1. Overview of Germany’s Health Insurance System

  • Since 2009, health insurance is mandatory for all German residents, with about 92% relying on Statutory Health Insurance (GKV) versus Private Health Insurance (PKV)
  • GKV contributions total around 17% of gross salary—14.6% general rate plus an average 2.5% supplemental fee—split evenly between employer and employee.    
  • GKV covers comprehensive services: doctor visits, hospitalization, prescriptions, maternity, mental health; family members are covered at no extra cost.  

2. Public vs. Private Health Insurance

TypeWho It’s ForBenefitsCaveats
Public (GKV)Most employees, families, low-income earnersIncome-based cost, wide coverage, free family coverage Longer wait for specialists
Private (PKV)High earners (> €73,800/year), civil servants, self-employedFaster access, premium services, customizable plans Cost tied to health/age, difficult to revert to GKV 

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