{"id":1327,"date":"2026-10-27T15:55:17","date_gmt":"2026-10-27T14:55:17","guid":{"rendered":"https:\/\/www.talentorbit.de\/?p=1327"},"modified":"2026-10-27T15:55:40","modified_gmt":"2026-10-27T14:55:40","slug":"costs-of-recognition-of-care","status":"publish","type":"post","link":"https:\/\/www.talentorbit.de\/en\/kosten-anerkennung-pflege\/","title":{"rendered":"Costs of recognition in nursing: Fees by state"},"content":{"rendered":"<p>How much does it cost to have a foreign nursing qualification recognized in Germany? Those who ask this question usually hear a range of several thousand euros, without any breakdown or source. Most federal states publish their fees, and they are listed. Some of them are fixed amounts, while others are ranges or guidelines.<\/p>\n<p>They are nevertheless not comparable. One country charges a fee for the entire procedure, another separates equivalence determination and the certificate, and in a third country two different authorities are responsible for the two steps. Therefore, anyone comparing offers or locations must know what is included in the respective fee.<\/p>\n<div class=\"kurzantwort\">\n<p><strong>The most important in a nutshell<\/strong><\/p>\n<ul>\n<li>The\u00a0<strong>Fees of the L\u00e4nder<\/strong>\u00a0For equivalence testing and approval, the published amounts are different and are cut differently. For a third-country professional, the published amounts are around\u00a0<strong>80 euros in Bavaria up to about 350 euros in Baden-W\u00fcrttemberg<\/strong>, In North Rhine-Westphalia, this also depends on the administrative workload.<\/li>\n<li>It is necessary to consider them separately.\u00a0<strong>Residence rights regulatory fees<\/strong>: 411 euros for the accelerated skilled worker procedure, 75 euros for the national visa, 100 euros for the first residence permit. There are no recognition fees, and exemptions or reductions under \u00a7\u00a7 48 ff. AufenthV remain possible.<\/li>\n<li>Depending on the case, one of the\u00a0<strong>Expert opinions from the Expert Committee for Health Professions (GfG)<\/strong>\u00a0In addition, a fee is charged by the Central Office for Foreign Education (ZAB). The published fees range from 145 euros for an authenticity certificate to 515 euros for an in-depth assessment of the content of the application. These costs are paid by the applicant in addition to the administrative fee.<\/li>\n<li>As a fee-related offense, the missing\u00a0<strong>Knowledge test<\/strong>\u00a0in all the fee regulations examined, because they usually account for a nursing school.<\/li>\n<li>The question of funding determines the decision,\u00a0<strong>who is eligible to apply<\/strong>. The Federal Employment Agency pays the training funding for employers. The Federal Recognition Grant can only be applied for by the professional themselves, and the fee for the permit is explicitly excluded from this.<\/li>\n<\/ul>\n<\/div>\n<h2>Why there is no uniform total amount<\/h2>\n<p>The federal states are responsible for recognition in the care professions, and each state has its own fee regulations. Therefore, the same examination costs something different in D\u00fcsseldorf than in Darmstadt.<\/p>\n<p>In addition, there is a difference that often goes unnoticed in cost overviews: The countries charge their fees differently.<\/p>\n<ul>\n<li><strong>Berlin<\/strong>\u00a0charges a fee for a procedure in which equivalence is a prerequisite for approval. A separate fee for this procedure is not published.<\/li>\n<li><strong>Baden-W\u00fcrttemberg, Lower Saxony, Rhineland-Palatinate, Hesse and Bavaria<\/strong>\u00a0The equivalence decision and the certificate are calculated separately.<\/li>\n<li><strong>North Rhine-Westphalia<\/strong>\u00a0The two steps are distributed among two authorities, each with its own fee.<\/li>\n<\/ul>\n<p>A number from one country cannot therefore be transferred to another, and two numbers from two countries are not easily comparable. Furthermore, individual expenses that are nevertheless incurred are not calculated by the authorities: the examination is usually taken by a nursing school, and an adaptation course is conducted by an educational institution.<\/p>\n<h2>Fees of the L\u00e4nder in overview<\/h2>\n<p>What follows is a\u00a0<strong>Selection of seven federal states<\/strong>\u00a0and not a comparison of all sixteen. All amounts come from the official sources linked below and apply to a qualification from a third country.<\/p>\n<table>\n<thead>\n<tr>\n<th scope=\"col\">State<\/th>\n<th scope=\"col\">Equivalence<\/th>\n<th scope=\"col\">Permission or document<\/th>\n<th scope=\"col\">Together<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<th scope=\"row\">Bavaria<\/th>\n<td>40 to 70 \u20ac<\/td>\n<td>40 \u20ac (Certificate)<\/td>\n<td>80 to 110 \u20ac<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Rheinland-Pfalz<\/th>\n<td>50 to 300 \u20ac<\/td>\n<td>44 \u20ac<\/td>\n<td>94 to 344 \u20ac<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Berlin<\/th>\n<td colspan=\"2\">164 \u20ac for the procedure in total<\/td>\n<td>164 \u20ac<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Hesse<\/th>\n<td>110 \u20ac (Item 1213)<\/td>\n<td>110 \u20ac (Item 1214)<\/td>\n<td>220 \u20ac<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Lower Saxony<\/th>\n<td>approx. 200 \u20ac<\/td>\n<td>53 \u20ac<\/td>\n<td>approx. 253 \u20ac<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">North Rhine-Westphalia<\/th>\n<td>150 \u20ac according to the tariff rate, currently 112.50 to 350 \u20ac according to the authority<\/td>\n<td>60 \u20ac, with language test 80 \u20ac<\/td>\n<td>210 to 430 \u20ac<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Baden-W\u00fcrttemberg<\/th>\n<td>Usually 100 \u20ac<\/td>\n<td>250 \u20ac (Third country)<\/td>\n<td>approx. 350 \u20ac<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Three notes regarding the use of this table.<\/p>\n<p><strong>First of all<\/strong>\u00a0Several figures are formulated by the authorities themselves as guidelines, marked by \u201eusually\u201c, \u201eapprox.\u201c or \u201eup to\u201c. Bavaria and Rhineland-Palatinate list ranges, while North Rhine-Westphalia lists a maximum amount.<\/p>\n<p><strong>Secondly<\/strong>\u00a0For qualifications from the EU, some other amounts apply. In Berlin, the automatic recognition costs 115 euros instead of 164, in Hesse 165 euros, in Baden-W\u00fcrttemberg 200 euros for the certificate instead of 250. In Lower Saxony, it costs around 60 euros for the determination of automatic equivalence, and the 53 euros for the permit certificate are added there, so they are not included.<\/p>\n<p><strong>Thirdly<\/strong>\u00a0Several of these pages do not have an updated date of publication. For Berlin, Baden-W\u00fcrttemberg and Lower Saxony, it was not possible to determine when the amounts were last updated. Rhineland-Palatinate indicates April 2025, Bavaria July 2026, Hesse is based on a decree of February 13, 2026, announced on February 23, 2026, and in effect since March 9, 2026.<\/p>\n<h3>Two mix-ups that will cost you dearly<\/h3>\n<p><strong>Berlin.<\/strong>\u00a0The state's service portal also lists an amount of 85 euros. This applies exclusively to individuals who\u00a0<em>have passed the state examination in Berlin<\/em>. It is not applicable to a qualification obtained abroad.<\/p>\n<p><strong>Hessen.<\/strong>\u00a0Item 1211, with its 80 euros, concerns persons who are completing their education.\u00a0<em>in Germany<\/em>\u00a0Those who list this figure as the Hessian recognition fee for a foreign degree are significantly lower than the actual amount.<\/p>\n<h3>Who is responsible for what in North Rhine-Westphalia<\/h3>\n<p>North Rhine-Westphalia deserves its own sales area because the process is divided into two locations there.<\/p>\n<p>The\u00a0<strong>Equivalence test<\/strong>\u00a0It has been running nationwide since July 2021 centrally through the Central Recognition Authority for the Health Professions at the\u00a0<strong>M\u00fcnster District Government (Bezirksregierung M\u00fcnster)<\/strong>. There are two figures for the fee amount there, and the more recent one is the relevant one. The application form lists a maximum limit of up to 277.50 euros. The latest information from the authority continues: In the process, two fee notices are usually issued, which together usually range between 112.50 and 350.00 euros, because the fee is based on the specific administrative workload.<\/p>\n<p>M\u00fcnster also points out that in addition to the fee, expenses may be incurred, and that the fee also applies in part if the withdrawal or rejection is initiated after the processing has begun. The issuance of a conformity certificate, however, is free of charge.<\/p>\n<p>The\u00a0<strong>Permission to use the professional title<\/strong>\u00a0In contrast, the district government of the place of residence issues the one for the planned place of work if the residence is abroad. For this, 60 euros are charged. The decision states which department is responsible in the individual case.<\/p>\n<p>For the tariff offices in detail: 150 euros for the qualification examination upon establishment (12.1.3.2.1), 60 euros for the permit (12.1.3.1.1) or 80 euros,\u00a0<em>if a language test is also required<\/em>\u00a0(12.1.3.1.2), 20 euros for organizing a knowledge assessment component (12.1.3.2.4) and 37.50 to 87.50 euros for deciding after a successful settlement measure (12.1.3.2.5).<\/p>\n<p>The higher permit amount of 80 euros depends on the language test, not on the origin of the degree. A third-country degree alone does not qualify you for it.<\/p>\n<p>Which department in your federal state is responsible and how the procedure works is explained here:\u00a0<a href=\"https:\/\/www.talentorbit.de\/en\/recognition-of-foreign-degrees-in-germany\/\">Recognition of foreign qualifications in Germany<\/a><\/p>\n<h2>Possible additional costs: Expert opinions from GfG<\/h2>\n<p>If the competent authority cannot classify the foreign qualification on its own basis from the documents, it will commission a report from a qualified expert.\u00a0<strong>Expert Committee for Health Professions (GfG)<\/strong>. The GfG is a separate work area within the\u00a0<strong>Central Office for Foreign Education (ZAB)<\/strong>, It is a joint body of the L\u00e4nder within the Conference of Ministers of Culture. It works on behalf of the recognition authorities, not for applicants, and therefore does not publish its own fee regulations.<\/p>\n<p>The amounts are only found in the information provided by the countries, and they differ according to the type of the opinion.<\/p>\n<table>\n<thead>\n<tr>\n<th scope=\"col\">Type of opinion<\/th>\n<th scope=\"col\">Amount<\/th>\n<th scope=\"col\">published by<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Authenticity and accuracy of the documents<\/td>\n<td>145,00 \u20ac<\/td>\n<td>M\u00fcnster District Government (Bezirksregierung M\u00fcnster)<\/td>\n<\/tr>\n<tr>\n<td>Determination of the reference qualification<\/td>\n<td>417,00 \u20ac<\/td>\n<td>District government M\u00fcnster, Rhineland-Palatinate<\/td>\n<\/tr>\n<tr>\n<td>Contental assessment of equivalence<\/td>\n<td>515,00 \u20ac<\/td>\n<td>Lower Saxony, Rhineland-Palatinate<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Three points to add to that. Whether a report is even necessary is decided on a case-by-case basis by the authority; this position is therefore subject to potential additional costs, and not a fixed amount. Both sources write \u201ecurrently,\u201c without specifying a date, why the amount must be requested before planning. And the costs are borne by the applicant in addition to the administrative fee: M\u00fcnster informs in advance and requires a signed declaration of acceptance of costs.<\/p>\n<p>In addition, there is another additional charge for individual countries of origin. M\u00fcnster points out that requests to foreign institutions, for example in Pakistan, India and Nepal, are subject to a fee, require advance payment and must be paid directly to the relevant institution, independent of the GfG fee.<\/p>\n<h2>Knowledge test and adaptation course<\/h2>\n<p>If the authority identifies significant differences, an adjustment measure will be implemented. This ends the transparency of the fee regulations, as the examination is usually carried out by a nursing school and they themselves charge the fees.<\/p>\n<p>In none of the audited L\u00e4nderordnungen is the nursing knowledge examination included as a fee item. For example, the Hessian administrative cost list lists the state examination with 80 euros under number 1251, but explicitly refers to \u00a7\u00a7 9, 19, 24, 39 and 40 PflAPrV, i.e., the regular final examination of German training. The knowledge examination according to \u00a7 45 PflAPrV is not mentioned there.<\/p>\n<p>What the states charge is the administrative act surrounding it. In North Rhine-Westphalia, that is 20 euros per examination section for the\u00a0<em>Organization<\/em>\u00a0the knowledge test. That is not the price of the exam.<\/p>\n<p>There is an official benchmark for the actual examination costs: The Hamburg Social Services Authority\u2019s brochure on recognition exams under the Nursing Professions Act, as of May 2026, lists \u201eusually about 300 \u20ac\u201c for the oral exam and \u201eabout 500 \u20ac for the practical exam\u201c. Both amounts are marked with a specific entry in the brochure for May 2023, and the brochure recommends confirming the costs before the exam. As a rough estimate, they are not suitable as a current fixed price.<\/p>\n<p>At\/On\/Upon\u00a0<strong>Adaptation course<\/strong>\u00a0Costs depend on the decision and the educational institution. A range cannot be given for this purpose in a reliable manner. This position is eligible for funding, see below.<\/p>\n<p>In depth:\u00a0<a href=\"https:\/\/www.talentorbit.de\/en\/knowledge-test-nursing\/\">nursing knowledge examination<\/a>\u00a0\u00b7\u00a0<a href=\"https:\/\/www.talentorbit.de\/en\/deficit-notice-care\/\">recognition decisions identifying qualification gaps.<\/a><\/p>\n<h2>Residence rights fees<\/h2>\n<p>These amounts are regulated nationwide. Important for the assignment: They are\u00a0<strong>no recognition fees<\/strong>, but fees for the right of residence, and they are charged to third-country nationals. This concerns\u00a0<strong>Regular fees<\/strong>. Exemptions and discounts under \u00a7\u00a7 48 ff. of the AufenthV remain possible in individual cases.<\/p>\n<table>\n<thead>\n<tr>\n<th scope=\"col\">Position<\/th>\n<th scope=\"col\">Legal basis<\/th>\n<th scope=\"col\">Fee<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Accelerated skilled worker procedure<\/td>\n<td>Section 47, paragraph 1, no. 15 of the AufenthV<\/td>\n<td>411,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>National visa<\/td>\n<td>Section 46 of the AufenthV<\/td>\n<td>75,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>Extension of the national visa<\/td>\n<td>Section 46 of the AufenthV<\/td>\n<td>25,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>Residence permit, issuance<\/td>\n<td>\u00a7 45 AufenthV<\/td>\n<td>100,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>Residence permit, extension for three months<\/td>\n<td>\u00a7 45 AufenthV<\/td>\n<td>93,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>Change of purpose of stay<\/td>\n<td>\u00a7 45 AufenthV<\/td>\n<td>98,00 \u20ac<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>The accelerated skilled worker procedure is voluntary. The 411 euros will also be charged if there is a rejection, and the procedure sets deadlines for individual sections, without guaranteeing a total duration until work begins. An adaptation course or an examination is not subject to these deadlines.<\/p>\n<h3>EU, EEA and Switzerland: no residence permit, but not always free of charge<\/h3>\n<p>Nationals of the EU, the EEA and Switzerland do not need a residence permit to work in Germany, and there is no fee for ordinary residence. However, documentation of residence is not entirely free of charge.<\/p>\n<ul>\n<li><strong>Swiss citizens<\/strong>\u00a0According to \u00a7 28 of the AufenthV, they are exempt from the requirement of a residence permit. Upon request, their right to stay is confirmed by a residence permit in the form of a chip card. The fee under \u00a7 52, paragraph 2 of the AufenthV corresponds to the fee for a German personal identity card, currently 46 euros and 27.60 euros when applied for before the age of 24. A border crossing card costs 8 euros.<\/li>\n<li><strong>Union citizens<\/strong>\u00a0No document is required for the stay. A certificate of permanent residence costs 10 euros under \u00a7 47, paragraph 3 of the AufenthV.<\/li>\n<\/ul>\n<p>From a professional perspective, this does not change anything: the recognition of the qualification and the permission to use the professional title are required in all cases.<\/p>\n<p>For further information,\u00a0<a href=\"https:\/\/www.talentorbit.de\/en\/employer\/accelerated-specialist-procedure\/\">Accelerated skilled worker procedure under \u00a7 81a AufenthG<\/a><\/p>\n<h2>Example: selected recognition and entry fees in North Rhine-Westphalia<\/h2>\n<p>The following list is an\u00a0<strong>Model calculation for illustration<\/strong>, It does not offer or predict a specific case; it includes selected positions, not the entire process, and deliberately mixes two levels because employers pay for both.<\/p>\n<p><strong>Assumptions:<\/strong>\u00a0a nursing professional with a third-country qualification, employment in North Rhine-Westphalia, equivalence examination with a deficit decision, compensation through the knowledge examination, accelerated professional qualification procedure used, additional language examination required, no GfG expert opinion necessary.<\/p>\n<table>\n<thead>\n<tr>\n<th scope=\"col\">Position<\/th>\n<th scope=\"col\">Level<\/th>\n<th scope=\"col\">Amount<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Equivalence assessment, District Government M\u00fcnster<\/td>\n<td>Recognition<\/td>\n<td>150,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>Organization of the knowledge test, two parts<\/td>\n<td>Recognition<\/td>\n<td>40,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>Decision following successful settlement measure<\/td>\n<td>Recognition<\/td>\n<td>37.50 to 87.50 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>Permission to hold the professional title with a language test<\/td>\n<td>Recognition<\/td>\n<td>80,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>Accelerated skilled worker procedure<\/td>\n<td>Stay<\/td>\n<td>411,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>National visa<\/td>\n<td>Stay<\/td>\n<td>75,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<td>Residence permit, issuance<\/td>\n<td>Stay<\/td>\n<td>100,00 \u20ac<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\"><strong>Total amount of these positions<\/strong><\/th>\n<td><\/td>\n<td><strong>893.50 to 943.50 \u20ac<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Not included and to be added depending on the case: an expert opinion from the GfG, the examination costs of the nursing school, expenses for the authorities, translations and certifications, and everything else that is mentioned in the next section.<\/p>\n<h2>The positions that determine the budget<\/h2>\n<p>None of the following positions are included in a fee schedule, and together they exceed the fees by a multiple.<\/p>\n<ul>\n<li><strong>Expert opinion of the Expert Committee for Health Professions,<\/strong>\u00a0if the authority so instructs. 145, 417 or 515 euros, depending on the type of opinion.<\/li>\n<li><strong>Translations and certifications.<\/strong>\u00a0According to the scope and origin of the documents.<\/li>\n<li><strong>Examination costs of the nursing school.<\/strong>\u00a0See above; according to Hamburg\u2019s figures, this amounts to about 800 euros in total.<\/li>\n<li><strong>Adaptation course.<\/strong>\u00a0After notification and educational institution.<\/li>\n<li><strong>Language courses up to B2 and beyond.<\/strong>\u00a0To the initial level. From A2 to B2, there is several months of course work; from B1, significantly less. This is the biggest leverage you have when choosing.<\/li>\n<li><strong>Flight and initial equipment.<\/strong>\u00a0By country of origin and agreement.<\/li>\n<li><strong>Apartment and onboarding.<\/strong>\u00a0After the housing market and the support model.<\/li>\n<li><strong>Your own personal time.<\/strong>\u00a0Practical guidance, exemption from courses, exams and government appointments, HR coordination, mentoring.<\/li>\n<li><strong>Placement fee<\/strong>, If you work with an agency, by profession, number of positions and scope of services provided.<\/li>\n<\/ul>\n<h2>A lever that can save effort<\/h2>\n<p>In cases involving graduates from third countries, Section 40(3a) of the PflBG opens up a second option: the professional can forgo the individual equivalence assessment and proceed directly to the knowledge assessment or adaptation course. The documented benefits include fewer documents, less translation effort, and a shorter processing time.<\/p>\n<p>A cheaper overall route is therefore not guaranteed. The omission leads directly to an offsetting measure, which in turn incurs costs, and it is\u00a0<strong>finally<\/strong>. He cannot withdraw it. Therefore, this decision should be at the beginning of the proceedings and not in the middle of it.<\/p>\n<h2>Who bears which costs<\/h2>\n<p>There is no uniform legal cost allocation. Which side bears which position is determined by the respective relevant legal requirements and effective contractual agreements. There is therefore room for negotiation, but not unlimited: individual positions are legally excluded from being shifted to the professional.<\/p>\n<p>The \u201eFair Recruitment for Care in Germany\u201c seal serves as a guideline beyond the negotiation process. It works in conjunction with the\u00a0<strong>Employer Pays Principle<\/strong>The costs of recruitment and the procedure are borne by the employer, not the skilled worker recruited. This standard is binding only for certified placements, and it is not a legal requirement. It remains a useful reference point for one's own agreement.<\/p>\n<h3>The commission for placement and the costs of training are not the same thing<\/h3>\n<p>This distinction is crucial for contract drafting, and it is often overlooked.<\/p>\n<p><strong>The brokerage commission.<\/strong>\u00a0A pre-formulated clause requiring the professional to reimburse a brokerage commission paid by the employer to a third party if they terminate the employment relationship themselves before the expiration of a deadline is invalid. The Federal Labour Court decided so in a judgment of June 20, 2023 (1 AZR 265\/22), and assessed the clause as an unfair disadvantage under \u00a7 307, paragraph 1, sentence 1 of the German Civil Code (BGB). The reasoning: The clause impairs the freedom of choice of workplace protected by Article 12, paragraph 1 of the Basic Law on the Constitution of the Federal Republic of Germany (Grundgesetz der Bundesrepublik Deutschland), since the employer bears the entrepreneurial risk of its personnel recruitment itself, and the professional does not receive any benefit that would compensate for this impairment.<\/p>\n<p><strong>Training and qualification costs.<\/strong>\u00a0Here things are different, and the court also states why in the same decision: Unlike in the case of a brokerage commission, the professional gains an advantage through qualification that is independent of the duration of the employment relationship and can also be used with another employer. Therefore, reimbursement clauses for qualification costs are not inherently invalid. However, they are subject to their own requirements regarding the duration of the binding period, proportionality, and differentiation based on the reason for termination, and must be examined from a labor law perspective before being included in the contract.<\/p>\n<p>For the written agreement, this means: Separate the positions according to Art. Which costs your facility covers is included. A refund of the brokerage commission in the event of early termination does not belong here.<\/p>\n<h2>Funding: Who can apply for funding<\/h2>\n<p>There is much talk about funding programs, but they are rarely properly identified. What matters is not whether there is funding, but\u00a0<strong>who is allowed to apply for them<\/strong>\u00a0and what position it actually covers.<\/p>\n<h3>Continuing education support from the Federal Employment Agency<\/h3>\n<p>This benefit under \u00a7\u00a7 81 and 82 of the Social Security Act III consists of two separate benefits that are allocated differently. The benefit for course costs is linked to the employed person and their participation in the measure. The allowance for wage compensation is granted to the employer. For several comparable qualified employees, the employer may submit a collective application under the statutory requirements.<\/p>\n<ul>\n<li><strong>Course costs.<\/strong>\u00a0With an adaptation qualification, the Federal Agency can fully cover the course costs in businesses with fewer than 50 employees, half in businesses with 50 to 499 employees and a quarter in larger ones. In businesses with fewer than 500 employees, the self-contribution can be waived in addition if the employee is 45 years of age or older or is severely disabled at the start of the measure. This improvement only applies to the course costs.<\/li>\n<li><strong>Grant for labor compensation<\/strong>\u00a0for the qualifying period, graded according to the size of the business with 75, 50 and 25 percent. For employees without an officially recognized vocational qualification, the grant may be higher under the statutory requirements and may amount to the full amount of the paid wage, including the employer's share of social security contributions.<\/li>\n<\/ul>\n<p>These percentages are maximum limits within the legal requirements and are not a commitment. Whether and how much funding is provided is decided on a case-by-case basis by the Federal Employment Agency. The size of the business is measured according to the entire company and, if applicable, the group of companies, not according to the individual unit. Furthermore, a measure of more than 120 hours of instruction is required, as well as a measure approved by AZAV at an approved provider.<\/p>\n<p><strong>The timing decides.<\/strong>\u00a0The advice provided by the Employment Agency and the education voucher must\u00a0<em>before<\/em>\u00a0The start of the measure is known. If the professional is only sent to the adaptation training program after submitting the application, they will no longer be eligible for funding for this measure. The contact person is the employer service.<\/p>\n<h3>Federal professional language courses<\/h3>\n<p>For care professionals undergoing the recognition process, \u00a7 45a AufenthG provides for a special course for health professions with a target level of B2. Eligible participants include employees and individuals with signed employment contracts, as well as individuals who attend the course in conjunction with the recognition process.<\/p>\n<p>The federal government funds the courses. A cost contribution equal to half of the reimbursement rate applies only to a portion of the participants, and the employer can cover it.\u00a0<strong>Liberated<\/strong>\u00a0are, according to the German Language Promotion Ordinance, in particular:<\/p>\n<ul>\n<li>Employees who receive benefits under the Asylum Seeker Benefits Act, the SGB II or the SGB XII in addition to that, or who are entitled to unemployment benefits:,<\/li>\n<li>Trainees and participants in an entry-level qualification for which the course is free of charge,<\/li>\n<li>Employees with lower income whose gross salary does not exceed a threshold linked to the contribution threshold of general pension insurance. The threshold increases if children are taken into account.<\/li>\n<\/ul>\n<p>Those who pay the contribution will receive half of it back within two years upon successful certification of their qualifications upon request. The contribution and exemption rules were changed in 2026, which is why the current amount and income threshold can be requested from the Federal Office for Migration and Refugees or the course provider.<\/p>\n<h3>Federal recognition grant<\/h3>\n<p><strong>Only natural persons are eligible to apply.<\/strong>, Not the employer. The professional must have their habitual residence in Germany and fall within the income limits, currently 32,000 euros for single people and 50,000 euros for cohabiting spouses or life partners.<\/p>\n<p>Up to 600 euros are funded for the recognition process and up to 3,000 euros for qualification, including adaptation courses and preparation for aptitude or knowledge tests. Examination fees are generally eligible for funding.<\/p>\n<p>Three exclusions are important for budget planning because they relate to the positions listed in the tables above.<\/p>\n<ul>\n<li><strong>Language courses and their exam fees<\/strong>\u00a0are explicitly not eligible for funding.<\/li>\n<li><strong>Fees that are incurred for professional licensing<\/strong>, The license to use the professional title is exactly what the care sector requires; therefore, its fee is not covered by the funding scheme.<\/li>\n<li>The additional fixed amount for one\u00a0<strong>Qualitative analysis<\/strong>\u00a0It is based on \u00a7 14 of the BQFG and \u00a7 50c, paragraph 4, of the HwO regarding nursing care. It is generally not applicable to nursing care because \u00a7 40, paragraph 4, of the PflBG declares the professional qualification determination law inapplicable, with the exception of \u00a7 17. If documentation is missing without the fault of the professional, the path to nursing care involves a knowledge test or an adaptation course.<\/li>\n<\/ul>\n<p>The application must be submitted before the start of the cost-causing measure. The directive runs until the end of 2028; applications are possible until June 30, 2027.<\/p>\n<h3>IQ funding program<\/h3>\n<p>Funded by the federal government and the EU, in the 2026-2028 funding round. IQ advises on recognition and qualification, conducts qualifications, and explicitly targets companies and their employees as well. Money does not flow to the employer here, but there is certainly funding for advice and qualification places.<\/p>\n<p>In addition, the federal states are developing their own programs. These often change, which is why the exam should be project-specific and not based on a list.<\/p>\n<h2>Checklist for budget planning<\/h2>\n<ul>\n<li>Determine the federal state and consult the published fees from the competent authority for the respective rates and guidelines.<\/li>\n<li>Clarify whether equivalence and permission are calculated separately in the country and whether two authorities are involved.<\/li>\n<li>Check whether a GfG report is expected and ask the relevant authority for the amount.<\/li>\n<li>Decide on the recognition path, including the question of \u00a7 40, paragraph 3a of the PflBG, namely before the first payment.<\/li>\n<li>Determine the candidate's language proficiency and quantify the difference from the required level in months and course costs.<\/li>\n<li>Apply for funding from the Employment Agency before a measure begins.<\/li>\n<li>The professional must name the recognition allowance, which only they themselves can apply for.<\/li>\n<li>Maintain internal personnel time as a separate budget item.<\/li>\n<li>In writing, record what costs your facility will cover and what applies in the event of early termination.<\/li>\n<\/ul>\n<h2>Frequently Asked Questions<\/h2>\n<h3>What does the recognition of a foreign nursing qualification cost?<\/h3>\n<p>The fees charged by the states for third-country qualifications in the seven federal states compared here range from around 80 to about 350 euros for the equivalence examination and permit itself, with North Rhine-Westphalia also charging more depending on the administrative workload involved. In addition, depending on the case, there is a fee from the medical profession review body, costs for the compensatory measure, translations, and, for third-country nationals, the residence-related regulatory fees.<\/p>\n<h3>Why do the fees differ from state to state?<\/h3>\n<p>Because the states are responsible for recognition in the care professions and each country has its own fee regulations. They differ not only in amount but also in the average: Berlin charges a fee for the entire procedure, other countries charge the equivalence decision and the certificate separately, and in North Rhine-Westphalia two authorities are involved with their own fees. The recognition granted once then applies nationwide.<\/p>\n<h3>What does the proficiency test cost?<\/h3>\n<p>In none of the audited country regulations is it included as a fee charge, because the examination is usually taken and invoiced by a nursing school. The Hamburg Social Services Authority\u2019s brochure usually lists approximately 300 euros for the oral part and approximately 500 euros for the practical part; these amounts are based on a separate figure from December 2023. The 20 euros per examination section in North Rhine-Westphalia represent the fee for the organization by the authority, not the price of the examination itself.<\/p>\n<h3>Which funding can our institution apply for itself?<\/h3>\n<p>The continuing education funding under \u00a7\u00a7 81 and 82 of the Social Security Act III is intended to support participation in a qualification, and the allowance for the employee\u2019s wage is paid to the employer. For several comparable qualified employees, a collective application is possible. The percentages are maximum limits within the statutory requirements; there is no commitment, and advice and education vouchers must be available before the start of the measure. The Federal recognition grant can only be applied for by the professional themselves, and the fee for the license to use the professional title is excluded from this.<\/p>\n<h3>Are all fees from these tables eligible for funding?<\/h3>\n<p>No. The recognition allowance excludes fees that are incurred for professional certification and thus the permission to use the professional title. Language courses and their examination fees are also excluded. Examination fees are, by the way, eligible for funding.<\/p>\n<h3>Does the waiver of the equivalence test reduce costs?<\/h3>\n<p>It reduces the workload for documents, notarizations, and translations and speeds up processing. The overall process is not automatically made more favorable as it directly leads to an offsetting measure. What is crucial is that the waiver under \u00a7 40, paragraph 3a PflBG is final.<\/p>\n<h3>Does the fee for the accelerated procedure also apply if the application is rejected?<\/h3>\n<p>Yes. The 411 euros are collected under \u00a7 47, paragraph 1, no. 15 of the AufenthV for the conduct of the proceedings, regardless of the outcome. The procedure is voluntary.<\/p>\n<h3>Can we reclaim the brokerage commission if the professional leaves early?<\/h3>\n<p>No, not through a pre-formulated contractual clause. The Federal Labour Court ruled with a judgment of June 20, 2023 (1 AZR 265\/22) that such a clause is invalid under \u00a7 307, paragraph 1, sentence 1 of the German Civil Code (BGB). The employer bears the entrepreneurial risk of its personnel recruitment itself, and the professional receives no countervailing benefit through the commission. This does not apply to qualification costs in the same way, because the professional gains a transferrable advantage there. Such reimbursement clauses are subject to their own requirements and are subject to labor law review.<\/p>\n<h3>Do EU, EEA and Swiss citizens not have to pay any fees?<\/h3>\n<p>They do not need a residence permit for employment, and there is no fee for ordinary residence. However, documentation is not free of charge on a continuous basis. Swiss nationals who obtain their right of residence as a chip card pay the fee for a German personal identity card in accordance with \u00a7 52, paragraph 2 of the AufenthV, currently 46 euros and 27.60 euros before the age of 24. A certificate of permanent residence for Union citizens costs 10 euros. Professional recognition is required in all cases.<\/p>\n<h3>Are the costs tax-deductible?<\/h3>\n<p>For the employer, adopted procedural, qualification and language costs are generally operating expenses. How to treat the individual case, in particular the question of whether there is a tax-deductible benefit for the professional, is a matter for tax advice.<\/p>\n<h2>Clarify the cost framework for your case<\/h2>\n<p>Tell us which state you are hiring in, from which country the professional comes and what level of language knowledge they have. This will determine which fees apply, which recognition pathway is appropriate, and which funding is available. The consultation is free of charge and there is no obligation to proceed.<\/p>\n<p><a href=\"https:\/\/www.talentorbit.de\/en\/contact\/\"><strong>Discussing cost framework<\/strong><\/a><\/p>\n<p>Further information:\u00a0<a href=\"https:\/\/www.talentorbit.de\/en\/hiring-nurses-from-abroad\/\">Hiring care workers from abroad: the complete guide<\/a>\u00a0\u00b7\u00a0<a href=\"https:\/\/www.talentorbit.de\/en\/recognition-of-foreign-degrees-in-germany\/\">Recognition of foreign qualifications<\/a>\u00a0\u00b7\u00a0<a href=\"https:\/\/www.talentorbit.de\/en\/knowledge-test-nursing\/\">nursing knowledge examination<\/a>\u00a0\u00b7\u00a0<a href=\"https:\/\/www.talentorbit.de\/en\/deficit-notice-care\/\">Deficit notice<\/a>\u00a0\u00b7\u00a0<a href=\"https:\/\/www.talentorbit.de\/en\/nursing-recruitment-abroad\/\">Personnel recruitment nursing<\/a><\/p>\n<h2>Sources<\/h2>\n<p><strong>Fees of the L\u00e4nder<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/service.berlin.de\/dienstleistung\/331593\/\" target=\"_blank\" rel=\"nofollow noopener\">Berlin, recognition of foreign professional qualifications (third country) as a nursing professional, 164 euros<\/a><\/li>\n<li><a href=\"https:\/\/rp.baden-wuerttemberg.de\/themen\/bildung\/ausbildung\/seiten\/faq-pflege-gesundheitsfachberufe\/allgemeines\/\" target=\"_blank\" rel=\"nofollow noopener\">State Office of the Mayor of Stuttgart, FAQ Care and Health Professions, \u201eWhat does the recognition cost?\u201c<\/a><\/li>\n<li><a href=\"https:\/\/www.brms.nrw.de\/themen\/gesundheit-und-soziales\/zentrale-anerkennungsstelle-fuer-gesundheitsberufe\/zag-pug\/faq\" target=\"_blank\" rel=\"nofollow noopener\">M\u00fcnster District Government, Central Recognition Authority for Health Professions in NRW, FAQ on fees and expert opinions<\/a><\/li>\n<li><a href=\"https:\/\/recht.nrw.de\/lrgv\/rechtsverordnung\/25042026-allgemeine-verwaltungsgebuehrenordnung-nrw-avwgebo-nrw\/\" target=\"_blank\" rel=\"nofollow noopener\">General Administrative Fees Ordinance of NRW, Tariff Item 12.1.3<\/a><\/li>\n<li><a href=\"https:\/\/verkuendung.hessen.de\/sites\/verkuendung.hessen.de\/files\/veroeffentlichungsplattform_plugin\/published\/1268\/GVBl_2026_Nr_11_Regelungstext.pdf\" target=\"_blank\" rel=\"nofollow noopener\">Hessen, GVBl. 2026 No. 11, Section 12 Professional occupations in the health sector<\/a><\/li>\n<li><a href=\"https:\/\/soziales.niedersachsen.de\/download\/227442\/Hinweisblatt_zum_Anerkennungsverfahren.pdf\" target=\"_blank\" rel=\"nofollow noopener\">Lower Saxony, information sheet on the recognition procedure<\/a><\/li>\n<li><a href=\"https:\/\/lsjv.rlp.de\/fileadmin\/lsjv\/Themen\/Gesundheit\/Gesundheitsberufe\/NA-Heilberufe\/AB_Antrag_GB_Pflege.pdf\" target=\"_blank\" rel=\"nofollow noopener\">Rheinland-Pfalz, LSJV, application and information Health professions Nursing, as of April 2025<\/a><\/li>\n<li><a href=\"https:\/\/www.lfp.bayern.de\/anerkennung\/pflegefachkraft\/\" target=\"_blank\" rel=\"nofollow noopener\">Bavarian State Office for Nursing, Recognition as a Nursing Professional<\/a><\/li>\n<\/ul>\n<p><strong>Examinations and legal basis<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.gesetze-im-internet.de\/pflbg\/__40.html\" target=\"_blank\" rel=\"nofollow noopener\">\u00a7 40 PflBG, equivalence of foreign professional qualifications<\/a><\/li>\n<li><a href=\"https:\/\/www.gesetze-im-internet.de\/pflaprv\/__45.html\" target=\"_blank\" rel=\"nofollow noopener\">\u00a7 45 PflAPrV, content and implementation of the knowledge test<\/a><\/li>\n<li><a href=\"https:\/\/www.hamburg.de\/politik-und-verwaltung\/behoerden\/sozialbehoerde\/einrichtungen\/lpa\/pflegefachkraefte-31534\" target=\"_blank\" rel=\"nofollow noopener\">Social Office Hamburg, Information leaflet on aptitude and knowledge tests under the Nursing Professions Act, as of 05\/2026<\/a><\/li>\n<li><a href=\"https:\/\/www.gesetze-im-internet.de\/aufenthv\/__45.html\" target=\"_blank\" rel=\"nofollow noopener\">Sections 45 to 47 of the AufenthV, fees for residence permits, visas and expedited procedures<\/a><\/li>\n<li><a href=\"https:\/\/www.gesetze-im-internet.de\/aufenthv\/__52.html\" target=\"_blank\" rel=\"nofollow noopener\">\u00a7 52 AufenthV, Exemptions and Discounts, Paragraph 2 for Swiss Nationals<\/a><\/li>\n<li><a href=\"https:\/\/www.kmk.org\/zab\/zentralstelle-fuer-auslaendisches-bildungswesen\/ueber-die-zab.html\" target=\"_blank\" rel=\"nofollow noopener\">Conference of Federal Ministers of Education, about the ZAB and the Expert Committee for Health Professions<\/a><\/li>\n<\/ul>\n<p><strong>Promotion and standards<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.gesetze-im-internet.de\/sgb_3\/__82.html\" target=\"_blank\" rel=\"nofollow noopener\">\u00a7 82 SGB III, promotion of the further education of employees<\/a><\/li>\n<li><a href=\"https:\/\/www.arbeitsagentur.de\/unternehmen\/finanziell\/foerderung-von-weiterbildung\" target=\"_blank\" rel=\"nofollow noopener\">Federal Employment Agency, funding of further training for companies<\/a><\/li>\n<li><a href=\"https:\/\/www.bamf.de\/DE\/Themen\/Integration\/Arbeitgeber\/DeutschBeruf\/deutsch-beruf-node.html\" target=\"_blank\" rel=\"nofollow noopener\">BAMF, vocational language courses for employers<\/a><\/li>\n<li><a href=\"https:\/\/www.anerkennung-in-deutschland.de\/assets\/content\/Medien_Dokumente-Fachpublikum\/pro-anerkennungszuschuss-richtlinie-2025.pdf\" target=\"_blank\" rel=\"nofollow noopener\">Directive on recognition allowance, BAnz AT 09.01.2025 B1<\/a><\/li>\n<li><a href=\"https:\/\/netzwerk-iq.de\/\" target=\"_blank\" rel=\"nofollow noopener\">IQ program, integration through qualification<\/a><\/li>\n<li><a href=\"https:\/\/www.faire-anwerbung-pflege-deutschland.de\/\" target=\"_blank\" rel=\"nofollow noopener\">Fair Recruitment Quality Label Germany<\/a><\/li>\n<li><a href=\"https:\/\/www.bundesarbeitsgericht.de\/entscheidung\/1-azr-265-22\/\" target=\"_blank\" rel=\"nofollow noopener\">BAG, Judgment of 20 June 2023, 1 AZR 265\/22, on the reimbursement of a personnel placement commission<\/a><\/li>\n<\/ul>\n<p><em>Status: October 2026. The overview covers seven federal states and is not a complete comparison of all sixteen. Fees, funding conditions, and responsibilities are subject to change. Several of the linked country pages do not have an updated date, and individual amounts are indicated by the authorities themselves as guidelines. In each individual case, the information provided by the competent authority is decisive. This article provides an overview and does not replace legal, labor law, or tax advice in individual cases.<\/em><\/p>","protected":false},"excerpt":{"rendered":"Was kostet es, eine ausl\u00e4ndische Pflegequalifikation in Deutschland anerkennen zu lassen? Wer diese Frage stellt, bekommt meist eine Spanne \u00fcber mehrere Tausend Euro zu h\u00f6ren, ohne Aufschl\u00fcsselung und ohne Quelle. Dabei ver\u00f6ffentlichen die meisten Bundesl\u00e4nder ihre Geb\u00fchren, und sie lassen sich benennen. Teils als feste Betr\u00e4ge, teils als Spannen oder Richtwerte. Vergleichbar sind sie trotzdem&#8230; <a class=\"view-article\" href=\"https:\/\/www.talentorbit.de\/en\/kosten-anerkennung-pflege\/\">Read more<\/a>","protected":false},"author":5,"featured_media":1328,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[44],"tags":[],"class_list":["post-1327","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-internationale-berufskraftfahrer-rekrutieren"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Anerkennung Pflege: Kosten und Geb\u00fchren nach Bundesland<\/title>\n<meta name=\"description\" content=\"Geb\u00fchren der Anerkennung in der Pflege nach Bundesland, mit Quellen: Berlin, NRW, Hessen, Bayern, Niedersachsen, Rheinland-Pfalz, Baden-W\u00fcrttemberg.\" \/>\n<meta name=\"robots\" content=\"index, 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