The premiums depend on income. The greater it is the more must be paid, up to a certain limit. In 2020, the premium is about 14.6% of gross income for the national health insurance, the exact amount depending on the insuring company. Premiums are paid on income up to €56,250 per year (€4,688 monthly). For long-range nursing care insurance the payment is 3.05% or 3.3% on monthly income up to €4,688 (€56,250 per year). The monthly premium can reach a maximum of about €155/month. The 2020 yearly income limits for pension and unemployment insurance are €82,200 in the former West Germany and €77,400 in the former East Germany. The charges are 18.6% for pension insurance and 2.4% for unemployment insurance.

Health Insurance

Health insurance. About 85% of the German population is insured under the Gesetzliche Krankenversicherung (GKV), the German version of a national health system. It covers such things as hospital stays, dental care, routine doctor visits, drugs, eyeglasses, immunizations and x-rays. It also compensates persons for loss of income due to illness.

Employed persons making more than €5,212 monthly (€62,550 per year) have the option of either remaining in the statutory health insurance plan or taking out private insurance. The employer still may, with certain limitations, pay up to half the premiums of the private insurance plan. Self-employed persons can, under certain circumstances, also be insured under the statutory plan, or they may take out private insurance regardless of their income.

Persons in both the statutory and private health plans are automatically enrolled in the long-range nursing insurance (Pflegeversicherung) plan, covering health costs resulting from old age or disability. (For more information, read our article on Health Insurance.)

Pension Insurance

Pension insurance. This statutory old age insurance fund ensures that employees can maintain an appropriate standard of living when they retire. Payments are generally made from age 65, and the maximum payout currently amounts to some 67% of average net income during the insured’s working life. (The retirement age is to be gradually increased to 67 over the next 20 years.) It is not unusual for persons to receive retirement payments from two or more countries. When expatriates return to their homeland any German pension entitlement can be sent to them there. (For more information read our article on the German Retirement System.)

Unemployment Insurance

Unemployment insurance can be received by persons who have paid their premiums for at least one year during the past five years. They must register with the Labor Office (Bundesagentur für Arbeit) and be available to its placement service, agreeing to accept a job found for them if it is consistent with their training and experience. And they must check regularly with the Labor Office. If they do this they will receive a percentage of their most recent net income. The exact payment depends on the individual’s circumstances.

These payments will continue for six months to two years, depending on your age and length of employment. After that state assistance kicks in. The unemployed person gets a monthly sum plus allowances for housing and certain other things. But they only get this money if they need it. They may get less, or none at all, if they have independent means or if their spouse works.

Accident Insurance

Accident insurance. The statutory accident insurance system offers protection and assistance in the event of mishaps at work, or on the way to and from work. And it provides the same for your children at school or on the way to or from school. It also covers any job-incurred illnesses. Payments cover the costs of treatment and recuperation, pensions in the event of invalidity and funeral costs in the event of death. The employer pays the premiums on this one in their entirety.

Social Indemnity

Social indemnity is for persons whose adverse condition is considered the responsibility of the community, and is paid by the state. Those covered include disabled war veterans, war widows and orphans, soldiers with service-incurred health problems and the victims of violent crime.