PKV Knowledge Base

Expert guides on German private health insurance for English-speaking expats, freelancers, and professionals.

23
Articles
12
Topics
2026
Updated
Costs
Paying Your PKV Premium During Long-Term Illness

How your PKV premium is handled during long-term illness in Germany: the employer subsidy, sick pay, daily sickness benefit and the options if money is tight.

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What Happens to Your PKV Ageing Reserves When You Die

What happens to private health insurance ageing reserves when a policyholder dies — why they are not inheritable, how surviving family members' own cover continues, and the practical steps.

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Portable Ageing Reserves: The Übertragungswert When You Switch Insurer

How the Übertragungswert lets part of your PKV ageing reserves transfer to a new insurer since the 2009 reform, what moves, what stays, and why switching insurer is still weighty.

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PKV Beitragsschulden: What Happens If You Can't Pay the Premium

What happens when you fall behind on private health insurance premiums in Germany — the reminder stages, the Notlagentarif emergency tariff, and how to restore full cover.

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PKV vs GKV: The Real Maths for High Earners

How high earners should weigh PKV against GKV — statutory contribution caps, private premiums and reserves, family size and the decades-long horizon.

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Challenging a PKV Premium Increase: Your Rights on a Beitragsanpassung

How PKV premium increases (Beitragsanpassungen) are legally triggered and justified, the grounds on which some have been overturned, and how to review your own.

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PKV and Inflation: Budgeting for Fifty Years of Premiums

How to budget PKV premiums over decades: realistic growth assumptions, the GKV comparison, buffer strategies and the levers that keep cover affordable.

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The Cheap Entry Tariff Trap: Why the Lowest PKV Premium Costs Most

Ultra-cheap PKV entry tariffs age badly by design: thin benefits, weak collectives, steep increases. The warning signs and what to buy instead.

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What's Inside Your PKV Premium: A Breakdown of Every Euro

Risk premium, ageing-reserve savings, the 10% surcharge, cost loadings: what each component of a PKV premium does — and why the split matters to you.

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Why PKV Premiums Rise: The Mechanics Behind Every Increase

PKV premium increases follow a legally scripted process: trigger thresholds, trustee approval, cost reviews. What actually drives them and your options.

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The GOÄ Explained: How Doctors Bill Private Patients in Germany

Private medical invoices follow the GOÄ fee schedule with multipliers up to 3.5. How to read your bill and when your insurer pays in full.

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Beitragsrückerstattung: Getting Premiums Back for Claim-Free Years

Many PKV tariffs refund up to several monthly premiums for claim-free years. How Beitragsrückerstattung works and when holding back invoices pays off.