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Health Insurance and Healthcare in Germany Explained

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  • Daiki Saito

    When my company decided to send me to Essen, I took a quick look at the local community and said: Please do!

The ins and outs of health insurance and medical care in Germany may be confusing at first. This guide will cover everything you need to know about public and private health insurance, with tips on finding a doctor and information on hospital stays in Germany.

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How does health insurance work in Germany?

There are two types of health insurance in Germany: gesetzliche Krankenversicherung (public or statutory health insurance) and private Krankenversicherung (private health insurance). It카지노 게임 컬렉션™s a legal requirement to have some form of health coverage, whether public or private.

If you need a visa to come to Germany or a residence permit to stay in the country, you usually have to show proof of healthcare coverage. It must be valid for the entire duration of your planned stay and needs to meet the stanยฌdards of German statutory health insurance.

If you are a foreign student enrolled at a German school or university, you카지노 게임 컬렉션™re covered by public health insurance and benefit from a reduced contribution rate. However, you can opt out and choose private health insurance instead.

As a foreign national taking up employment subject to social security contributions in Germany, you카지노 게임 컬렉션™re required to join the statutory health insurance system. You can switch to private health insurance if your income exceeds 73,800 EUR p.a. (as of 2025).

For EEA citizens working as freelancers, statutory health insurance is required if you were previously insured in a public health system in your home country. If you were privately insured, you need to take out private health insurance in Germany as well.

There can be exceptions to signing up for health insurance in Germany if you have special status (e.g., you카지노 게임 컬렉션™ve been transferred to Germany for a limited period).

How to get health insurance in Germany

Within the public and private sectors, you can choose your health insurance provider freely. Every public health insurance provider has to accept you, no matter your employment or health situation. Meanwhile, private health insurance providers require a health assessment, which will determine your contributions and the plan they카지노 게임 컬렉션™ll offer you.

Public health insurance in Germany

Roughly 90% of the population in Germany have statutory health insurance. There are almost 100 public health insurance providers (gesetzliche Krankenkassen), on both regional and national levels.

You can find a list and further information on the website of the association of public health insurance providers .

While statutory coverage is the same among all of them, additional benefits may vary among providers. They can include free health apps, bonus point programs for regular health check-ups, reimbursement of certified sports programs, a doctor카지노 게임 컬렉션™s appointment service, etc.

Your employer in Germany will typically take care of registering you with the public health insurance provider of your choice, and your contributions will be automatically deducted from your salary. If you don카지노 게임 컬렉션™t have an employer, it카지노 게임 컬렉션™s your responsibility to register with and pay your chosen health insurance provider. You can do so once you카지노 게임 컬렉션™re officially registered at a German address.

How much does public health insurance in Germany cost?

The amount you pay each month is based on your income. Contributions are calculated at 14.6% on all earnings up to the contribution assessment ceiling of 5,512.50 EUR per month (as of 2025). Public health insurance providers also require a small additional contribution, which is on average 2.5% of your salary.

If you카지노 게임 컬렉션™re employed, your employer covers half of the total contribution. If you카지노 게임 컬렉션™re self-employed, you카지노 게임 컬렉션™re responsible for the full amount. In this case, your minimum contribution assessment base is 1,248.33 EUR per month (as of 2025), meaning you pay contributions on at least this amount if you카지노 게임 컬렉션™re enrolled in statutory health insurance.

The German Federal Ministry of Health has all the necessary information on on their website.

Private health insurance in Germany

As an employee, you can only switch to the private health insurance system if you earn at least 73,800 EUR (as of 2025) gross per year. There카지노 게임 컬렉션™s no such limitation if you카지노 게임 컬렉션™re self-employed.

Once you카지노 게임 컬렉션™re in the private health insurance system, switching back to public insurance is only possible under specific conditions, e.g., you카지노 게임 컬렉션™re an employee below 55 years of age and earning less than the above-specified 73,800 EUR; you카지노 게임 컬렉션™re receiving unemployment benefits; or you카지노 게임 컬렉션™re not working and joining your partner카지노 게임 컬렉션™s insurance.

If you choose to go the private route, you카지노 게임 컬렉션™ll have to go through the selection and application process without your employer카지노 게임 컬렉션™s help.

How much does private health insurance in Germany cost?

While you can choose freely from the more than 30 private providers in Germany, whether they accept you and which plan they카지노 게임 컬렉션™ll offer you at which rate depends on several factors, such as your age and any pre-existing health conditions.

Many insurance providers attract with cheap plans, but they may not provide the same level of coverage as statutory health insurance. On the other hand, a 카지노 게임 컬렉션œpremium plan카지노 게임 컬렉션 may not always be worth its high price tag.

All in all, the market is crowded and hard to navigate. Stiftung Warentest, Germany카지노 게임 컬렉션™s best-known consumer organization, offers independent and unbiased advice on for your individual needs. They also offer a downloadable PDF with detailed comparisons of 41 insurance plans in 2025 for a small fee.

Choosing between private and public health insurance in Germany

Whether public or private health insurance is the better option depends on your individual circumstances. The main factors to take into consideration are your planned length of stay in Germany, income, age, health, and family situation.

What's the difference?

The quality of medical treatment you카지노 게임 컬렉션™ll receive is the same, no matter if you카지노 게임 컬렉션™re privately or publicly insured. However, there카지노 게임 컬렉션™s a difference in how quickly you카지노 게임 컬렉션™ll receive non-emergency treatment, especially if you need to see a specialist.

This is because with public health insurance, there are fixed fees for most treatments and doctors can카지노 게임 컬렉션™t charge more than that. Private health insurances don카지노 게임 컬렉션™t have this cap, so doctors can charge two or three times as much for the same treatment. This leads to preferred treatment of privately insured patients when it comes to giving out appointments. But whether your private health insurance will reimburse you for a specific treatment depends on your coverage plan.

It카지노 게임 컬렉션™s important to note that in emergency situations, there카지노 게임 컬렉션™s no preferential treatment according to insurance type.

Another difference is the type and number of treatments you카지노 게임 컬렉션™ll receive. Public health insurance is regulated by law to ensure good quality and sufficient care for everyone. If you want treatment that카지노 게임 컬렉션™s beyond statutory coverage (e.g., alternative medicines, additional health screenings, some dental treatments), you either have to pay for it yourself or take out additional insurance (Zusatzversicherung).

Private health insurers pay for whatever is covered by your policy, which may be more or less than statutory health insurance. The downside is that doctors may offer you treatments that aren카지노 게임 컬렉션™t necessary because they can charge more.

In short, private health insurance offers advantages such as faster access to care, bespoke coverage, and potential cost savings for young, healthy, high-earning individuals. 온라인 카지노 게임s planning to leave Germany before high premiums kick in in old age may especially benefit from it.

Keep in mind that there카지노 게임 컬렉션™s no one-size-fits-all solution. The non-exhaustive overview of some key differences between the two systems below can help you decide what카지노 게임 컬렉션™s right for you.

The pros and cons of public and private health insurance in Germany

Eligibility

Public system: Open to everyone

Private system: Eligibility criteria apply (e.g., pre-existing health conditions)

Costs

Public system: Contributions depend on income (minimum and maximum rates apply); Family members (children and spouses without income) are insured for free

Private system: Individual rates based on coverage level as well as age and health upon entry, but it may increase over time; Family members need separate policies

Billing

Public system: Medical treatments and prescriptions are billed to the health insurance provider directly

Private system: Patients pay for treatments and medication, then submit claims for reimbursement

Coverage

Public system: Benefits are uniform across all providers but can be changed by law; prescription drugs are covered (a contribution of 5카지노 게임 컬렉션“10 EUR applies)

Private system: Benefits vary between insurers and policy types, but contractually agreed benefits are guaranteed for life

Treatment

Public system: Often long waiting times for non-emergency treatments

Private system: Usually fast access to appointments and all doctors (some only accept private patients)

For a more detailed overview, check out the .

German health insurance FAQs

What if I don카지노 게임 컬렉션™t have health insurance in Germany? To reside in Germany legally, you need to have health insurance that satisfies the standards of German statutory health insurance. It카지노 게임 컬렉션™s also not possible to take up employment without health insurance. In case of emergency, you카지노 게임 컬렉션™ll be treated, but you카지노 게임 컬렉션™ll have debts to repay. For all other non-emergency treatment, you카지노 게임 컬렉션™ll need to prove first that you can pay for it out of pocket. If you get health insurance after having resided in Germany for a while, you카지노 게임 컬렉션™ll be expected to pay for the months you missed.

Is health insurance free in Germany? How much does health insurance cost in Germany? You pay monthly contributions for health insurance coverage in Germany. If you카지노 게임 컬렉션™re employed and insured with a public provider, these contributions amount to at least 14.6% of your salary 카지노 게임 컬렉션” contributions are split equally with your employer and automatically deducted from your monthly salary. If you카지노 게임 컬렉션™re privately insured, the amount you pay each month depends on your coverage plan and certain factors such as age and health.

Do I need private health insurance in Germany? It카지노 게임 컬렉션™s not necessary to have private health insurance in Germany. If you need a visa to enter the country, you카지노 게임 컬렉션™ll need proof of health insurance that covers you during your stay in Germany. Once you카지노 게임 컬렉션™re a legal resident of Germany, you can sign up for the public health insurance system or choose to stay with private healthcare. The quality of medical care you카지노 게임 컬렉션™ll receive is the same, but privately insured patients usually get faster doctor appointments and more comfortable rooms in hospitals if available.

When you need to see a doctor in Germany

Unless it카지노 게임 컬렉션™s an emergency, your first point of contact is usually your Hausarzt (general practitioner). It카지노 게임 컬렉션™s highly recommended to find a trusted Hausarzt before you desperately need one, as some practices may not accept new patients when they카지노 게임 컬렉션™ve reached capacity, and waiting times may be long.

Your Hausarzt will take your medical history, arrange further tests, prescribe treatment and/or medication, or refer you to a specialist or hospital if necessary.

For most specialists, you need a referral from your Hausarzt before you can make an appointment. However, patients with private health insurance (Privatpatienten) or who pay for treatment out of pocket (Selbstzahler) can usually get an appointment with any doctor without referral.

How to find a doctor in Germany

General practitioners aren카지노 게임 컬렉션™t in short supply if you live in a decent-sized city in Germany. Every town center and residential area has several practices that can be reached by foot or public transportation. If you live in the countryside, you may need to travel to the next bigger town or find a Hausarzt that offers home visits.

An internet search will show you the nearest practices in your area. You can also use dedicated directories, such as or , that allow you to search by area and type of doctor. is a general business directory that includes doctors, and the official website of the city you live in often features a section listing doctors. And if you need a doctor who speaks your native language, you can contact your local embassy or consulate for advice.

A step-by-step guide to your doctor카지노 게임 컬렉션™s appointment in Germany

  • Always bring proof of health insurance when you visit a doctor in Germany. In most cases, this will be your health insurance ID card issued by your health insurance provider.
  • Plan ahead, especially if you카지노 게임 컬렉션™re a new patient. You may not get an appointment for several weeks.
  • If your case is urgent but not an emergency, you can go to your Hausarzt (GP) without an appointment, but be prepared to spend some time in the waiting room.
  • If you have a regular appointment with your Hausarzt, simply show up a few minutes in advance.
  • Check in at the reception and hand over your health insurance ID card. If you카지노 게임 컬렉션™re seeing a doctor for the first time, you may have to fill out a medical history questionnaire.
  • Your doctor in Germany may be rather assertive.
  • During the appointment, you may be asked to undress.
  • If you카지노 게임 컬렉션™d like to get more information on your condition, just ask.
  • After the examination, the receptionist will issue any required sick leave certificates, prescription slips, and schedule a follow-up appointment if necessary.
  • Prescriptions are handed out as a paper slip or digitally stored on your health insurance ID card. To get the required medication, you카지노 게임 컬렉션™ll need to present the slip or your card at a pharmacy.
  • If your insurance doesn카지노 게임 컬렉션™t cover the appointment and other needs, or if you카지노 게임 컬렉션™re privately insured, you카지노 게임 컬렉션™ll be sent a bill.

What to do in a medical emergency in Germany

  • In a potentially life-threatening emergency, call 112 for an ambulance.
  • In a non-life-threatening emergency where you need urgent medical assistance outside your doctor카지노 게임 컬렉션™s opening hours, call 116117 for the doctor카지노 게임 컬렉션™s emergency service (รคrztlicher Notdienst). They카지노 게임 컬렉션™ll be able to advice you on the nearest doctor on duty (Bereitschaftspraxis) or in severe cases may send a doctor to see you.
  • Depending on the emergency, you can also take a taxi to the nearest hospital with an Accidents & Emergencies Unit (Notaufnahme).
  • If you need over-the-counter medicine outside normal pharmacy hours, you can use the search function provided by or to find the nearest pharmacy on duty.

Hospitals in Germany

Every major city in Germany has at least one hospital. There are hospitals affiliated with universities, hospitals run by local authorities, hospitals run by orders of the church, and private clinics. Except for the latter, all hospitals have a contract with public health insurance providers, meaning you can be treated in any of them.

If you need to be admitted to hospital in Germany for non-emergency treatment, you카지노 게임 컬렉션™ll need a referral from your doctor, either your Hausarzt (GP) or a specialist who has treated you. If you카지노 게임 컬렉션™re privately insured, you don카지노 게임 컬렉션™t need this referral; however, you may be asked for proof that your insurance will cover your treatment before being admitted.

Getting dental treatment in Germany

Dental work in Germany can be expensive, and you often need to present a cost estimate to your insurance provider prior to getting treatment. It카지노 게임 컬렉션™s not always guaranteed that your insurance company agrees the work necessary, as they differentiate between cosmetic work and medical treatment. So they may not reimburse you or cover the full amount.

The percentage your insurance will pay depends on the type of coverage you카지노 게임 컬렉션™ve selected. Many Germans with public health insurance take out additional private health insurance coverage for dental treatment. This kind of top-up insurance option is called Zahnzusatzversicherung or Zahnschutz-Zusatzversicherung.

If you카지노 게임 컬렉션™re in the public system, your insurance recommends two dental check-ups per year. These are free of charge and allow you to collect 카지노 게임 컬렉션œbonus points카지노 게임 컬렉션 with your health insurance provider.

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