German Health Insurance

Comments discuss Germany's dual public-private health insurance system, including mandatory coverage, income-based costs, employer contributions, and comparisons to the US and other European countries' healthcare models.

📉 Falling 0.4x Health
2,088
Comments
20
Years Active
5
Top Authors
#2466
Topic ID

Activity Over Time

2007
2
2008
8
2009
8
2010
21
2011
21
2012
41
2013
44
2014
43
2015
35
2016
77
2017
166
2018
194
2019
248
2020
205
2021
269
2022
189
2023
193
2024
179
2025
133
2026
12

Keywords

US GP www.gov EUR GDP E.g wikipedia.org UK NHS index.php insurance health health insurance private insurance germany healthcare private pay health care public

Sample Comments

koevet Nov 12, 2022 View on HN

Germany has a different setup than most EU countries: one can be insured privately or publicly.Public insurance costs are based on income. Private insurance costs are based on health/age etc.Moving from private insurance to public is almost impossible, as far as I know.To give you an idea, I recently switched to private insurance and cut my monthly cost by 50%.

i_don_t_know Apr 10, 2021 View on HN

No free healthcare. You have to buy insurance (legal requirement). Depending on your pay, you may buy private insurance at a fixed monthly premium, or public insurance at 15% of your income. Your employer covers half the cost for each one.Currently, the max on public insurance is about 800€/month incl. „Pflegeversicherung“ for when you need permanent care after injuries or old age. You‘re paying half of that, your employer pays the other half.There‘s also tuition at universities but i

ascar Jan 8, 2019 View on HN

Germany has a split system between mandatory government healthcare and voluntary private healthcare, once you pass a certain income threshold (about 80% above average income) or are self-employed.There are differences. The voluntary insurance usually pays 2x to 3x of the mandatory one and covers more treatments that are seen as optional by the government insurance. E.g. physiotherapy is covered by government insurance only for clear indications while private insurances might cover it as a pre

buescher May 10, 2022 View on HN

Somehow they have private insurance in Europe too. Germany has universal health care and you are well advised to get private insurance if you make enough that the state will allow you to buy it. The threshold is a salary of about $68K/year in US dollars.

patrickk Mar 23, 2023 View on HN

In Germany, private health insurance is the norm above a certain salary level (it's not actually mandatory but when you read about it online, makes it seem so). There is a hybrid private-public insurance option below that level.It's common for employers to subsidise the private insurance at least.And no, it's not messed up like in the US, although it's a large expense by European standards/cheap by US standards (the insurance companies raise the rates every year, a

gambiting Mar 23, 2018 View on HN

The point is, that in US the second you stop paying your medical insurance as a result of financial problems caused by job loss/illness/family issues/whatever, you don't have health insurance anymore. Sure, you can go to an emergency room and will be helped, but you are still going to get a bill for it. In Germany(and most of EU) even if you are paying nil towards the national health insurance, you are still fully covered for everything - no bill will ever be produced for any

taejo May 9, 2017 View on HN

The US may be the only rich western country without universal health care, but it is by no means the only one without single-payer. Germany, for example, has private health insurance[0] but everyone has to have insurance, public insurers have to accept everyone, and employers have to pay part of the cost.[0] There's a distinction between "public" (gesetzlich) and "private" (privat) health insurance, but neither is run by the government. Public insurers are private org

hda111 Jun 16, 2021 View on HN

In Germany it’s two class medicine. 10% have private insurance and 90% are in the statuary health insurance. Those in private insurance have to pay most things on their own and need to try getting it back from insurance company.

zer0tonin Jul 2, 2023 View on HN

Well let me enlighten you, as someone who doesn't live in america. I pay a bit less than 150 euros a months in health insurance in the Netherlands. It is not tied to my employer in any way. If I was poor I could ask for those payments to be subsidized by the state.If I am sick I can just get an appointment with my GP within the day and not pay a thing, they can refer me to specialists or blood tests if needed, which are also fast and free. The remaining healthcare costs for medications o

flavius29663 Nov 17, 2022 View on HN

not all of Europe is the same, there are many countries that still require you to pay additional private healthcare, and you have copay whenever you interact with the system.