on 1,800 euros pension64.80 euros
He: 3.6 per cent on 400 euros company pension14.40 euros
She: 3.6 per cent on 1,100 euros pension39.60 euros
Together per month118.80 euros

About 1,426 euros a year for long-term care insurance. Without a child it would be 138.60 euros a month for both together.

Why pensioners pay the full contribution

During working life, employees and employers share the long-term care contribution. In retirement that half falls away: pensioners pay the contributions on their statutory pension alone (§ 59 (1) SGB XI, Social Code Book XI). The pension fund deducts them directly and passes them to the care fund.

Health insurance works differently: there the pension fund pays half. Many people only notice the difference with their first pension notice, when the care deduction is twice what it was on the payslip.

How much long-term care insurance pensioners pay by pension

The rate in 2026 is 3.6 per cent. Childless people pay 0.6 points more, so 4.2 per cent (§ 55 (3) SGB XI). Parents of several children get a reduction of 0.25 points per child from the second, but only for children under 25. Most pensioners' children are older, so the full 3.6 per cent applies.

Income only counts up to the contribution ceiling of 5,812.50 euros a month. Above that the contribution does not rise further.

Monthly pensionWith children (3.6 per cent)Childless (4.2 per cent)
1,000 euros36.00 euros42.00 euros
1,500 euros54.00 euros63.00 euros
2,000 euros72.00 euros84.00 euros
3,000 euros108.00 euros126.00 euros
5,812.50 euros and more209.25 euros244.13 euros

Company pensions and other income

Compulsorily insured pensioners also pay care contributions on company pensions and similar benefits (Versorgungsbezüge), again alone. In health insurance there is an allowance of 197.75 euros a month (2026). In care insurance there is only a threshold of the same amount: if the company pension is higher, all of it counts (§ 57 (1) SGB XI with § 226 (2) SGB V).

Voluntarily insured pensioners pay on all income, including rent and investment income, up to the contribution ceiling.

Privately insured pensioners

If you have private health insurance, you also have private compulsory care insurance (private Pflegepflichtversicherung). Its premium depends on the tariff and your age when you joined, not on your pension. The pension fund pays a subsidy towards health insurance only (§ 106 SGB VI), not towards care.

Privately insured pensioners should therefore look for the care premium in their insurer's annual statement.

What the contribution does not cover

German statutory care insurance only covers part of the cost. In a care home a large personal share usually remains, paid from pension and savings. So the contribution says nothing about how well you are protected if you need care.

Private supplementary care insurance becomes expensive at pension age and usually requires health questions. If you are still healthy at 60, it is worth checking. At NAMMERT, Norman Nammert acts as an insurance broker and compares care tariffs; the insurer pays his commission.

Step by step

  1. Check the care deduction on your pension notice.
  2. Make sure the pension fund knows you are a parent, otherwise the surcharge applies.
  3. Compare company pensions with the 197.75 euro threshold.
  4. If privately insured, find the care premium in the annual statement.
  5. Plan the care home gap separately.

Checklist

  • Rate on the pension notice checked
  • Proof of children reported to the pension fund
  • Company pension included in the calculation
  • Personal share in a care home roughly worked out
  • Private provision checked while health questions are manageable

Common mistakes

  • Expecting the pension fund to pay half the care contribution
  • Assuming the health insurance allowance also applies to care
  • Paying the childless surcharge as a parent because proof is missing
  • Thinking the contribution means the cost of care is fully covered

Questions and answers

Frequently asked

Do pensioners pay the full care contribution?

Yes, pensioners pay it on their pension alone, 3.6 per cent in 2026 or 4.2 per cent if childless.

Why did my care contribution go up in retirement?

Because the employer's share falls away.

A rise in the rate may come on top.

Do I pay care contributions on my company pension?

Yes, if it exceeds 197.75 euros a month, then on the full amount.

Do parents get a reduction in retirement?

Only for children under 25.

Adult children still exempt you from the childless surcharge for good.

Is there a maximum contribution?

Yes.

In 2026 income counts up to 5,812.50 euros,

giving at most 209.25 euros or 244.13 euros if childless.

Sources

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Related questions

Your broker: Norman Nammert, trading as NAMMERT.

Insurance broker licensed under section 34d(1) of the German Trade Regulation Act.

Broker register no. D-C08Q-TOSD4-37.

NAMMERT Assekuradeur GmbH is a separate company.

It does not arrange your contract.

Statutory disclosure (German) · Updated

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