OBJECTIVES: Home care (nursing) was introduced into the Hungarian basic health insurance package in 1996. The aim of our study is to analyze the geographical inequalities in the access to and utilization of that services in Hungary. METHODS: Data were derived from the nationwide administrative dataset of the National Health Insurance Fund Administration (OEP), the only health care financing agency in Hungary. The geographical inequalities in home care (nursing) services were measured by the number patients, visits and reimbursement according to 20 Hungarian counties. We analyzed the year 2011. RESULTS: The national average number of patients was 51 patients / 10000 population. We found the highest patient number in county Zala (67), Jász-Nagykun-Szolnok (63) and Baranya (62), while the lowest number in county Békés (43), Somogy (43) and Szabolcs-Szatmár-Bereg (28). The national average number of home visits was 1193 visits / 10000 population. We found the highest number of visits in county Nógrád (1494), Tolna (1385) and Fejér (1377), while the lowest number in county Somogy (1138), Csongrád (1106) and Szabolcs-Szatmár-Bereg (678). The national average of reimbursement per patient was 65345 Hungarian Forint (HUF) or 234 Euro (EUR) / patient. We found the highest reimbursement per patient in county Nógrád (87879 HUF, 315 EUR), Fejér (80851 HUF, 290 EUR) and Békés (77643 HUF, 278 EUR), while the lowest reimbursement county Budapest (58859 HUF, 211 EUR), Jász-Nagykun-Szolnok (55757 HUF, 200 EUR) and Zala (54924 HUF, 197 EUR). CONCLUSIONS: We found significant differences measured by all the three indicators in home care (nursing) services in Hungary. Our results revealed that there are important inequalities both in the access to and utilization of home care services.