PRIVATE HEALTH INSURANCE · PKV · GERMANY

Find out if private health insurance in Germany is right for you

We help you understand whether you can access private insurance, what advantages it has over public coverage, and which option best fits your salary, situation and needs.

Clear and free guidance · We help you compare and decide with confidence

Thinking about switching to private health insurance in Germany?

Privatekrankenversicherung (PKV) is Germany's private health insurance system. It offers significantly better coverage than public insurance, shorter waiting times and a much more personalised level of care. However, not everyone can access it — and it is not always the best option for every situation.

At Bramex we help you analyse your specific case, compare real costs and make an informed decision. No pressure, no hidden catches.

When can you take out private health insurance in Germany?

Access to private insurance depends primarily on your income level. Here is the threshold you need to know:

€6,450
gross monthly salary
equivalent to
€77,400 per year

What you need to know about this threshold

  • All parts of your salary count — not just your base pay. Bonuses, variable pay and supplements are included.
  • If you have just arrived in Germany and your salary exceeds this threshold, you can take out private insurance from day one.
  • If you have been in Germany on public insurance and your salary has now gone above this limit, you can also switch.
  • If you got a pay rise mid-year that pushes you over the threshold, your total annual salary for the full year must exceed €77,400 gross to be able to switch that same year. If not, the change applies on 1 January of the following year.
  • Remember that you must give your Krankenkasse 2 months' notice before your intended switch date.

Private vs public insurance: key differences

An honest comparison so you can understand what each option actually offers before deciding.

PKV · Private
GKV · Public
Monthly cost
Fixed based on age and plan. Can be lower than public for high earners.
Percentage of gross salary (~16.2%). Rises as your income rises.
Waiting times
✓ Short-notice appointments with specialists
Longer waiting times
Doctors and hospitals
✓ Wider network. Senior consultant treatment in hospital.
Standard network. Shared room in hospital.
Dental coverage
✓ Far better coverage for treatments and implants
Basic and limited coverage
Hospital room
✓ Private single room
Standard shared room
Family coverage
Each family member needs their own policy at additional cost
✓ Spouse and children co-insured at no extra cost (if not working)
No-claims refund
✓ If you submit no claims, you may receive €200–€1,000+ per year back
Not applicable
Flexibility
✓ High flexibility: tailor coverage to your situation
Standard coverage, the same for everyone

Private insurance advantages by medical area

🏥

GP visits

  • Short-notice appointments
  • Longer and more thorough consultations
  • More preventive check-ups covered
🔬

Specialists

  • Direct access without long waits
  • Specialist therapies included
  • Good coverage with alternative practitioners
🦷

Dental

  • Far superior coverage for dental treatments
  • Implants and crowns with broad coverage
  • Dental cleaning included depending on plan
🏨

Hospital

  • Private single room
  • Treated by the senior consultant
  • Access to the latest treatment technologies
Private health insurance in Germany PKV

Insurance tailored to your personal situation

Private health insurance in Germany offers a wide range of plans. You can design a policy that costs less than public insurance, or one that provides much broader coverage — depending on what you need.

This flexibility is one of its greatest advantages: private insurance adapts to you, not the other way around. Before you decide anything, we walk you through all the available options so you have the full picture and can choose with confidence.

View the public vs private comparison tool

Frequently asked questions about private health insurance

I just got a pay rise. I now earn more than €6,450 gross per month. Can I switch to private insurance straight away?

In principle yes, but your total accumulated salary for the entire year (your previous salary plus the new one) must exceed €77,400 gross annually. If that is not the case, you will need to wait until the following year and the switch will take effect on 1 January. Also remember that you must give your Krankenkasse 2 months' notice before your intended switch date.

Is private insurance actually cheaper than public?

It can be, depending on three key factors: your age when you switch, the company and plan you choose, and your current state of health. For high earners, private insurance is often cheaper than public, which is calculated as a percentage of your salary. Use our comparison tool to see exactly how much you would save in your specific case.

What specific advantages does private insurance have over public?

The main ones are: far superior dental coverage, access to more doctors and hospitals with shorter waiting times, hospital treatment in a private room by the senior consultant, and the possibility of covering treatments not available under public insurance — such as certain fertility treatments. Before you commit, we go through exactly what each plan covers.

Do I get money back if I do not use my insurance and submit no claims?

It depends on the company and plan you choose. In many cases, if you submit no claims during the year, you receive a refund that can range from €200 to €1,000 or more per year. This is one of the exclusive benefits of private insurance.

I have private insurance. How can my partner get insured?

Your partner can choose between public or private insurance. If they opt for private, your employer can cover up to 50% of the cost, just as they do for yours. For example, if your insurance costs €500/month, your employer pays €250. If your partner's policy costs €420, the employer would contribute up to €203 of that amount. If your partner chooses public insurance, the employer does not contribute to that policy. You can calculate this in our comparison tool.

Want to see how much your private insurance would cost?

Use our public vs private comparison tool to see in seconds how much you would pay and how much you could save based on your salary and situation.

Related services

🛡️

Already have private insurance and need support?

Regardless of where you took out your private insurance, we offer ongoing support and assistance. Free of charge and in your language.

Find out more about our support service
🏠

Looking for a flat in Germany?

If you work as an engineer, in IT or as a doctor in Munich, Frankfurt or Stuttgart, we can help you find a flat and handle the rental paperwork.

Find out more about this service

Ready to make the move to private insurance?

Tell us your situation and we will work out the options available to you. We will send you real information and offers based on your case — no commitment, completely free.