Health Insurance

German Private

At today's day almost 8 million people in Germany voluntarily have or at the time had no other choice but to purchase a German private health insurance plan, the official term being: "Private Krankenversicherung (PKV)".

With just 45 in 2020, the list of providers is manageable, however finding the right product amongst the vast range of different and non-transparent plans is like taking a walk through the jungle - without the right tools you will get stuck and with faulty guidance, for sure fall into a pitfall that will be costly!
Yet, having taken the right path, possessing private health insurance is the most comforting feeling when having to seek medical treatment, especially when it really matters.

What German private health plans cover

Medical” (inpatient, outpatient & dental treatment) along with Mandatory Long-Term Care” make up the main construct of German private health insurance. In Germany this is referred to as “Krankheitskostenvollversicherung”, for which there is no one-to-one translation but should be understood as "comprehensive health insurance".

Although cover is generally extensive, this does not imply that all expenses are reimburseable, as treatment of a symptom ...

  • must be medically necessary,
  • with the purpose to cure' or
  • carried out due to illness/ accident

Adding optional benefits

In addition to the above, the policy can be extended with the following optional benefits, which are considered as separate contracts, hence can be added or removed without affecting the main insurance construct.

Cures

The insurer pays a fixed amount for every day the insured person is required to go on cure (e.g. asthma patients).
This is an inpatient and outpatient benefit.

Hospital "per diem" Allowance

The insurer pays a pre-arranged amount for every night the insured person is admitted to hospital.

Precautionary medical examinations

The insurer pays a fix agreed amount for medical check-ups that correlate with the German statutory ("public") health system.

Premium Stability Scheme

A tariff that can be added allowing the insured-person to save up necessary funds - a buffer- that will help assure affordable premiums at old-age. Not only are these additional payments tax-deductible but are also not subject to German Settlement Tax (Abgeltungssteuer).

The 2 most common credit forms - constant and dynamic

  • Constant
    The insured-person determines a fixed amount by which the premium increases month for month
  • Dynamic
    The insured-person determines the intervals in which the premium should be increased
     

Sickness "per diem" Allowance

The insured person sets up a payment scheme in which the insurer pays a pre-arranged amount for each day of sickness.
Different insurers have different intervals but generally the insured person can define an amount to be paid as from the second week and/ or for any of the other subsequent weeks.

In the following example the insurer would pay 200€ per day should the insured person be written-off sick for longer than 6 months.

  • As of week 7 => 50€ per day
                     +
  • As of week 14 => 50€ per day
                     +
  • As of week 27 => 100€ per day

Worldwide medical insurance

Not all providers offer worldwide coverage as a standard, therefore it is advisable to include such a benefit as the costs are very little.

Tip: Even if a policy includes worldwide cover, adding this tariff is a way to bypass the annual excess.

One other benefit, which German health insurers call "Optionstarif", allows a switch on renewal to a different plan without having to undergo a new medical examination. This is highly recommendable to a person who has been accepted with a more serious pre-existing condition and needs the possibility to switch to better coverage, should future medical enhancements make curing treatment possible.

Restricted and Unrestricted Remedy- & Medical Aid catalogues

When it comes to reimbursements for remedies or medical aids, most German health plans pay such costs based on whether or not the specific product is listed in their catalogue and when it is, they proceed by implementing additional terms.
These can be: a deductible, reimbursement ceiling, if just the very basic version is insured, or even whether or not the same item has already be reimbursed for that calendar year.

Insurers offering cheaper plans use so-called restricted Remedy- & Medical Aid catalogues and most people never realise this until they have to use the insurance! Here a few cost examples:

Remedy Catalogue

DeviceMatter of Expense
Ergotherapy 
  • Physiotherapy for 920€
    20 sessions at 23.00€ each
     
  • Manual therapy for 1,040€
    20 sessions at 26.00€ each
     
  • Massage therapy for 780€
    20 sessions at 19.50€ each
 
Speech Therapyup to 2,600€
45 min. sessions, averaging at 40 sessions per treatment

 

Medical Aid Catalogue

DeviceMatter of Expense
Sleep apnoea deviceup to 2.500€
Infusion pumpup to 4.000€
Epithesisup to 5.000€
Oxygen unitup to 5.000€
Enteral nutritionup to 5.000€
Feeding pumpup to 5.000€
Stoma supply unitup to 6.000€
Parenteral feedingup to 6.500€
Defibrillator vestup to 15,000€
(approx. 2,500€ per month for 6 months)
Guide dog15,000€ - 25,000€
(depending on the dog's skills)
Orthosesup to 25,000€
WheelchairsBasic - fm 150€
Standard - fm 750€
Motorised - 2,500€ - 30,000€
Home dialysis unitup to 50,000€
Prosthesesup to 100,000€

 

The consquences of a restricted catalogue

An extreme demonstration of what happens when a health plan has reimbursement-ceilings, is when people lose a limb. Instead of receiving a myoelectrical controlled prosthesis that can cost up to 50,000€, people have to settle with basic versions, the ones classed "medical necessary", ranging between 500€ to 6,000€.

Luckily, more common are the cases in which a person requires a wheelchair, however nowadays there are big differences.
The costs for a basic wheelchair start at 150€, a standard one can be obtained as of 750€, yet should you prefer to use mechanical assistance to e.g. comfortably move in either direction, brake and overcome slopes of 18% and more, then 4,000€ is not unrealistic.

Solution:
Health plans with unrestricted Remedy- & Medical Aid catalogues,
because saving at the wrong end is always costly.

Understanding the private medical billing method system

Whereas members of the Germany statutory ("public") system simply need to show their membership card and from then on need to worry about invoices, private patients are responsible to settle these themselves, thus are generally the liable party. An exception is when admitted to hospital, as then the accounting department will ask the patient to sign a declaration in which they waive their right to receive reimbursement. Also, some German private health insurers offer direct billing for outpatient treatment, yet this handling is in its infancy.

This raises the question what happens should there ever be a discrepancy between the physician's invoice and insurer's reimbursement. Apart from that reimbursements depend on contractual terms of the insurance contract, decisive for the assessment of medical bills are the 'Scale of Fees' for doctors and dentists. These two different scales - doctor / dentist - all physicians must abide by and are passed by the Federal Government.

Additionally to the above, health insurers do consider decisions made by the 'Central Consultation Committee for Fees', which is part of the German Medical Association.

ERICON broker recommend - Axa ActiveMe

Product Overview:

Axa's ActiveMe plan is a very new and innovative product, offering 24/7/365 online support that includes medical consultations and they reimburse expenses for various means that help maintain/ improve one’s health and fitness level.

Consulting Axa’s medical team per video conference for all kinds of matters, examinations included, clients will not only receive immediate attention, online sick-notes, prescriptions or referrals to visit specialised doctors, but will also not have to worry about having to consider the common annual excess, which with ActiveMe is set at 20% per claim, max. 500€ per insurance year. Latter is namely due when consulting external physicians of one’s free choice and an instrument all insurances implement to make the premiums more attractive to the customer and to save costs at their end.

ActiveMe is not the common German “sickness insurance” (Krankenversicherung) that companies advertise with, but the first serious concept a German insurer has introduced that focuses on peoples health and rewards those who take care of their body and soul.
Like with all, premiums can be declared in the annual tax-return to reduce the taxable income, so clients will partially receive their invested money back this way and making use of the health & fitness related benefits, neither of which are subject to the before-mentioned excess, hence fully refundable, further monies are returned to the client though yet another channel. And if all of this wasn’t enough, for all those who do not file a sickness related invoice from an external doctor or dentist, the ActiveMe Cash Back Scheme pays 700€ per full insurance for the intial 4 years, which is increased to 1,000€ for each subsequent year thereupon.

 

Premium examples:
The most inexpensive version, meaning with the most basic dental plan and without additional benefits such as "Premium Stability for Old Age", Hosptial per diem Allowance, "Sickess per diem Allowance", "Curs" and "Additional Long-Term care", Axa's ActiveMe health insurance can be purchased by e.g. a self-employed artist for the following premiums.

AgeMonthly Premiums
18387.80€
25424.27€
30460.98€
35494.63€
40537.74€
45591.04€
50659.10€
55736.86€
60759.92€

 

Frequently Asked Questions

Insurance - Health - German Private

Show all answers
Hide all answers
  • Acceptance of applications in the German private health insurance

    To obtain insurance cover, you must first submit an insurance application to the insurer. If approved, a legally binding contract is then concluded. "Legal" means that the applicant has received the acceptance confirmation - usually the policy and other contract-relevant documentation - and the 14-day withdrawal period has expired.

    Private health insurance companies can reject applications.
    However, since 2009 when in Germany compulsory health insurance was introduced, private insurers must accept every person who is not subject to mandatory insurance, i.e. those who are forced to sign up with a statutory health insurance provider. These people are then placed in the private so-called and  "Basistarif" and because any pre-existing medical condition is insured, it is very expensive, yet with very basic insurance coveage.

    Do you find this answer helpful? Yes / No

  • I am moving abroad, how do I cancel my German private health insurance?

    If you have given up your residence or center of life in Germany you have an extraordinary right of termination.
    The insurance contract can alco be cancelled retrospectively as from the official date of departure, if documenation is provided within two months of latter. Required is a copy of the de-registration certificate that can only be obtained from your local Residents' Registration Office and sometimes an additional form the health insurer will issue.

    Do you find this answer helpful? Yes / No

  • What does substitutive health insurance mean?

    For an insurance plan to be substitutive in Germany, legislation defines the following.

    • Insurer's ordinary right of termination is waived
    • Premium-calculation is based on actuarial principals
    • Saving towards the 'Old-Age-Reserve' are implemented
    • On changing tariff, 'Old-Age-Reserves' are transferable

    Do you find this answer helpful? Yes / No

You are missing a question or not happy with the answer? Click here