How To Select The Right Private Health Insurance

Many expats living in Germany choose private health insurance over public health insurance. What is really important when choosing a private health insurance plan? πŸ€”

Table of contents

Introduction: Why You Should Avoid Insurance Agents

Are you an expat living in Germany with public health insurance? Would you rather want to be insured in the private health insurance system than in the public health insurance system? If so, you probably want to know which important factors will help you to choose the right private health insurance plan for yourself and who to trust when talking to an “insurance advisor”.

In Germany, there are insurance agents and insurance brokers. When working in the insurance business, companies have to decide which one of the 2 types they want to be. And that decision has major implications for you as the client and how sure you can be that the insurance advice that you are getting from your agent or broker is objective.

  • Insurance agents represent the insurance company they work for and not their clients. Therefore, insurance agents are only obligated to the insurance company they work with. Here you can see the official German registry to see who is only an insurance agent.
  • Insurance brokers work with many different insurance companies acting on behalf of their clients, scanning the German insurance market for the best insurance available. Here you can see PerFinEx’s official registry entry as proof that we are an independent broker.

That explains the “coincidence” why everyone who talks to insurance agents will always get the exact same result even though there are +30 private health insurance companies in Germany to consider. Insurance agents have a clear conflict of interest when giving advice.

So let us see what you should focus on in this article when choosing the right private health insurance plan for you – just like an independent broker would. Health insurance is one of the most personal insurances there is. So there are 3 factors that you should consider in order to find the perfect private health insurance plan for yourself.

#1 When Choosing Private Health Insurance: Deductible

If you would like to select the right private health insurance plan for you, here’s how you do it. First, select the amount of deductible you want. A deductible is the co-payment that determines how much medical bills you have to pay yourself before your private health insurance company starts paying.

Deductibles are usually in Euros per year (e.g. 300€, 600€, or 900€) which means that you would have to pay that amount every year yourself – medical costs that exceed that amount will be paid by your insurance company. Deductibles can also be in percentages, meaning you have to pay e.g. 10% of medical bills yourself up to a certain amount per year.

When choosing a deductible, you are basically splitting the risk of costs for treatment or medication with your private health insurance company. That is why they will reward with a lower monthly premium compared to a plan with a 0€ deductible.

Should you go for a high deductible (+1000€ / year) because it will decrease your monthly premium? Not as an employee. As your health insurance premium (public or private) is paid 50/50 together with your employer you might want to go for a low or even a 0€ deductible, because the deductible has to be paid by you in full.

Self-employed people or business owners who do not have a regular employer and therefore have to pay their entire health insurance premium on their own may choose a high deductible in order to save in monthly contributions. Self-employed people who do not pay into German social security can have a much higher deductible than employed people.

Which health insurance company & plan is best for you? Maybe it is Hallesche, maybe not. Let's find out together.

#2 When Choosing Private Health Insurance: Coverage

The second major deciding factor when choosing the perfect private health insurance plan for you is the one and only reason why anyone should opt for a German private health insurance in the first place. Always look at the coverage first and then decide if you are willing to pay for that particular coverage.

If you compare public health insurance vs private health insurance only for the money and not because of coverage, you will most likely select the cheapest private health insurance plan there is. The cheaper the plan, the lower the quality, and the more the monthly premiums will rise over the years.

If you are young and your plan is to leave Germany within the next few years again, you can opt for a cheap plan with a low quality. Everybody else who plans to be in Germany for decades or even for the rest of his life should opt for at least a mid-range plan in terms of quality.

Utilize the full benefits of the German private health insurance system that you can choose your coverage almost as freely as you want it to be. While public is offering the same coverage to everybody, private health insurance allows you to choose a higher coverage – or even drop coverage you don’t want to save premium.

If you would like high-quality private health insurance but don’t want to pay a high premium, choosing a higher deductible might be a suitable option for you. A higher deductible or co-payment will make a higher quality plan more affordable.

When comparing different coverages of different private health insurance plans, it can get confusing very quickly. That is why we at PerFinEx like to work with star levels from 1 star to 5 stars (like hotels). The higher the stars, the more coverage you will enjoy.

Depending on the coverage stars you would like to have different private health insurance companies and plans that are good. Some companies and plans are good at the mid-range coverage star level, while other insurances and plans are better at the higher star level. If you would like to get some help in choosing the right plan with the right coverage for you, feel free to secure a free meeting with us here.

#3 When Choosing Private Health Insurance: Cashback

Last factor when searching for your perfect private health insurance plan is the cashback model that suits your personal situation the best. Cashback makes private health insurance even better compared to public health insurance, because public health insurance companies in Germany offer very little cashback – if any.

When members of the private system visit the doctor, they get sent the invoice to their home and can decide what to do with that invoice: Either pay themselves or send the medical bill to their private insurance company by making a photo with the respective mobile app.

Why would you pay for medical bills yourself instead of letting your insurance pay? If you are a good customer and don’t send invoices to your health insurance company, they will reward you with cashback and give you some of the monthly premium back that you paid in the prior year. That is why many privately insured people choose to pay for medical bills themselves and get cash back instead of sending invoices to their private health insurance company.

Cashback models can differ from plan to plan. Some plans pay a high cashback in the first years and rise lower, some plans pay a comparatively low cashback in the beginning and rise higher the longer you don’t send invoices to your insurance. Think about the time you plan to be in Germany and choose the best cashback model for your individual situation accordingly.

Cashback is a great way to save money in the private system if you choose a plan that offers cashback. The private health insurance company that claims to be the only English-speaking private health insurance in Germany, Ottonova, seems to be the only company that offers no cashback at all.

β€œThe cheaper your private health insurance plan, the lower the quality, the more your monthly health insurance premium will rise over the years.”

Conclusion: How To Pay Only 5% For Health Insurance

At the beginning of 2022, an established (also English-speaking πŸ˜‰) private health insurance company decided to make a significant change to one of its plans that can be very exciting for everyone who wants to change his private health insurance plan or wants a switch to private health insurance for the first time.

It is a 4-star plan in terms of coverage with a 0€ deductible, so a very suitable plan for employees in Germany. After receiving your annual cashback, this private health insurance plan will cost you only 5% of the monthly premium that you pay. Here is how the plan works in detail:

  • 500€ monthly premium = 6.000€ annual premium (exemplary numbers)
  • 45% cashback = 2.700€ from the 3.000€ premium you have to pay (+3.000€ from employer)
  • 3.000€ premium – 2.700€ cashback = 300€ annually (or 5%) you are paying for health insurance

Prior to 2022, this private health insurance plan required you to not hand in any invoices for 4 continuous years in order to receive 45% cashback. Now with the new change, you can start immediately with the highest cashback percentage if you can prove that you had very few medical costs in the last 3 years (in public or private) before switching to this plan.

Not just that this plan would cost you about half of what public health insurance is charging you (before cashback), it is also a 4-star coverage plan compared to 1-star public health insurance. After receiving your annual cashback this private health insurance plan is basically costing you 25€ per month.

If you are thinking of improving your health insurance in Germany, you can secure a free meeting with us to discuss your personal situation.

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