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Health Insurance for International Students in Germany: Public vs. Private Explained

Lesedauer: 9 Min.
verfasst von Student Service

What you’ll learn:  

  • Why health insurance for international students is mandatory in Germany 
  • The difference between public and private health insurance
  • Costs you have to expect 

You’re thinking of doing a semester in Germany or even a full degree? Sounds great! …and probably also a little scary, as there are so many organisational things to consider. To make your start as smooth as possible, we’ll give you an overview of the different types of health insurance for international students in Germany. 😎 So you can focus on what really matters: your studies and your new life abroad.🌍

Before we dive right into it: you should know that in Germany students are required by law to have a health insurance. This applies to international students and exchange students as well. 

Put simply, if you don’t have health insurance, you can’t enrol on one of our campuses. This is why before the start of your studies you are required to arrange the electronic proof of sufficient health insurance coverage. 

What is the difference between public and private health insurance?

Speaking of, Germany has two health insurance systems: public and private. But can international students get private health insurance? Yes, they can – and if you are over 30, private health insurance is typically your only option.  

If you’re now wondering what the difference between the two of them is, here are some important facts at a glance.

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Public Health Insurance in Germany for students

Most students choose the public system because it offers comprehensive coverage with very little administrative effort for you: 

  • Covers every appointment at GP (general practitioner), in-hospital treatment, out-patient treatments, surgery, maternity services and dental care, medication, health remedies or medical aids and medically necessary rehabilitation measures 
  • Free choice of providers and unrestricted access to all care levels 
  • Necessary/important if you plan to work part-time in Germany 

💡This is the option chosen by around 90 % of students at German universities. You can expect to pay about € 150  per month. You will receive an insurance card that allows you to visit doctors or hospitals without paying upfront for most treatments, aside from small co-payments. Overall, this is typically considered to be the most economic option when it comes to health insurance in Germany for students – though the final choice is yours. 

Private Health Insurance in Germany for students

Private insurance can be an alternative, especially for students over 30 or those looking for specific additional benefits, but it follows different rules: 

  • Switching back to public health insurance is usually not possible. 
  • Bills must first be paid by the patient – you need sufficient funds to cover them. 
  • Coverage for long-term illness (over 6 weeks) may be limited. 
  • A health check is required before being accepted into private health insurance; pre-existing conditions can lead to higher premiums. 
  • In the case of switching providers, a new health check is usually required and may work to your disadvantage. 

💡If this is your preferred insurance option, please keep in mind that you will need to pay for medical services in advance and submit your receipts for reimbursement afterwards. This can become costly and not all costs might be covered.

 

❗️ Please keep in mind: If you decide to opt for private health insurance, please note that switching back to the German public system is generally not possible.

 

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When do I have to apply for my health insurance and how do I do that?

Now you have an overview of both types of insurance, first step done! 

If you are wondering how and when you can get coverage, we recommend contacting your chosen health insurance provider at least four weeks before the start of your studies. Be aware that you need to be covered for the full length of your studies.  

💡To go about it, most health insurance providers handle the whole application process completely online. Of course, you can also call them or visit one of their offices if you are already in Germany to get all potential questions answered.

How much money should I set aside for health insurance in Germany?

After getting a rough overview of both types of insurance and the key deadlines, an important remaining question is: how much does it cost? Unfortunately, there is no easy answer here, as it completely depends on your chosen provider. You should plan around € 150 per month

Please keep in mind that this is the price for public healthcare insurance. For private insurance, you also need to set aside money in addition to the monthly fee, as you must pay medical bills upfront and are only reimbursed later, (please keep in mind that not all costs might be covered)

To wrap up, let’s clear up a common myth: “Do students get free healthcare in Germany?” The simple answer is: No. Students have to pay monthly contributions

Good to know

The only exception is the European Health Insurance Card (EHIC). It can be accepted for your studies in Germany, so you do not have to take out additional insurance. Our Student Service can give you more information on it and is here to support you with personal advice. We'll help you get sorted, don't worry!

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To sum up

It can be a lot to take in, especially if you are dealing with insurance for the first time. Gather as much information as possible, be thorough in your research, don’t be afraid to ask questions and pick what feels right for you

✨And most importantly: enjoy your studies in Germany! Going abroad is surely something you will think back to for many years to come.

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Student Service

Student Service

FAQ

There are many differences between public and private health insurance. One of the most important ones is that with private health insurance you have to pay all bills (visits to doctors, hospitals, medication etc.) in advance before you get reimbursed later, so you need to block money for this. With public insurance this is covered, except for a low co-pay. Don’t forget that once you choose to be insured privately it won’t be possible for you to switch to a public provider.  

There is no single "best" option, as it depends on your age and needs. Most students under 30 prefer public insurance for its simplicity and direct billing. However, if you are over 30 or have very specific medical requirements, private insurance might be the only accessible or tailored choice for you. It is important for you to keep in mind that should you have a pre-existing health condition you might have to pay a higher premium, which can get costly. 

Simply choose a provider and apply online or in person. You will then receive the necessary confirmation for your university enrolment and visa. 

It depends on which insurance you choose, but you should consider about € 150 per month. If you choose private insurance, please keep in mind that you have to pay all bills first by yourself and at a later point you’ll get reimbursed, but maybe not for the full amount.  

No, monthly contributions are mandatory, however, if you have an existing European insurance which is valid in Germany through EHIC, you will be covered through that.