Private or Statutory Health Insurance?

Scientifically-based & objective decision support

Objectively compare the private and statutory health insurance to make the best choice for your needs.

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Main Features

Objective Comparison

Which protection is best? We compare GKV and PKV for you—objectively, neutrally, and with full transparency. Find all relevant facts at a glance for your best decision.

Simple Calculator

What will your full coverage cost? Our calculator compares GKV and PKV contributions. You get an instant calculation based on your wishes—guaranteed 100% anonymous and GDPR-compliant.

In-depth Information

We explain the differences of GKV and PKV with scientific precision and based on clear facts. This way, you understand all the details. Our goal: pure enlightenment, no brokerage.

Explanations of GKV and PKV

What is Statutory Health Insurance? (GKV)

The Statutory Health Insurance (GKV) is a cornerstone of the German social security system. It is based on the principle of solidarity, where contributions are income-dependent and not determined by individual health risk.

This means that healthy and high-income members contribute a portion of their premiums to support those who are sicker and have lower incomes. The benefits of the GKV are legally defined and largely the same for all insured persons. These include, among others:

  • Medical Treatment: Comprehensive care by registered doctors and specialists.
  • Hospital Stays: Inpatient treatment in hospitals.
  • Medications: Provision of prescription drugs.
  • Preventive Check-ups: Regular check-ups for early detection of diseases.
  • Dental Prosthetics: Subsidies for dental prosthetics.

The GKV is the mandatory insurance for the majority of employees, pensioners, and the unemployed in Germany. Family members without their own income can often be co-insured for free. The contributions to the GKV are generally split equally between the employee and the employer.

Illustration representing the community and solidarity of GKV

What is Private Health Insurance? (PKV)

Private Health Insurance (PKV) is primarily open to the self-employed, freelancers, civil servants, and employees with an income above the compulsory insurance threshold. In contrast to the GKV, contributions to the PKV are based on individual factors such as health status, age, and the chosen tariff. This allows insured individuals to customize their insurance coverage more flexibly and opt for higher benefits. Advantages of the PKV include, among others:

  • Faster Appointments: Often shorter waiting times for doctor and specialist appointments.
  • Better Benefits: More comprehensive benefits in areas like dental prosthetics, alternative practitioners, and alternative treatment methods.
  • Private Room in Hospital: The option to choose a private room in the hospital.
  • Individual Tariffs: Flexible design of insurance coverage according to individual needs.

Every insured person requires their own contract in private health insurance (PKV). Employees who meet the requirements for private health insurance receive a subsidy toward their premium from their employer. Self-employed or non-working individuals with private health insurance, however, do not receive this employer subsidy.

Illustration of a person having a personalized health consultation, representing PKV

Private or Statutory Health Insurance: A Detailed Comparison

To help you decide between PKV and GKV, we have summarized the most important differences in a table:

CriterionStatutory Health InsurancePrivate Health Insurance
ContributionsIncome-dependent (up to the contribution ceiling)Risk-dependent (health, age, tariff)
BenefitsLegally defined benefit catalog, uniform for allContractually agreed benefit scope, individually selectable
Target GroupEmployees below the income threshold, pensioners, studentsEmployees above the income threshold, self-employed, civil servants
Family InsuranceContribution-free co-insurance of family members possibleEach family member needs their own contract
Doctor ChoiceFree choice among doctors with statutory insurance approvalFree choice among all doctors (incl. private doctors)
Billing PrincipleBenefits-in-kind principle (direct billing between doctor & insurance)Reimbursement principle (insured pays doctor, submits invoice)

Find the right health insurance with our calculator

Our calculator helps you compare the costs and benefits of PKV and GKV. Start now and find the optimal health insurance for your needs!

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Premium Development with Age

Projected cost development of PKV and GKV in comparison.

Exemplary representation of premium development. Actual costs may vary.