✈️ Expats

Health Insurance for Posted Workers (Entsendung) in Germany

A temporary posting can keep you in your home system — or pull you into Germany's. How the Entsendung rules and the A1 certificate decide it.

Posting Has Its Own Logic

An Entsendung (posting) is when an employer sends an employee to work in another country temporarily while the employment relationship stays at home. It has its own social-security logic that overrides the usual “insured where you work” rule: for a genuine, time-limited posting, you can remain in your home country’s system, insured as if you never left. That is often a relief — but it depends on doing the paperwork, and the details decide whether German rules apply instead.

The key document: within the EU/EEA, an A1 certificate confirms you remain subject to your home country’s social security during the posting. With a valid A1, you stay in your home health system for the posting period; without it, you risk falling under German rules.

Coming to Germany on a Posting

If a foreign employer posts you to Germany with a valid A1 (or an equivalent under a bilateral agreement), you generally remain insured at home and are not obliged to join the German system for the posting’s duration. Practically, you should still ensure your home cover actually works in Germany — carry your EHIC or insurer documentation, and confirm access to German providers. Postings have time limits; if the assignment extends or becomes permanent, the position can change and German insurance may then apply.

Going Abroad from Germany

Where PKV Fits

For a privately insured German employee posted abroad, PKV typically continues, with the worldwide clause doing the work — the main task is matching the tariff’s limits to the assignment length. For someone posted into Germany on an A1, the German PKV/GKV choice usually does not arise, because they remain in their home system. The exception is when a posting ends or converts to local employment: at that point the ordinary German rules — and the PKV option for qualifying earners — come into play.

The Bottom Line

A posting lets you stay in your home country’s health system temporarily, evidenced within the EU by an A1 certificate — so an Entsendung into Germany usually does not trigger the German insurance choice, and a German employee posted abroad normally keeps PKV with its worldwide cover. Sort the A1, confirm your cover works where you are going, mind the time limits, and reassess if the posting becomes permanent.

Frequently Asked Questions

If I am posted to Germany, do I have to join the German health system?
Generally not for a genuine, temporary posting with a valid A1 certificate (within the EU/EEA) or bilateral-agreement equivalent — you remain insured in your home country's system for the posting period. Still confirm your home cover works with German providers.
What is an A1 certificate?
It is the EU/EEA document confirming you remain subject to your home country's social security during a posting. With a valid A1 you stay in your home health system; without it, you risk falling under German rules.
What happens to my German PKV if I am posted abroad?
It typically continues, with the tariff's worldwide-cover clause governing treatment abroad. Check the trip-length limits, arrange an extension or add-on for a long assignment if needed, and notify your insurer about an extended posting before you go.

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