💶 Costs

Risikozuschlag: The PKV Premium Surcharge Explained

A health risk at application can mean a surcharge rather than a refusal. How it works, and whether it lasts.

A Surcharge Instead of a No

When the health assessment shows a raised risk, an insurer has three broad responses: accept at standard terms, decline, or accept with a Risikozuschlag, a premium surcharge that prices the extra risk. The surcharge is often the middle path that lets someone with a manageable condition still get comprehensive cover.

How It Is Set

Shop the risk: insurers assess the same condition differently. A broker who knows which insurers are comfortable with your profile can make the difference between a heavy surcharge, a light one and a clean acceptance.

Can It Be Removed Later?

A surcharge set for a condition that later resolves can sometimes be reviewed, so if your health improves it is worth asking the insurer to reassess. The surcharge is separate from the general premium increases that affect all policyholders. What matters most is getting the assessment right at the start: declare everything honestly, and use a broker to place the application where the risk is viewed most favourably, because that is when the terms are decided.

Frequently Asked Questions

What is a Risikozuschlag?
It is a premium surcharge an insurer adds when the health assessment shows a raised risk. It often lets someone with a manageable condition get comprehensive cover instead of being declined.
Can a premium surcharge be removed?
Sometimes. If the condition that triggered it later resolves, you can ask the insurer to reassess. It is separate from the general premium increases that affect all policyholders.
Do all insurers apply the same surcharge?
No. Insurers assess the same condition differently, so the surcharge can vary a lot. A broker who knows which insurers are comfortable with your profile can secure better terms.

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