Published by heziiian ·

German Health Insurance Guide + How Dogpay Enhances Cross-Border Healthcare Payments

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

Type

Who It’s For

Benefits

Caveats

Public (GKV)

Most employees, families, low-income earners

Income-based cost, wide coverage, free family coverage 

Longer wait for specialists

Private (PKV)

High earners (> €73,800/year), civil servants, self-employed

Faster access, premium services, customizable plans 

Cost tied to health/age, difficult to revert to GKV