This page is mainly about Private Health Insurance (PKV) for expats who already live and work in Germany. If you’re looking for expat health insurance to enter Germany or to apply for a (Schengen) visa or resident permit, click here

Our health is
our most valuable asset.

Private Health Insurance (PKV) undeniably offers the highest standard of medical care in Germany – and even worldwide. Yet, in an insurance jungle that’s already hard to navigate, Private Health Insurance is considered to be the most complex.

This complexity affects one group in particular: expats.

Without prior knowledge or the necessary language skills, it’s almost impossible to gain the insights needed to make sustainable decisions about the healthcare plan that protects both your health and your finances. 

Private Health Insurance Germany

Difficulties for expats when choosing Private Health Insurance (PKV)

Too many open questions remain unanswered
Eligibility, long‑term price development, what happens when you have kids, retirement, moving abroad, taxes, a possible return to public insurance, etc.

🧭 Truly independent advice is hard to find
Most platforms and agents represent one or just a few companies – meaning they sell what they’re allowed to or have to, not necessarily what’s best for you.

💸 Prices are often totally misleading
Without proper context, premiums don’t reflect tax deductions, employer contributions, necessary add-ons or all the bonuses – making price comparisons totally unreliable.

📄 You’re shown what is covered – but not what isn’t
Exclusions, limitations, obligations and deductibles are buried deep in the terms and conditions, yet they’re exactly what matters to assess the product’s quality and individual suitability.

🧩 PKV consists of countless modules and add‑ons
Which ones are essential, which ones are optional, and where can you safely save money without risking future problems?

📊 Soft factors are hard to assess but crucial
Financial stability of the insurer, ageing provisions, past premium increases, tariff structure, and long‑term sustainability are rarely discussed – yet they can make a huge difference over time.

🔁 Unclear rules around future tariff changes
How easily can you switch tariffs later on? Under what conditions? And how do you avoid getting stuck in an expensive or inflexible plan?

📝 Medical questionnaires are complex and high‑risk
How detailed do your answers need to be? What should be disclosed? And what happens if something is missing or misunderstood?

📞 No long‑term point of contact after signing
Once the contract is in place, many expats are left alone – with no one to answer questions, help with claims, or adjust coverage when needed.

⚠️ Decisions are often made too fast
PKV insures your most valuable assets: your health and your money – yet many expats are pushed to decide quickly, oftentimes baited by cheap premiums or good marketing, making a product look better than it is, without fully understanding the consequences.

✅ What you get with my Full Care Package

❓ You get clarity on everything
There are two things you don’t know: the things you’re aware of you don’t know aka your questions  and the ones you don’t know you don’t know. That’s what the consulting is for. Over multiple sessions, we go through everything that’s relevant for your future health insurance, with plenty of time for Q&A. Prevention is better than cure. 

🧭 You get independent, unbiased advice
As a broker, I’m not tied to any one provider. I compare across the market and recommend what fits you best – not what I’m told to sell.

💸 You get a realistic understanding of true costs
What they show you is almost never what you actually pay. I factor in tax benefits, employer contributions, all bonus systems, deductibles, and long-term affordability so you get to compare all price scenarios between tariffs.

📄 You learn what’s not covered, not just what is
More relevant in insurance than any other field: know what you’re NOT getting. I go over what you can expect from your insurance, but also the things which are not (adequately) covered – highlighting not only benefits but also exclusions, obligations, and hidden deductibles and limitations.

🧩 You get help choosing the right modules
I guide you through every option – from dental to daily sickness allowances, hospital room upgrades, long-term care allowances, access to private health care, change of tariff rights, etc. – and help you actually include what’s important to you and what you can maybe skip.

📊 You get access to the full picture
I give you insight into very important soft factors: the insurer’s financial health, stability of your tariff, historical price development and sustainability. 

🔁 You stay flexible in the future
I explain the conditions for future tariff changes, and make sure your setup allows for adjustments when your life changes.

📝 You get personal help with the medical questionnaires and the official application
I help you complete the health declaration correctly and safely – including how to handle past diagnoses, prescriptions, or grey areas without putting your application – and thus your insurance – at risk.

📞 You have a long-term contact person
Does your need for support end after the application was done? Of course not! I’ll assist with the paperwork afterwards and explain how to handle claims and make the most out of your bonus programme. I remain available for questions, updates, claims assistance, and changes – even years down the road. 

⚠️ You get the time, space, and context to decide
I give you the tools to understand, reflect, and make a decision that’s right for your health and financial wellbeing – now and in the long run.

Max’ key insights about Private Health Insurance (PKV)

01

With insurance, people tend to forget they’re buying a product. The product being a long, long list of situations for which financial damage is compensated. The cheaper the product, the shorter the list.

It is therefore essential to understand that buying cheaply can – rather than save you money – also result in serious, potentially existential financial damage. 

And since the quality of your PKV also determines the quality of the healthcare you have access to, buying cheaply or omitting necessary add-ons can have very real health consequences too. 

“Normal” insurances do two things: they protect your bank account on the one hand but they also protect your sanity on the other by preventing an already difficult situation from turning into a potential existential crisis as well. 

Private Health Insurance (PKV) does three things: it protects your bank account, your sanity but most importantly your life. How quickly or even if people recover is often dependent on the quality and speed of the applied medical care, the exact two things the public system (GKV) cannot offer due to systemic and legal limitations. 

02

Once a contract is active, there are only a few – if any – ways back or out. It’s really, really important to understand that the contract will be enforced exactly as stipulated in the terms and conditions – not how you thought it worked.

03

Private Health Insurance is so complex because every single imaginable case, every single detail of what the insurance covers and does not cover is meticulously described in the general terms and conditions (AVB), oftentimes up to 100 pages of them. 

It shocks me that so many expats will take out the single most important insurance based on a simple list of highlighted benefits, most of the time even designed by the insurance company or online platform themselves with only one goal: to sell their product. 

04

FAQ

You are eligible to enter Private Health Insurance (PKV) if:

  • you officially live in Germany (Anmeldung / Wohnsitz / residency permit) and
  • you’re employed and earn over 77,400 euros gross yearly (6,450 euros monthly) or
  • you’re self-employed or
  • you’re a student, especially when you’re turning 30 years old or
  • you’re a civil servant (income isn’t relevant) and
  • you are in (relatively) good shape and health*
     

*Each Private Health Insurance (PKV) company has its own health requirements. The same health records will typically be evaluated very differently by different companies. It is therefore necessary to gauge insurability with several different providers in order to warrant the best possible outcome in terms of contract conditions as well as price. 

As an independent broker, I offer the decisive advantage that I have access to nearly all Private Health Insurance (PKV) providers on the market. This broad access combined with personal contacts within the insurance companies themselves for direct communication and negotiation warrant the best possible outcome for your very individual medical history. 

Get in touch for help with Private Health Insurance (PKV)

If you don’t live in Germany (yet) or if you’re just planning on staying in Germany for a couple of weeks, months or even years while visiting or working remotely as a freelancer, you are not eligible for Private Health Insurance (PKV). You can, however, obtain expat health insurance, also called incoming insurance. This kind of insurance can be mandatory to obtain a Schengen visa. 

This insurance can be especially relevant If you belong to one of the following categories of visitors:

  • Expat freelancers 
  • New arrivals who want to apply for residency (later)
  • Travellers to Germany (and/or the Schengen area)
  • People on a work and travel visa
  • Au pairs
  • (Language) students
  • PhD students, post doctorates and researchers
  • Scholarship holders
  • Germans with permanent residency outside of Germany
 

Contact me for a free quote in your specific situation. 

Especially for younger people, Private Health Insurance (PKV) can offer significantly lower monthly contributions than Public Health Insurance (GKV). That’s because PKV premiums are calculated individually – based on your age, health, and chosen coverage – rather than as a fixed percentage of your income.

In GKV, you pay more simply because you earn more. In PKV, you pay based on risk and benefits – not salary. You also benefit from better services and much faster access to specialists in most cases, apart from many other not so well-known benefits such as coverage for eyewear or laser surgery, much more ample preventative exams, much better dental coverage etc. 

However, “cheaper” doesn’t always mean “better” in the long run. That’s why it’s essential to look beyond the monthly premium and consider factors like future price development, family planning, and long-term flexibility.

With the right guidance, PKV can offer excellent, even premium value at (much) lower cost – but it shouldn’t be chosen based on price alone. Please read the next FAQ articles for more information on why taking out PKV by yourself or based on price alone is extremely dangerous. 

Private Health Insurance (PKV) is one of the most complex and far‑reaching financial decisions you’ll make in Germany. Once the contract is signed, many aspects are long‑term or even irreversible – which is exactly why taking out PKV on your own is a bad idea (read more below on why I caution against online offers).

When you apply by yourself, you’re expected to fully understand:

  • the legally binding terms and conditions (often 100+ pages),
  • the long‑term price mechanisms of the tariff,
  • the consequences for family planning, retirement, and possible moves abroad,
  • the strict rules around switching back to public insurance or within PKV.
  • and much more

In reality, most people don’t – and can’t – assess all of this without professional support, Germans included.

What’s more, people who take out Private Health Insurance (PKV) by themselves are also fully responsible themselves for any mistakes or omissions.

Here’s a simple but true principle: you don’t know what you don’t know. That’s why non-surgeons don’t perform surgery and non-lawyers don’t represent clients in court. In a matter as complex as PKV, non-experts are not in a position to broker PKV contracts. Simple. As a registered broker, I’m licensed and continually keep on expanding my expertise on the subject.

Once a contract is active, there are only a few – if any – ways back or out. It’s really, really important to understand that the contract will be enforced exactly as stipulated in the terms and conditions – not how you thought it worked.

That’s why I caution against online platforms and do it yourself (DIY) solutions. These mostly simplify complexity into checklists and “recommended” tariffs, often designed to sell, not to protect you long term. What’s not covered, how premiums evolve, or how flexible the contract is later on usually isn’t explained at all.

Working with an independent broker changes this fundamentally:

  • you get essential, in-depth guidance before committing,
  • you understand what your insurance can and (sometimes more importantly) cannot offer you,
  • and you have a long‑term point of contact if life changes or questions arise.

You don’t shop for Private Health Insurance (PKV) like you buy any other product you simply throw away or upgrade later. PKV is a long-term commitment with real-life, long-term consequences for your wallet and your health. Doing that without expert, independent guidance is a risk you don’t need to take – especially since professional advice comes at no extra cost to you. 

Insurance protection for the event of a loss of income due to health reasons (occupational disability) is a must for anyone living in Germany. The reason being that the state in those scenarios will only cover an existential minimum. Insuring your (and your family’s) standard of living (where and how you live, what you can put in your fridge, what kind of holidays you can afford, etc.) can only be protected by means of a private insurance contract such as a Berufsunfähigkeitsversicherung (occupational disability insurance), mostly called “BU”. 

For privately insured people, being protected against the risk of loss of income becomes even more relevant. If illness, accident or psychological strain (e.g. burnout, depression) forces you to stop working for months, years or even permanently, you could become dependent on the existential bare minimum while your PKV contributions, however, continue to increase until about age 60. 

Think of it this way: If you’re in a situation in which you need to file a claim to obtain payments from your income protection insurance, you’re in a place in which your health, your fast recovery and your access to the best possible medical care matters most. Without income protection, most people can’t afford basic necessities anymore, let alone contributions to Private Health Insurance (PKV), which could compromise your insurance status. 

This is not an edge case. Today, about 1 in 4 people in Germany becomes unable to work at least once during their careers — and the top causes are psychological and dread disease-related — causes that can affect anyone. 

A Berufsunfähigkeitsversicherung (BU) provides a monthly replacement income in these situations, allowing you to:

  • maintain your standard of living,
  • continue your insurance coverage,
  • and avoid existential financial stress on top of a health crisis.

Contact Max to get help taking out income protection. 

PKV consulting with me is about as far as it gets from cherrypicking any “top deal” from a search engine or comparison website.
It’s about making sure you understand what you’re signing up for and
that it fits your requirements today, tomorrow, and the day after tomorrow.
Because let’s not forget: your Private Health Insurance (PKV) might just be the longest contract you’ll ever have.
Your setup today will determine your medical and financial well-being well down the line.

The process typically takes between 3 and 6 meetings of about 1.5 hours, depending on your medical history,
individual requirements, and questions. Here’s what it looks like:

  1. Initial consultation
    We get to know each other and talk through your situation: employment status, income, visa,
    long-term plans, existing insurance, and health history.
  2. Eligibility & needs check
    I assess whether PKV is actually a sustainable fit for you, not just now, but long-term.
  3. Profiling
    Once your contract is set in stone, it’s done. That’s why choosing the right coverage type
    and contract flexibility is critical. I explain how PKV works, what the different building
    blocks are for, how to plan ahead, and how to avoid costly surprises later.
  4. Insurability check
    We go through the required documents and health-related questions.
    I make sure everything is filled out correctly, strategically, and anonymously
    for the best possible outcome.
  5. Market research & tailored options
    Based on the insurability results, I compare and evaluate your options across
    price, benefits, exclusions, long-term stability, contribution history,
    flexibility, and more.
  6. Full walkthrough & decision support
    We review the options together, and I explain the fine print you actually need
    to understand, in plain language.
  7. Application & onboarding
    I handle the application process, monitor approvals, and ensure everything runs smoothly.
    I also help get the right documents to the right places after acceptance.
  8. Long-term support
    Support is what Max for sure stands for. Other platforms get you a contract in their interest.
    I broker your contract in your best interest and stay on board long-term.
    Whether it’s a question next month, a claim in two years, or a major life change five years from now,
    I’m here to help.

All of this comes at no extra cost to you. My service is remunerated directly by the insurer while maintaining full independence.
Only in cases where no contract is brokered (for example, uninsurability) or a contract is
cancelled prematurely do I apply a Fair Compensation Rule, invoicing my services fairly.

We’ll need an overview of all doctor’s visits, treatments and therapies of the last three years. This time limit is increased to five or even ten years for all inpatient treatments (overnight stays at the hospital) and psychotherapies. For more “serious” conditions or ongoing issues, documentation from a treating doctor or hospital may be required.

Sometimes it’s advisable to contact your previous health insurances or Krankenkasse to collect an overview of your doctors’ visits. 

Once you’ve collected your history, we’ll get together in order to arrange the info and documents according to branch standards. In most cases, your personal information will be anonymised and sent to different insurance companies which offer preselected tariffs that match your profile and selected coverage.

Each company will then cast a “vote” regarding the anonymised profile, either accepting, rejecting or accepting with certain conditions. In the next step, we’ll go through the options together, discussing your options in terms of benefits as well as price. 

Private Health Insurance (PKV) can be a major upgrade—especially for expats who value choice, speed, and top-tier medical care. Your main benefits typically include:

  • You choose your coverage (instead of a “one-size-fits-all” system) — outpatient, inpatient, dental, worldwide cover, daily sickness benefits, etc., depending on the tariff you select.

     

  • Faster access & better treatment options: quicker specialist appointments, more time per patient, and access to high-end medicine and facilities (e.g., chief physician treatment, single room, modern methods).

     

  • Contract-based security: your benefits are defined by a private contract (not by changing laws like in the public system). What you see is actually what you get, also in 20, 30 or 40 years, when you’ll need your insurance the most.

     

  • Often cheaper than GKV when you’re younger (depending on your tariff and situation), while offering significantly higher benefit levels from “comfort” tier upwards.

     

  • Possible premium refunds if you only use your insurance for check-ups and vaccinations, you generally get between 20 and 35 percent of your yearly premiums reimbursed in the following year.

     

  • More income protection during longer sick leave: in PKV, you can insure a much higher percentage of your income via Krankentagegeld than in GKV (important for employees and especially self-employed).

     

  • You can influence your premiums at retirement age: Whereas in GKV, you have no influence over future laws and regulations, in PKV, if set up correctly, you can set mechanisms in motion to make sure your health insurance always remains affordable

     

Important: PKV is not a given right as soon as you’re eligible (->see: When do I qualify for Private Health Insurance (PKV)) — you must pass a health check. Also, Private Health Insurance is only as flexible as your initial setup. That’s why the proper setup matters from day one.

PKV can be a fantastic system — but it’s not a “quick win” and it isn’t right for everyone. The main disadvantages to be aware of are:

  • You need to be insurable: PKV requires a health check. Depending on your medical history, you might face exclusions, surcharges, or even rejection.

  • No free family insurance: In PKV, each person needs their own contract — so children and non-working / low-income partners aren’t insured for free like in public insurance (GKV). That said, children pay a much lower premium than adults while enjoying access to the best and fastest private medical care.

  • Good planning is essential for retirement: If PKV isn’t set up properly, contributions can become high later in life — which is why choosing purely based on price is usually a mistake.

  • Switching back to GKV can be difficult: Returning to public insurance is often hard — and can be practically impossible in some cases (especially after 55).

  • You usually don’t switch PKV: Changing insurers involves a new health check and will likely reduce the benefit of accumulated retirement provisions, again highlighting the importance of choosing wisely from the get-go.

  • Mostly, you pay upfront: For outpatient treatment and doctors’ visits, you mostly pay first and then get reimbursed. Hospitalisations are usually invoiced directly to the insurance company.