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Health Care in Germany

Germany is a great choice for expats looking for a career boost! Not only is the country one of the main players in the EU, but also one of the strongest economies worldwide. The InterNations Guide prepares you for your expat life “made in Germany”, with info on permits, insurance, and more!
Don't believe all stereotypes: Germany is more than discipline and hard work!

How the German Healthcare System Works

Germany’s healthcare services and social security scheme have a good reputation. However, paying your contributions may be quite pricey, based on your line of work and annual income. Healthcare in Germany is divided into two sectors, the gesetzliche Krankenversicherung (public health insurance) and the private Krankenversicherung (private medical care).

All Germans and legal residents of Germany are entitled to healthcare. In fact it has become illegal not to be insured, and having some sort of medical insurance is thus a requirement when starting a job in Germany.

Below you will find a short introduction to the German healthcare system. For more information, including women's and travel health, please consult our section on Health and Insurance in Germany. In addition to the public healthcare system, you might also be interested in Social Security and Taxation

Public Health Insurance

All salaried workers in Germany whose gross monthly income is less than 4,687.50 EUR (as of 2016) have to be publicly insured. The percentage they owe to the state-run healthcare system is taken out of their monthly pay. As of 2016, this percentage is 14.6%, half of which is paid by the employer. There may also be a small supplemental rate on top of this, which is paid solely by the employee.

Applying for public health insurance is relatively stress free, as you simply need to decide on a specific insurer and apply online or call up a regional office for an appointment. Your German employer’s HR office will most likely be able to help you with this as well.

Private Health Insurance

Private health insurance is quite a bit more expensive than public healthcare. Those earning more than 4,687.50 EUR per month (i.e. 56,250 EUR per year) can opt for private health insurance, as can self-employed persons and German civil servants. The application process for this is a bit more complicated. You may be subjected to medical tests, required to answer a questionnaire concerning your medical history, and submit proof of your income.

Unlike public healthcare, you have to go through the selection and application process without your employer’s help. The benefits of private health insurance mostly do not lie in the quality of medical standards, but in the speed of care. In other words, you will not be left waiting for hours but will be attended to quickly, and some doctors only take patients with private insurance.

Accessing Dental Care

Dental work in Germany can be quite expensive, and you often need to present a cost estimate to your insurance prior to getting the treatment. Also, it is not always guaranteed that your insurance company deems the work necessary, as they strictly differentiate between cosmetic work and medical treatment.

The percentage that your insurance, be it private or public, will pay depends on the coverage you have selected. Some dental work is included in standard medical insurance, however it varies greatly depending on the procedure and the individual. Quite a few Germans take out additional insurance cover for dental treatment with a private health insurance company. This kind of top-up insurance option is called Zahnzusatzversicherung or Zahnschutz-Zusatzversicherung.

Receiving Medication

Unlike some other countries, you can only pick up medication at pharmacies (Apotheke), of which there are many to choose from in most cities. Prescription and non-prescription drugs may be obtained at pharmacies (Apotheken, marked by a large red "A") anywhere.

Medication can be expensive, depending on the coverage you have from your insurance. However, patients enrolled in the public health insurance scheme do not have to pay the full price for prescription medicine, but only 10% of the costs. Usually, this sum amounts to five or ten euros for most prescription drugs.


We do our best to keep this article up to date. However, we cannot guarantee that the information provided is always current or complete. 

Daiki Saito

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

Cristina Fernandez

"On InterNations I did not only meet interesting people but I also found a flat near Bochum and settled in quickly. A great platform."

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