More and more people in Germany are dependent on nursing care. According to statistics, about 4.13 million Germans were in need of long-term care in 2019. Long-term care insurance is intended to provide financial support in such cases. However, it also brings with it some pitfalls that particularly affect children of parents in need of care.
Long-term care insurance provides that children are liable for their parents if their financial resources are insufficient to cover the costs of care. This means that children must support their parents if they do not have sufficient savings of their own.
This arrangement can be very burdensome for children who have families of their own and have financial obligations to meet. Especially if they are in a low-paying job or are in a financially difficult situation.
Nevertheless, there are ways to exempt the children from liability. One option, for example, would be for parents to take out private long-term care insurance or transfer their financial resources to the children in advance.
The obligation of children to pay maintenance
The law provides that adult children must pay maintenance for their parents if the latter need financial support in old age. This applies regardless of whether the relationship between parents and children is good or bad.
However, child support only kicks in if the parent’s own income and savings are insufficient to support themselves. The children then pay for the remaining needs. The amount of child support to be paid is calculated individually and is based on various factors such as the child’s own income, assets and the possible support needs of other family members.
Especially in the context of long-term care insurance, it can be difficult for children. On the other hand, the rising cost of care can mean that their own assets are insufficient to cover the costs in full. In such cases, the children may be asked to pay for their parents’ care care costs.
Under long-term care insurance, however, there are also certain exceptions that can provide financial relief for children. For example, no maintenance obligation is assumed for adult children who have a low income or are themselves in a difficult financial situation. Even those who still have minor children of their own may be relieved of the obligation to support them.
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To summarize:
- Adult children are legally obligated to pay child support for their parents if they need financial assistance in their old age.
- The amount of maintenance to be paid depends individually on various factors such as one’s own income, assets and the possible support needs of other family members.
- In connection with long-term care insurance, children may be required to pay for their parents’ care long-term care expenses.
- However, there are certain exceptions that can provide financial relief for children, such as those with low incomes or minor children.
The impact on children
The situation can be an enormous burden for children of parents in need of care. They often have to take on the role of caregiver and thus assume responsibility for their parents. While this can be an honorable task for some children, it can be an enormous psychological and emotional burden for others.
Long-term care insurance creates a difficult dilemma here. On the one hand, it is a good thing that parents receive financial assistance to cover their care needs. But on the other hand, it becomes difficult for the children if they get into financial difficulties due to the strict liability claim of the insurance companies. It is a balancing act that many families have to manage.

Children of parents in need of care often have to give up their own jobs to provide care for their parents. This can cause them financial hardship and limit their own future options. Children need support to be able to care for their parents while maintaining their own lives.
- Bottom line: long-term care insurance needs to rethink its policies to minimize the impact on children of parents who need care. It is important that the insurance company recognizes that the need for care of the parents can also represent a considerable burden for the children. It is vital that support and relief is provided to ensure that children do not face financial difficulties and have to give up their own future.
Relief options for burdened children with regard to long-term care insurance
Children are liable for their parents – this is a well-known saying. But in reality, this often means an immense burden for the children, especially when it comes to care insurance.
There are a variety of options to help ease the burden on children. For example, outpatient care services can be used to support the parents’ need for care at home. Respite care facilities also provide temporary accommodations for parents, giving children a break to recuperate.
Furthermore, counseling and support services for caregiving relatives can be a great help. These offer support in organizing care and also in providing psychological relief for the children.
- Similarly, financial relief from long-term care insurance can help ensure that children are not financially burdened. These include, for example, benefits for outpatient care, day or night care, short-term care or even relief services for the caregivers.
- Furthermore, a living will can provide clarification and thus provide relief in emotional matters.
It is important that children are not overburdened when it comes to caring for their parents. There are a variety of options and supports that can help minimize the burden on children.
Conclusion
Long-term care insurance in Germany can be a major financial burden for families with relatives in need of care. It becomes particularly difficult when children have to pay for their parents’ care costs. In some cases, this may mean that children are forced to dip into their own savings to cover the costs.
It is important for the government to look at how to improve long-term care insurance to provide more support to families and ensure that children are not liable for the costs. One option would be to make long-term care insurance premiums fairer so that lower-income families are not unduly burdened.

In addition, families should also receive more support for the care of their relatives. Government subsidies or tax incentives could be created for this purpose. Another option would be to increase the flexibility of care insurance to give families more room for maneuver when it comes to choosing care facilities or care staff.
- Improving long-term care insurance
- Fairer contributions to long-term care insurance
- More support for the care of relatives
- Government subsidies or tax incentives
- More flexibility in long-term care insurance
In summary, the crux of long-term care insurance in Germany is that children are liable for the care costs of their parents. To improve the situation, the government and insurance companies need to work together to make long-term care insurance fairer, more flexible, and more inclusive. This is the only way families can be relieved and better able to care for their loved ones in need of care.