Getting insurance in Germany (2024)

Which insurance in Germany is necessary?

Health insurance

Health insurance (krankenversicherung) is compulsory in Germany if you live or work there. There is a dual system of public and private health insurance. You will be automatically covered by state health insurance (gesetzliche krankenversicherung – GKV) if youwork in Germanyand earn between €4,950 and €59,400 a year before tax, unless you are self-employed.

GKV also usually includes nursing care insurance (pflegepflichtversicherung). Employers cover half of the health insurance costs (excluding the supplementary charge) with a maximum contribution of€323.03 a month for health care and€56.42 a month for nursing care.

Getting insurance in Germany (1)

Private health insurance (privatekrankenversicherung – PKV) is also there for those not entitled to GKV and those who would prefer to take out a private plan.

Some of the largest German health insurance companies include:

You can compare private health insurance providers in Germany and get free quotes on our special health insurance page. Read our guide tohealth insurance in Germany for more information.

Work-related insurance

If you work in Germany, you automatically pay towards a few additional forms of insurance besides health insurance through social security contributions (sozialversicherungsbeiträge). These consist of:

  • Unemployment insurance (arbeitslosenversicherung) – payments split between employer and employee. This entitles you to unemployment benefits if you are out of work and meet certain criteria.
  • Statutory pension insurance (rentenversicherung) – German state pension. See the guide to pensions in Germany for more information.
  • Statutory accident insurance (gesetzliche unfallversicherung) – this is completely paid by the employer and covers treatment costs after work-related accidents or illnesses.

For more detailed information on these forms of insurance in Germany, see our guide to German social security.

Vehicle insurance

Car insurance (Kfz versicherung or autoversicherung) is mandatory for all drivers in Germany. You’ll need to show proof of up-to-date car insurance to register a car in Germany. As a matter of fact, this is necessary to get a valid license plate. Car insurance in Germany falls under one of three types:

  • Third-party liability (haftpflicht) – the minimum legal requirement, covering all damage to third parties and other vehicles in the event of an accident. It doesn’t cover damage to your own vehicle if the accident was your fault.
  • Partial coverage (teilkasko) – this covers third party liability plus damages to your vehicle caused by things such as theft attempts, fire damage and storm damage.
  • Comprehensive coverage (vollkasko) – this covers everything above plus damage to your own vehicle, even in cases where the accident was your fault.
Getting insurance in Germany (2)

Insurance costs increase in line with the amount of coverage you opt for. They depend on several factors including age, driving experience, driving record, and value of your vehicle. Germany, similar to many other countries, operates a no-claims bonus system meaning that insurance costs reduce the longer you go without having an accident. Car insurance providers in Germany include AXA and DA Direkt.

If you travel abroad and rent a car, it’s also a good idea to get additional insurance – companies offering this include Allianz Travel.

To ensure you get the best deal on car insurance, it’s a good idea to use a comparison website, such as Verivox. Here, you’ll be able to compare premiums from the biggest insurers in Germany. This will give you a better idea of what to expect. For more information on this and more, read our guide to car insurance in Germany.

Optional insurance in Germany

Personal liability insurance

Anyone living in Germany should consider taking out personal liability insurance (private haftpflichtversicherung). This covers injury or damage to other persons or their property. You can get single person coverage or choose to cover additional members of your family. This insurance does not cover damages caused by your car, however; you need to take out a separate vehicle insurance for this.

In German law, there is no limit to the amount someone can claim against you. Personal liability insurance helps avoid the risk of a nasty incident causing great financial harm. There are plenty of expat-friendly personal liability insurance options, including:

Generally speaking, costs are not too expensive for this type of insurance. Indeed, you’ll be able to find good comprehensive coverage for well under€100 a year, so shop around for the best coverage for you.

Household contents insurance

Household contents insurance (hausratversicherung) is not compulsory in Germany. However, you may find that it’s a requirement in rental contacts, especially in furnished properties. This insurance covers damage to the contents of your home due to things such as fire, mains water, storms, theft, and vandalism.

Costs vary depending on the value of your contents and how much you decide to cover. Basic policies are available for less than€50 a year. In Germany, the average cost of replacing all household goods is around€650/m2; it’s advisable to insure to at least this if you have valuable goods. Try to keep a list of all insured items (and receipts if possible) along with photos of more valuable items. In big cities, bicycle theft can be a problem. If you own an expensive bicycle, check whether this can be included or whether you need to take out an additional policy.

Expat-friendly insurance companies that also provide personal property and contents insurance in Germany include:

Property insurance

If you own or are buying a home in Germany, building insurance (wohngebaudeversicherung) is advisable to protect the property against damage from occurrences such as fire, water, storms, or vandalism. On the other hand, if you are renting property, this insurance should be taken out by the landlord.

Getting insurance in Germany (3)

Property insurance normally covers the building walls, floors, roof, basem*nt, and windows (check this as windows are not always covered). You can also include garages, sheds, built-in kitchens, or mailboxes for an additional cost.

Taking out building insurance involves providing the insurer with a lot of information on things such as building measurements, the date your home was built, and what building materials were used. Therefore it’s advisable to arrange an appointment with your insurance provider so that they can gather the correct information.

Personal accident insurance

Compulsory accident insurance is paid by the state to workers in Germany. However, the coverage is limited to accidents that occur at (or on the way to/from) work. To insure against injuries that occur out of work, many people take out private accident insurance (unfallversicherung).

This ensures that, in the event of a personal accident that limits your abilities long-term, all costs caused by the accident are covered. These costs can include, for example, care costs or alterations to your home or vehicle. It doesn’t include loss of earnings, which falls under the Occupational Disability Insurance.

When working out how much coverage to have with personal accident insurance, there are different insurance models that pay out different amounts depending on the extent of your disability in the event of an accident.

Different body parts have different values when calculating any pay-out, from loss of a finger (10%) to loss of sight in both eyes (100%). Your insurer will be able to explain the different options in full. Insurance payments are made either as a lump sum, in monthly installments or a combination of both depending on your tariff.

Occupational disability insurance

Occupational disability insurance (berufsunfähigkeit) covers income loss if you are no longer able to earn a living due to accident or injury. If you have been living in Germany for a while and paying into a pension, you will be able to claim a statutory reduced earnings capacity pension (erwerbsminderungsrente) but this only covers a small part of your income loss.

Private occupational disability insurance offers more comprehensive coverage, although the costs are high due to large numbers of people becoming unable to work. Premiums are based on age and risks associated with employment (e.g., roofers and aircraft pilots pay higher rates). Insurers also consider high-risk hobbies.

For an affordable disability insurance policy, check out Feather.

Life insurance

Life insurance (risikolebensversicherung) covers those left behind in the event of your death. Typically, this is your immediate family but it doesn’t have to be; you can choose who you want to be the beneficiary of the policy. The money is usually paid out in a lump sum and will take care of those financially dependent on you as well as cover outstanding payments such as mortgages and bank loans.

Costs are calculated based on age, medical status, and history, the insurance term (you can choose for payments to cover set periods) and the insurance sum itself. It’s a fairly inexpensive form of insurance and will pay out on most causes of death (unless self-inflicted). It’s one that should only really be considered by those with dependents and/or a mortgage, however.

Insurance companies offering this type of coverage include Feather.

Legal insurance

Legal insurance (rechtsschutzversicherung) covers legal costs such as solicitor and court fees should you end up being taken to, or taking someone else to, court. These costs can be very high; this is an insurance to consider if you don’t want to risk facing huge legal bills somewhere down the line. There are different areas that you can insure (e.g., private, traffic, work, and home). Premiums range from €170 a year to cover one area, to around€340 a year for comprehensive coverage.

If you’re looking for legal insurance in Germany, check out policies from Feather.

Nursing care insurance

If you have state health insurance in Germany, nursing care insurance (pflegepflichtversicherung) will normally be provided along with this. However, the maximum you can currently receive is €2,005 a month. Average nursing home costs in Germany are around €3,000 a month. This means that those with only statutory coverage could need to pay nearly €12,000 a year themselves. Fortunately, private nursing care insurance covers this difference. As it’s more of a supplementary top-up insurance, the premiums are not too expensive. They could end up saving you a lot of money in your later years.

Dental insurance

Residents who qualify to access public health services can use state dentistry in Germany. Otherwise, they can top up their public coverage with supplementary insurance. However, some practitioners only accept patients with private dental insurance. This covers the cost of almost all dental procedures. German companies offering dental insurance include:

Travel Insurance

If you’re planning on taking a trip outside Germany, getting travel insurance is always a good idea. Policies can cover the costs of repatriation, healthcare abroad, problems with rental cars, and cancellations. Many German insurers offer this type of coverage, including:

Health Insurance in Germany

In Germany, health insurance (krankenversicherung) is compulsory for residents and workers. There is a dual system of public and private health insurance. If you work in Germany and earn between €4,950 and €59,400 a year before tax, you will be automatically covered by state health insurance (gesetzliche krankenversicherung – GKV), unless you are self-employed. GKV usually includes nursing care insurance (pflegepflichtversicherung). Employers cover half of the health insurance costs, with a maximum contribution of €323.03 a month for health care and €56.42 a month for nursing care. Private health insurance (privatekrankenversicherung – PKV) is available for those not entitled to GKV or who prefer a private plan [[1]].

Work-Related Insurance

If you work in Germany, you will also contribute to additional forms of insurance through social security contributions (sozialversicherungsbeiträge). These include:

  • Unemployment insurance (arbeitslosenversicherung) - payments split between the employer and employee, providing unemployment benefits if certain criteria are met [[1]].
  • Statutory pension insurance (rentenversicherung) - the German state pension [[1]].
  • Statutory accident insurance (gesetzliche unfallversicherung) - completely paid by the employer, covering treatment costs for work-related accidents or illnesses [[1]].

Vehicle Insurance

Car insurance (Kfz versicherung or autoversicherung) is mandatory for all drivers in Germany. It is required to register a car and obtain a valid license plate. There are three types of car insurance in Germany:

  • Third-party liability (haftpflicht) - the minimum legal requirement, covering damage to third parties and other vehicles in an accident. It does not cover damage to your own vehicle if the accident was your fault.
  • Partial coverage (teilkasko) - covers third-party liability and damages to your vehicle caused by theft attempts, fire damage, and storm damage.
  • Comprehensive coverage (vollkasko) - covers everything above, including damage to your own vehicle even if the accident was your fault [[1]].

Optional Insurance in Germany

  • Personal liability insurance (private haftpflichtversicherung) - covers injury or damage to other persons or their property. It does not cover damages caused by your car. Costs for this type of insurance are generally affordable, with comprehensive coverage available for under €100 a year [[1]].
  • Household contents insurance (hausratversicherung) - not compulsory but often required in rental contracts. It covers damage to the contents of your home due to fire, water, storms, theft, and vandalism. Costs vary depending on the value of your contents and the coverage amount [[1]].
  • Property insurance (wohngebaudeversicherung) - advisable for homeowners to protect against damage from fire, water, storms, or vandalism. For renters, this insurance should be taken out by the landlord. Coverage typically includes building walls, floors, roof, basem*nt, and windows [[1]].
  • Personal accident insurance (unfallversicherung) - covers costs caused by personal accidents that limit your abilities long-term. Coverage options vary depending on the extent of disability and can include lump sum payments or monthly installments [[1]].
  • Occupational disability insurance (berufsunfähigkeit) - covers income loss if you are no longer able to earn a living due to accident or injury. Private occupational disability insurance offers more comprehensive coverage than the statutory reduced earnings capacity pension [[1]].
  • Life insurance (risikolebensversicherung) - covers those left behind in the event of your death. Costs are calculated based on age, medical status, insurance term, and the insurance sum [[1]].
  • Legal insurance (rechtsschutzversicherung) - covers legal costs such as solicitor and court fees. Premiums vary depending on the areas of coverage [[1]].
  • Dental insurance - residents who qualify for public health services can use state dentistry in Germany, but private dental insurance is available for additional coverage [[1]].
  • Travel insurance - recommended for trips outside Germany, covering repatriation, healthcare abroad, rental car problems, and cancellations [[1]].

Please note that the information provided is based on the search results and may not be exhaustive. It is always advisable to consult with insurance providers or professionals for specific insurance needs and requirements.

Getting insurance in Germany (2024)

FAQs

What happens if you can t afford health insurance in Germany? ›

You might get tired looks and face heftier bills down the line, but you won't be prosecuted. That said, the health insurance scheme is a mandatory part of the German social security system. Even without insurance, you must still make social security contributions.

How do I prove health insurance coverage for Germany? ›

You will usually need a European Health Insurance Card (EHIC) . Additionally, you will also need a certificate proving that you are not required to take out German statutory health insurance. This certificate is issued by the statutory health insurance providers in Germany.

Is it possible to live in Germany without health insurance? ›

Everyone living in Germany must have health insurance.

How good is health insurance in Germany? ›

Germany's health care system is often regarded as one of the best health care systems in the world, offering its population universal health insurance coverage and a comprehensive benefits basket with comparably low cost-sharing requirements.

Can I go to the doctor in Germany without health insurance? ›

What if I don't have health insurance in Germany? If you're visiting Germany and don't have health insurance in the country, you can still see a doctor. You will, however, have to find a private doctor and be responsible for the cost of the visit — a GP consultation without medical insurance costs from €30 to €60.

How do Germans pay for health insurance? ›

Today, Germany has a universal healthcare system that provides comprehensive coverage to all residents. The system is primarily financed through payroll-based contributions from employees and employers and income-based contributions for self-employed individuals.

How do unemployed get health insurance in Germany? ›

If you receive unemployment benefit I (ALG I), you are automatically covered by public health insurance (gesetzliche Krankenversicherung, short GKV), even if you were previously privately insured.

Is healthcare free in Germany for non citizens? ›

Health care insurance is mandatory in Germany - for citizens and for non-citizens. People who are employed in Germany have their premiums withheld by their employer. Those who are not employed (retirees, self-employed) are also obligated to be insured and have to pay their premiums themselves.

What kind of health insurance do I need in Germany? ›

If you earn under 69,300€ per year, you can only choose public health insurance. If you earn over 69,300€ per year, you can choose public or private health insurance. If you have a minijob, you can choose public or private health insurance. If you are a civil servant, you can choose public or private health insurance.

Is German healthcare free for Americans? ›

No, healthcare is NOT free in Germany. Every person that has any income beyond ca 400 Euros per month has to pay health insurance premiums.

Do Americans need health insurance in Germany? ›

Germany travel insurance requirements vary based on where you are traveling from and if you need a visa. Travel insurance is optional for U.S. citizens and other travelers who do not require a visa as long as they stay in Germany for less than 90 days.

How do expats get health insurance in Germany? ›

Apply for your insurance:

Public health insurance (GKV) application— while enrollment with public insurance is linked with employment, you're still free to select your public provider and submit an application form. It is important to notify your employer about your choice of providers.

Is 65000 a good salary in Germany? ›

A good annual gross salary in Germany is between €64,000 to €81,000.

What are the disadvantages of German healthcare system? ›

Cons
  • The extensive paperwork involved in the Germany Healthcare System can be time-consuming and complicated for both healthcare providers and patients.
  • High healthcare costs, particularly for private insurance, can be prohibitive for some residents.

What is the average health insurance cost in Germany? ›

Costs of Public health insurance in Germany

Social security contributions for public healthcare insurance (GKV, Gesetzliche Krankenversicherung) is set at 14.6% of an employee's gross salary, made up of a 7.3% contribution from the employer and 7.3% contribution from the employee.

How can Germany afford free healthcare? ›

Germany has a universal multi-payer health care system paid for by a combination of statutory health insurance (Gesetzliche Krankenversicherung) and private health insurance (Private Krankenversicherung).

Do non citizens get free healthcare in Germany? ›

Healthcare in Germany is accessible to all residents through public health insurance – this system covers 90% of residents. While non-residents require private insurance coverage to receive medical care.

What happens if you don't pay your medical bills abroad? ›

What happens if you leave a country without paying your medical bills? This could result in a number of different consequences, including debt pursuit through legal action or debt collection, negative impacts on credit scores, or issues re-entering a country where your debt is owed.

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