Health Insurance in Germany

Health Insurance in Germany

  • Application & management 100% online

  • Optical & dental care

  • Free 24/7 telemedicine services

Depending on their status and income level, German nationals and residents can choose between the public or the private health insurance system. How contributions are calculated and what type of care is covered will vary based on the option.

Health Insurance in Germany

How does the healthcare system work in Germany?

The German healthcare system is based on a hybrid model. In principle, enrolment in the system is mandatory except for certain categories of workers:

  • Self-employed

  • Civil servants

  • Employees whose annual gross income is above a threshold defined each year (€64,350 in 2022, or US$73,475) 

The latter have the choice of voluntarily joining the public health insurance system (Gesetzliche Krankenversicherung or GKV) or opting for a fully private health insurance plan (Private Krankenversicherung or PKV). 

In the first case, they enjoy the guarantees and the care benefits provided by the public health system, specifically: 

  • GP consultations with the physician chosen by each insured person from among the GKV's approved doctors (Vertragsärzte)

  • Consultations with a specialist, again listed under the system

  • Hospitalisation on physician's referral (except for emergencies) in all approved public establishments, excluding comfort costs (double or single room)

  • Dental care (prosthetic care is only covered at 50-60% of the reference rate for those over 18)

The option of private health insurance generally allows the insured to benefit from more extensive coverage, from care provided by private-system doctors (Privatarzt)―in private practice or in hospital―from additional dental care, or even from care excluded by the GKV (vision, alternative medicine, etc.). 

How to choose health insurance in Germany: local or international?

As contributions to the public insurance system are proportional to income, the choice of private insurance is often more competitive above a certain income threshold.

The choice of a private insurer is then completely free: it can be a German insurance company as well as an international health insurer, whose guarantees and services are generally more comprehensive and adapted to the needs of expats.  

> Good to know: 

  • The private insurance option is binding, meaning that the possibility of returning to the public insurance system is then very limited. 

  • In the event of enrolling in the public healthcare system, it may be advisable to take out additional private insurance, possibly international.

What is the cost of healthcare in Germany?

Examples of reimbursements with MyHealth International COMFORT in relation to the cost of care in Germany in the private sector*.

  • GP consultation
    • €0.00
    • €70.00
  • Vision care (per pair of glasses, based on prescription)
    • €0.00
    • €250.00
  • Dental scaling
    • €0.00
    • €120.00
  • Out-of-pocket expenses
  • APRIL International

Care in Germany

Choosing hospitals in Germany

Germany is one of the best-endowed European countries in terms of hospital facilities, with a highly developed private sector. The official directory of German hospitals provides a complete list of facilities, and it allows users to conduct searches based on various criteria.

Many community and hospital doctors work under a double role: government contracted and private practice. Accordingly, they treat different profiles of insured persons and therefore apply different rates. Waiting times for patients seen as “private patients” are often shorter.

Health facilities


Vivantes Clinic in Friedrichshain

+49 30 130230

Local call rates apply


St. Joseph's Hospital

+49 30 78820

Local call rates apply


Evangelische Elisabeth Clinic

+49 30 25061

Local call rates apply

Emergency Numbers in Germany

  • 112
    European Emergency Number, Police and Fire department
  • 030 31 00 31
    Medical Emergencies
  • 030 197 27
    Emergency Medical Services

Why choose APRIL International

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