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World
World Desk · · 30s summary · 2 min read
In Rhineland-Palatinate, Germany, the average monthly out-of-pocket costs for nursing home residents—known as Eigenanteil—reached €3,289 for the first year of residence on July 1, 2026, according to an analysis released by the vdek (Verband der Ersatzkassen, Association of Substitute Health Funds) to the dpa news agency. This amount increased by €238 over the past year and by €67 over the first six months of 2026, confirming a sustained upward trend that has persisted since at least July 2025.
On July 1, 2026, the average out-of-pocket costs (Eigenanteil) for nursing home residents in Rhineland-Palatinate reached €3,289 per month for the first year of residence, according to an analysis by the vdek (Verband der Ersatzkassen) shared with the dpa news agency.
This amount is €67 higher than the January 2026 figure. Over the past year, from July 2025 to July 2026, the increase totals €238.
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Eigenanteil refers to the sum that nursing home residents must pay personally, beyond coverage by the statutory long-term care insurance (Pflegeversicherung). It consists of four components: the residual share of care services, accommodation costs, meal costs, and the facility's capital investment costs.
A reform adopted in 2022 introduced a mechanism for gradual reduction of the care component (Leistungszuschläge), designed to ease the burden on residents based on length of stay. However, this mechanism does not cap accommodation costs or capital investment expenses.
The vdek (Verband der Ersatzkassen, Association of Substitute Health Funds) is the federation of major German statutory health and long-term care insurers known as 'substitute funds' (Ersatzkassen), including TK (Techniker Krankenkasse), BARMER, and DAK-Gesundheit. The organization regularly publishes statistical analyses on personal care costs across German federal states (Länder).
The published data covers only Rhineland-Palatinate. No comparison with other German federal states or with the national average is available in the sources shared with dpa. The specific causes of the observed increase are not detailed in the information provided.
Eigenanteil is the share of nursing home care costs that residents pay themselves, beyond coverage by statutory long-term care insurance. It includes a residual share of care services, accommodation costs, meal costs, and the facility's capital investment expenses.
The information published by vdek and reported by dpa confirms the upward trend but does not specify the direct causes.
No. The available data covers only Rhineland-Palatinate. Out-of-pocket costs vary by state; no national comparison is available in the published information at this time.
The 2022 reform introduced declining supplements (Leistungszuschläge) intended to reduce the care component of Eigenanteil over the course of stay. It does not cap accommodation costs or capital investment expenses, which continue to increase the overall amount.