Guides to German bureaucracy

Get health insurance

Health insurance is mandatory in Germany. Most employees join public insurance (GKV); high earners and the self-employed can choose private (PKV). You need it for your residence permit and your employer needs proof.

Official source
  1. 1Choose public (GKV) or private (PKV)

    Employees under the income threshold (~€73k/year, 2026) must join GKV — the big funds (TK, AOK, Barmer) differ little in price and all cover the essentials, with English service at the large ones. Above the threshold or self-employed you may pick PKV, but switching back is hard.

    Official source
  2. 2Register and send proof to your employer

    Apply online with the fund of your choice (passport + employment contract). The fund informs your employer electronically; your eGK insurance card arrives by post in 1–2 weeks.

    Passport · Employment contract

    Official source

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Procedures vary by city and office and can change. This is general information, not legal advice — always check the official source.