PKV Knowledge Base

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

137
Articles
12
Topics
2026
Updated
Family
Fertility Treatment and IVF: What German Private Insurance Covers

PKV often covers IVF more generously than GKV — but the causation principle decides whose insurer pays. What couples should clarify before treatment.

Providers
How to Judge a PKV Insurer's Financial Strength Before You Sign

A PKV contract can last 50 years. Which ratings and key figures — Assekurata, solvency, RfB quota, admin costs — actually reveal an insurer's strength.

Dental
The Zahnstaffel: Why Dental Benefits Are Capped in Your First Years

Almost every PKV tariff caps dental reimbursement in the first 3–5 years via the Zahnstaffel. Typical limits, exceptions and how to plan major dental work.

Providers
Signal Iduna vs Continentale: Two Mutual Insurers Compared

Signal Iduna and Continentale are established mutual PKV insurers. How they compare on tariffs, target groups and long-term stability.

Coverage
Cancer Treatment Under PKV: What Private Cover Really Delivers

How PKV covers cancer care: diagnostics, oncology, innovative therapies, second opinions and aftercare — and the tariff details that matter most.

Eligibility
Part-Time Work and PKV: What Happens When Your Hours Drop

Part-time work can drop you below the PKV salary threshold and trigger compulsory GKV. What happens before 55, after 55 and how to plan a reduction in hours.

PKV Guide
The Reimbursement Principle: How Paying and Claiming Works in PKV

PKV runs on reimbursement: doctors bill you, the insurer pays you back. How the money flow works and how to handle large hospital bills.

Providers
ottonova vs Traditional Insurers: Is Digital-First PKV Right for You?

ottonova offers app-based, English-language PKV. How the digital insurer compares with traditional providers on benefits, price and long-term stability.

Costs
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.

Eligibility
PKV for GmbH Directors: Why Managing Directors Can Often Choose Freely

Shareholder-directors of a GmbH are often exempt from social insurance and can choose PKV at any salary. How the rules work and what to watch.

PKV Guide
Pflegepflichtversicherung: The Mandatory Care Insurance Beside Your PKV

Every PKV policy comes with mandatory private long-term care insurance (PPV). What it covers, what it costs and how it compares to the GKV equivalent.

Eligibility
The Age-55 Rule: Why Returning to GKV Later Is Almost Impossible

From age 55 the law effectively bars a return from PKV to statutory insurance — even below the salary threshold. How the rule works and its rare exceptions.