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Germany Weighs Abolishing Pflegegrad 1 to Close Care Insurance Gap

The health ministry has asked a federal–state reform group to assess options with first findings due by mid-October.

Overview

  • Media reports say coalition figures are discussing scrapping Pflegegrad 1, with RWI estimating about €1.8 billion in annual savings.
  • Roughly 861,000 people classified in grade 1 at the end of 2024 would forfeit the €131 monthly relief and home-adaptation support.
  • Germany’s statutory long-term care insurance faces a projected 2026 funding gap of around €2 billion, triggering the review of benefits.
  • SPD leaders publicly reject the idea, and social and patient groups warn of a heavy blow to home care and caregiving relatives.
  • Some experts and private providers back examining the cut, while Minister Nina Warken has not taken a position and defers to the working group.