TLDR Berlin Signpost

What does "Private Krankenversicherung" mean in English?

Last updated on 10 April 2024

Private Krankenversicherung (PKV) translates to “private health insurance” in English. It is an alternative to the statutory or public health insurance system in Germany, offering coverage for medical and dental treatments.

What is “Private Krankenversicherung”?

In Germany, health insurance is mandatory for all residents, and they can choose between statutory (public) health insurance (Gesetzliche Krankenversicherung, GKV) and private health insurance (Private Krankenversicherung, PKV). PKV is mainly designed for individuals who earn above a certain income threshold, are self-employed, civil servants, or do not qualify for statutory health insurance. It offers more personalized coverage options and often provides access to a broader range of medical services, shorter waiting times for appointments, and treatment from senior doctors or specialists.

More information about “Private Krankenversicherung”

Private health insurance premiums are calculated based on individual risk factors such as age, health condition, and chosen coverage level, rather than income. This can result in lower premiums for young, healthy individuals but may increase with age or if health issues arise. PKV plans often require a health assessment before signing up and may not cover pre-existing conditions without additional costs. Unlike statutory health insurance, where family members can be covered at no extra cost, each person under a private plan needs an individual contract.

Here are some additional terms that are related to private health insurance:

  • Gesetzliche Krankenversicherung (GKV): The statutory or public health insurance system in Germany, offering a standard range of medical services for a premium based on income.
  • Beihilfe: A healthcare benefit system for civil servants, where a portion of their medical expenses is covered by the state, and the rest can be covered by a private health insurance plan.
  • Selbstbeteiligung: A deductible or co-payment that insured individuals must pay out-of-pocket before their insurance covers the rest of their medical expenses.
  • Tarifwechsel: The option to change insurance plans or coverage levels within the same insurance company, often used to adjust coverage as needs or financial situations change.

Choosing between public and private health insurance in Germany depends on individual circumstances, including income, employment status, health condition, and personal preferences for healthcare services.

Sources

[1] https://www.welcome-center-germany.com/post/private-health-insurance-in-germany [2] https://www.krankenkassen.de/private-krankenversicherung/pkv-liste/ [3] https://fintiba.com/moving-to-germany/general/requirements/private-vs-public-health-insurance-germany/ [4] https://www.health-insurance.de/private-health-insurance/cost/ [5] https://www.ottonova.de/en/expat-guide/private-or-public [6] https://feather-insurance.com/blog/health-insurance-guide-private-health-insurance/ [7] https://www.germany-visa.org/insurances-germany/health-insurance/ [8] https://allaboutberlin.com/guides/german-health-insurance [9] https://hallogermany.com/blog/health-insurance-public-vs-private [10] https://www.germany-visa.org/insurances-germany/health-insurance/private-health-insurance/ [11] https://www.euraxess.de/germany/information-assistance/social-security-and-optional-insurances/health-insurance [12] https://www.germany-visa.org/insurances-germany/health-insurance/cost/ [13] https://beamtenservice.de/private-health-insurance-germany/ [14] https://expats.de/en/health-insurance/private-health-insurance/ [15] https://howtogermany.com/insurance/health-insurance/health-insurance-options-germany/ [16] https://www.ottonova.de/en/expat-guide/pkv-costs [17] https://www.daad.de/en/studying-in-germany/living-in-germany/health-insurance/ [18] https://www.academics.com/guide/health-insurance-germany [19] https://www.health-insurance.de/private-health-insurance/benefits/ [20] https://allaboutberlin.com/tools/health-insurance-calculator