Health Coverage

Understanding PKV in Germany

Germany has a unique dual health insurance system. As an expat earning above the threshold or working as self-employed, you have the option to choose private insurance (PKV)—a decision that can significantly impact your healthcare experience and finances.

Private insurance often offers better coverage, shorter wait times, and access to specialists. But it's not right for everyone, and choosing the wrong plan can have long-term consequences. That's where expert guidance makes all the difference.

Who Is PKV Right For?

Private health insurance isn't for everyone. Here's who typically benefits most.

High Earners

Employees earning above €69,300/year (2024 threshold) who want better coverage without paying percentage-based premiums.

Self-Employed

Freelancers and business owners who are often better served by PKV regardless of income level.

Young Professionals

Those in their 20s-30s can lock in lower premiums that remain stable over time, unlike public insurance which scales with income.

Expats Planning Long-Term

Those committed to staying in Germany who want premium healthcare and are willing to plan for the long term.

PKV vs. Public Insurance (GKV)

Understanding the key differences helps you make an informed choice.

Factor Private (PKV) Public (GKV)
Premium Calculation Based on age & health at entry Percentage of income (~15.5%)
Coverage Scope Customizable, often broader Standardized by law
Wait Times Typically shorter Can be longer for specialists
Family Coverage Each person pays separately Free for non-working dependents
Switching Back Difficult, especially after 55 Always available if eligible
Retirement Premiums can increase Scales with pension income

How I Help

From initial analysis to ongoing support, here's what you can expect.

1

Situation Analysis

We review your income, family situation, health status, and future plans to determine if PKV is right for you—or if public insurance is actually the better choice.

2

Plan Comparison

I compare plans from all major PKV providers, explaining the differences in plain English so you understand exactly what you're getting.

3

Long-Term Projection

We look at how premiums might develop over time, including provisions for retirement, so there are no surprises decades from now.

4

Application Support

I guide you through the application process, help with health questionnaires, and ensure everything is submitted correctly.

5

Ongoing Reviews

As your life changes—marriage, children, career moves—I help you adjust your coverage accordingly.

Frequently Asked Questions

Self-employed individuals, freelancers, and employees earning above the Jahresarbeitsentgeltgrenze (JAEG) threshold (€69,300 in 2024) can opt for private health insurance. Civil servants and students may also qualify under different rules.
Switching back is possible but has restrictions. If your income drops below the threshold, you can switch back. After age 55, returning to public insurance becomes very difficult. This is why choosing correctly from the start is crucial.
PKV premiums depend on your age, health status, and chosen coverage level. Typically, young healthy professionals pay €300-500/month. Premiums are fixed based on entry age and don't increase with income like public insurance.
Unlike public insurance where dependents are covered for free, PKV requires separate policies for each family member. However, children's premiums are typically lower (€100-200/month), and the coverage quality is often superior.
Most PKV plans can be paused (Anwartschaft) if you leave Germany temporarily, preserving your health status and conditions for when you return. Some plans also offer international coverage options. We can discuss this based on your specific situation.

Ready to Explore Your Options?

Book a free call to discuss your situation. I'll help you understand whether PKV is right for you—with no obligation or pressure.