Private: Healthcare in Germany

An Introduction to the German Healthcare System

Germany is renowned for its efficient and high-quality healthcare system, which is often considered one of the best in the world. As an expatriate moving to Germany, it is essential to understand how the healthcare system works and how you can access the necessary health services. In this article, we will provide an overview of the German healthcare system and guide you through the process of navigating it as an expat.

The Basics of the German Healthcare System

The German healthcare system is based on the principle of solidarity, where everyone contributes to the system according to their income and receives comprehensive healthcare coverage in return. It is a combination of public and private health insurance, ensuring that all residents have access to high-quality medical care.

There are two main types of health insurance in Germany: statutory health insurance (Gesetzliche Krankenversicherung) and private health insurance (Private Krankenversicherung). Statutory health insurance is mandatory for employees with an income below a certain threshold, while private health insurance is available for higher-income individuals, self-employed professionals, and civil servants.

Regardless of the type of insurance, the German healthcare system offers a wide range of services, including doctor visits, hospital stays, prescription medications, and preventive care. It also covers maternity care, dental treatment, and rehabilitation services.

Accessing Healthcare Services as an Expat

As an expatriate in Germany, you are entitled to the same healthcare benefits as German citizens. However, the process of accessing healthcare services may vary depending on your insurance status and personal circumstances. Here are the steps you need to follow:

1. Register with a Health Insurance Provider

The first step is to register with a health insurance provider in Germany. If you are an employee with an income below the threshold, you will be automatically enrolled in a statutory health insurance scheme. The contributions will be deducted from your salary, and you will receive a health insurance card (Krankenversichertenkarte) that you can present to healthcare providers.

If you are not eligible for statutory health insurance, you will need to obtain private health insurance. It is advisable to research different insurance providers and compare their coverage and premiums before making a decision.

2. Find a General Practitioner (Hausarzt)

Once you have your health insurance in place, it is recommended to find a general practitioner (Hausarzt) who will serve as your primary point of contact for non-emergency healthcare needs. The general practitioner will provide basic medical care, refer you to specialists if necessary, and coordinate your overall healthcare.

It is important to note that some health insurance plans require you to choose a specific general practitioner and obtain a referral from them before seeing a specialist. However, this requirement may vary depending on your insurance provider, so it is essential to check the terms and conditions of your policy.

3. Seek Specialist Care

If your condition requires specialized care, your general practitioner will refer you to a specialist. In Germany, specialists are highly trained and often have extensive experience in their respective fields. They play a crucial role in diagnosing and treating complex medical conditions.

When visiting a specialist, make sure to bring your health insurance card and any relevant medical documents or test results. The specialist will assess your condition, provide a diagnosis, and recommend appropriate treatment options.

4. Hospital Care and Emergency Services

In case of emergencies or the need for hospitalization, the German healthcare system ensures that you receive prompt and high-quality care. Hospitals in Germany are well-equipped with state-of-the-art facilities and staffed by skilled medical professionals.

If you require emergency medical assistance, dial the European emergency number 112. The operator will dispatch an ambulance to your location and ensure that you receive the necessary medical attention.

5. Prescription Medications

If you need prescription medications, your doctor will provide you with a prescription that you can take to a pharmacy (Apotheke). Pharmacies in Germany offer a wide range of medications, and the pharmacists can provide advice on proper usage and potential side effects.

It is important to note that some medications may require prior authorization from your health insurance provider. In such cases, your doctor will assist you in obtaining the necessary approval.

Additional Considerations for Expats

As an expatriate in Germany, there are a few additional considerations to keep in mind when navigating the healthcare system:

1. Language Barrier

While many healthcare professionals in Germany speak English, it is advisable to learn some basic German phrases related to healthcare. This will help you communicate effectively with doctors, nurses, and other healthcare providers.

2. Health Insurance Coverage Abroad

If you plan to travel outside of Germany, it is essential to check whether your health insurance coverage extends to other countries. Some health insurance plans offer limited coverage abroad, while others may require additional travel insurance.

3. Health Promotion and Prevention

The German healthcare system emphasizes preventive care and health promotion. Take advantage of regular check-ups, screenings, and vaccinations to maintain your overall health and well-being.

4. Mental Health Support

Mental health is an important aspect of overall well-being. If you require mental health support, there are specialized professionals and resources available in Germany. Your general practitioner can provide referrals to mental health specialists or therapists.


The German healthcare system is renowned for its comprehensive coverage and high-quality care. As an expatriate, understanding how the system works and knowing your rights and responsibilities is crucial for accessing the healthcare services you need. By registering with a health insurance provider, finding a general practitioner, seeking specialist care when necessary, and being aware of additional considerations, you can navigate the German healthcare system with confidence and ensure your well-being during your time in Germany.