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Germany · visa health insurance

Private health insurance in Germany: what expats need to know

By Covered Abroad Research Desk · Last verified July 2026

Germany requires national-visa insurance to match §11 SGB V benefits with an open-ended contract, which is why private health insurance for Germany expats is harder to arrange than anywhere else we cover. We check whether your case fits our partner's arrangement before you buy, across five plan tiers with same-day cover and no medical exam, and say so honestly if a German incoming-style product suits you better.

Visa-ready plans from $721 per adult, billed annually · see your exact price by age.

The rule in writing

“For Germany’s national visa, health insurance must include the benefits statutory-insured persons are entitled to under §11(1–3) SGB V, and the contract must be open-ended — no expiry or cancellation clauses tied to age, employment, or residence status. Travel insurance is insufficient.”

Official source: German Federal Foreign Office — health insurance in the national visa procedure — Last verified:

Germany's insurance rule, and why it's the hardest we cover

Germany's national visa insurance rule is the strictest of the destinations we work in. The Federal Foreign Office requires cover that matches §11(1-3) SGB V, the statutory benefits benchmark, inside an open-ended contract that cannot expire or be cancelled because of your age, your job, or your residence status. Travel insurance never satisfies this. A deductible is tolerated only up to about €300 a year, and anything higher fails the check.

Germany runs two parallel systems: GKV, the statutory scheme that is the real benchmark, and PKV, the private system. Most new arrivals cannot enrol in GKV straight away, since it usually needs a German address and an income history you do not have on day one. That is why an interim private policy matters, and why most residents later move into GKV or an approved German PKV plan once they are established. We walk through that shift in full at public versus private cover in Germany.

How we arrange Germany cover, and where it stops

We work with one insurer across all eight destinations we cover, offered across five tiers: Essential, Major Medical, Standard, Comprehensive and Fully Comprehensive, with annual limits between US$1,000,000 and US$2,000,000. Cover starts the same day with no medical exam, every plan carries a 14-day cooling-off period, and children aged 0 to 17 are charged one flat rate per plan. New applicants are accepted up to age 70, and up to 80 on the Essential tier.

We will not claim these plans meet §11 equivalence outright. A person verifies whether your case fits our partner's arrangement, confirmed July 2026, before you buy, and if a German incoming-style product suits your case better, we say so rather than force a fit. Pre-existing conditions are excluded and treatment in the United States is not covered on any tier, so we check those gaps against your situation directly rather than let a form assume them away.

Where every answer lives

If you are applying on Germany's freelance visa, the equivalence catch-22 is explained at freelance visa insurance, with the rule itself unpacked in full at the Germany freelance visa insurance guide.

For real numbers, see what Germany cover actually costs, or run your own figures on the pricing calculator. For how the statutory and private systems fit together, read public versus private in Germany. Nationality-specific detail lives at health insurance for Americans in Germany and health insurance for UK citizens in Germany. When you are ready, get a quote, run your current policy through the policy check, or work from the checklist.

Honest limits: Cover is worldwide but excludes treatment in the United States. Pre-existing conditions are excluded, including conditions you did not know about. We disclose this before you request a quote. Consulates keep discretion, and requirements can change. We show the published rule and its source; the final decision is the consulate’s.

Cover levels that meet the rule

Benefits are public, and so are the 2026 prices: your exact rate depends on age.

Standard

From $1,133/yearabout $94/mo billed annuallyChildren 0–17: flat $853/yr

Adds everyday outpatient care — GP and specialist visits, prescriptions, and tests — to hospital cover.

  • US$1,000,000 overall plan limit per year
  • GP, specialist, medication & lab tests (US$750 each)
  • Outpatient surgical to US$25,000
  • Semi-private hospital room & board
  • Pre- & post-hospitalisation cover

New applicants up to age 70.

+ everything included — hover to expand

Scope: No dental or wellbeing benefits at this level.

Choose StandardSee your price by age →

Fully Comprehensive

From $1,906/yearabout $159/mo billed annuallyChildren 0–17: flat $1,439/yr

The highest level: full-cover room, uncapped surgeon fees, routine dental, and the largest limits.

  • US$2,000,000 overall plan limit per year
  • Full-cover private room & board
  • Full surgeon, professional & outpatient cover
  • Routine & major dental (after 6-month wait)
  • Wellbeing check-ups & vaccinations to US$500

New applicants up to age 70.

+ everything included — hover to expand

Choose Fully ComprehensiveSee your price by age →

See your exact price by age →

Budget options — limited cover

Essential Health

From $392/yearabout $33/mo billed annually

A budget plan for accident and emergency care in state hospitals only. Not full private health cover.

  • US$100,000 maximum plan limit per year
  • Unforeseen accident & emergency care only

Scope: State hospitals only, accident/emergency only. No outpatient, dental, or wellbeing cover. Not a substitute for full private health insurance on a visa application.

Choose Essential Health →

Major Medical

From $721/yearabout $60/mo billed annually

Hospital-focused cover: inpatient treatment, surgery, and emergencies, worldwide outside the US.

  • US$1,000,000 overall plan limit per year
  • Semi-private hospital room & board
  • Theatre, ICU, and emergency-room cover (full)

Scope: No outpatient, dental, or wellbeing benefits at this level.

Choose Major Medical →
  • Treatment is covered worldwide, excluding the United States.
  • Pre-existing conditions are excluded — including conditions you did not know about.
  • Evacuation & repatriation is an optional benefit that costs an additional premium.
  • Prices are Regency’s 2026 rates for the EU region: per person, per year, billed annually, starting at adult age 18 — your exact price depends on age. Children 0–17 pay a flat rate on every plan.
  • Plans run in 12-month terms and renew at the anniversary; the age limits shown apply to new applicants.

Common questions

Does travel insurance meet Germany's national visa requirement?

No. German authorities require cover that matches section 11(1-3) SGB V benefits inside an open-ended contract with no expiry tied to age, employment or residence status. Travel insurance is built to end and to exclude ongoing care, so it fails the check even when the coverage amount looks large enough.

What does section 11 equivalence actually require?

It means your policy has to mirror the statutory GKV benefit set, run on an open-ended contract that cannot lapse because you turn a certain age, change jobs, or change your residence status. A deductible is tolerated only up to about 300 euros a year, and higher deductibles are not accepted.

Can I join Germany's public system as soon as I arrive?

Usually not immediately. GKV enrolment typically needs a German address and an income history that new arrivals do not have yet. Most people use a private policy in the interim, then move into GKV or an approved German PKV plan once they are established.

What if our partner's plan isn't the right fit for my case?

We say so. A person checks whether your case fits our partner's arrangement, confirmed July 2026, before you buy, and if a German incoming-style product would serve you better we tell you that directly instead of forcing your case into a plan that will not hold up at the visa office.

Get a certificate that meets the published rule

Tell us your destination, visa, and who’s moving. Our team reviews it against the current requirement and calls you with a quote — no obligation.

Cover underwritten by Regency Assurance · every rule on this site cited and dated · a person calls back within one business day.

Before you request a quote: cover is worldwide but excludes treatment in the United States, and pre-existing conditions are not covered — including conditions you did not know about. We say this up front so a quote is worth your time.

Keep reading

Guides for this move