Germany statutory long-term care insurance expenditure
Germany statutory long-term care insurance expenditure stood at 74,112.33 EUR million in 2025, according to Deutsche Bundesbank. It is one of the indicators in the Public finances (annual) table (Value · Annual), with a complete series running from 1995 to 2025. The complete series with an interactive chart, free to download.
This indicator in the Public finances (annual) table
| Indicator | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Scheme, expenditure, total5 | 74,112.33 | 68,184.09 | 59,178.36 | 60,099.82 | 53,903.15 | 49,283.6 | 44,008.4 | 41,264.85 | 38,861.94 | 30,935.5 | |
| Scheme, expenditure, non-cash care benefits (outpatient nursing care) | 15,371.2 | 12,873.35 | 11,506.05 | 10,405.44 | 9,572.64 | 8,794.19 | 8,257.22 | 7,702.59 | 6,922.54 | 4,903.94 | |
| Scheme, expenditure, inpatient care, total | 26,229.08 | 24,769.76 | 22,512.66 | 20,542 | 16,511.31 | 16,458.79 | 16,717.01 | 16,216.32 | 16,033.97 | 13,538.66 |
Understanding germany statutory long-term care insurance expenditure
Payments financing professional domiciliary support, inpatient nursing facilities, and home care allowances constitute the entirety of this overarching aggregate. This top-level metric captures all outgoing funds directed toward chronic dependency services under the dedicated long-term care framework. It is structurally separate from the statutory health insurance scheme's outlays, focusing exclusively on nursing assistance rather than acute medical treatment. The metric excludes privately funded nursing care and municipal social assistance programs that sometimes step in when statutory coverage limits are exhausted.
Tracking the evolution of these costs requires annual assessments to properly observe structural utilization patterns within the care architecture. Adjustments to the finalized figures are standard practice as claims for home-based care allowances are sometimes submitted and processed with a lag spanning across the fiscal boundary. Researchers must avoid the trap of combining this total with health insurance spending without adjusting for occasional overlaps in accounting when patients transition between acute hospitalization and long-term care. Legislative reforms expanding eligibility criteria frequently create structural breaks in the time series, altering the fundamental accounting boundaries of the scheme.
Frequently asked questions
- Are the costs of acute medical treatments in hospitals included in this figure?
- Acute medical care falls under the separate health insurance budget. This category is strictly reserved for nursing support and chronic dependency services.
- Does this total capture privately funded nursing care?
- Privately arranged eldercare and supplemental long-term care insurance payouts are excluded. The scope is limited entirely to the statutory framework.
- Are cash allowances paid to family caregivers recorded as expenditures here?
- Direct financial transfers provided to individuals managing home-based care are fully incorporated into this aggregate outlay.