When the path to a nursing home leads to old-age poverty - Hesse's long-term care costs triple in seven years, forcing tough financial choices
The cost of long-term care in Hesse has surged over the past seven years, placing heavier financial burdens on residents. Between 2017 and 2024, the number of people needing such care jumped by 80%, from 237,000 to 431,000. Rising expenses now force many to pay far more out of pocket than in previous years.
In 2025, the average personal contribution for the first year of nursing home care in Hesse reached €3,217. This marks a 16% increase from 2024 alone. Since 2018, the amount care recipients must cover themselves has tripled, climbing from €566 to €1,781.
Accommodation and meal costs in nursing homes have also risen sharply. Between 2018 and 2025, these expenses grew by 46%, adding to the financial pressure. Compared to other German states, Hesse sits in the middle range—higher than Mecklenburg-Vorpommern and Sachsen-Anhalt (€800–950 per month) but lower than Bavaria and Baden-Württemberg (€1,200–1,500 per month).
To address the issue, the Hesse coalition agreement proposes a state care supplement. This would help reduce the financial strain on those needing support. Another plan involves the state covering capital costs for nursing homes, potentially saving residents over €500 per month. Authorities are also considering preventive measures, such as fitness programmes and chronic illness management courses, to delay or avoid institutional care.
The sharp rise in care costs has left many in Hesse struggling with higher out-of-pocket money expenses. With the state's proposed measures, residents may see some relief through financial support and preventive strategies. The goal is to ease the burden while improving long-term care accessibility.
