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Important tips for civil servants

A switch to private health insurance needs careful thought. The most important points before you decide.

01

Use Beihilfe as your foundation

Through Beihilfe , your public employer pays a fixed share of your medical costs, usually 50%. You only have to insure the remaining share privately, through a Restkostentarif .

02

Choose a matching plan

The Restkostentarif  must match your Beihilfesatz  exactly. We make sure that there is no gap between Beihilfe and insurance and that you do not have to pay anything yourself.

03

Your Beihilfesatz rises with children

With two eligible children, Beihilfe  rises to 70% for many civil servants. The Restkostentarif  must then be adjusted so that you are not over-insured.

04

Start early as a trainee

Trainee civil servants get particularly low-cost plans. Starting early secures a low age at entry and builds up ageing reserves.

05

Be careful with pauschale Beihilfe

Some federal states offer pauschale Beihilfe  for statutory insurance. This step usually cannot be reversed, so we check carefully in advance whether it pays off for you.

Comparison: statutory or private insurance for civil servants?

A neutral comparison of the two insurance systems for civil servants.

CriterionStatutoryPrivate
PremiumFull income-based premium, Beihilfe  is not used here.Only the remaining share after Beihilfe  is insured, which makes it much cheaper.
FamilySpouses who do not work and children are co-insured free of charge.Children and eligible dependents often receive their own Beihilfe  and low-cost plans.
BenefitsCare defined by law at a sufficient, appropriate and economical level.Individually designed contract, matched to what your public employer pays.
AccessOften longer waiting times for appointments and usually through the referral system.Preferred appointments and direct access to medical specialists.

Real cases from our advice

Real situations that show how individual the right solution is.

Appointed as a civil servant at 30

Fully covered through a matching Restkostentarif  for around €250 per month.

Family with two children

Beihilfe  rose to 70%, the Restkostentarif  was adjusted and the premium fell accordingly.

Trainee civil servant

Joined a low-cost trainee plan during training and secured a low age at entry.

How much does private health insurance cost for civil servants?

Private health insurance costs civil servants much less than other groups, because only the remaining share after Beihilfe  is insured. With 50% Beihilfe, a good Restkostentarif  often costs between €200 and €350 per month. If Beihilfe rises to 70% with children, the premium falls further. Trainees pay particularly little.

What monthly premiums should you expect in statutory and in private health insurance?

In statutory health insurance, civil servants pay the full income-based premium, without a contribution from their employer, up to around €1,250 per month. In private health insurance, Beihilfe usually covers 50% of the costs. Only the rest is insured, and a good plan then often costs between €200 and €350 per month.

How do premiums develop in the long term?

In the long term, you should expect rising premiums. From 2006 to 2026, premiums in private health insurance rose by an average of 3.4% per year according to the Association of Private Health Insurers, in statutory health insurance by 3.9%. Because civil servants only insure the remaining share, the absolute increase is lower. We still pay particular attention to premium stability.

How do costs stay manageable in old age?

As a retired civil servant you continue to receive Beihilfe , often even at 70%. This keeps the premium for the remaining costs low in retirement. Ageing reserves also cushion the premiums, and the statutory premium surcharge of 10% ends from age 60.

How can I reduce premiums?

Make sure that the Restkostentarif  matches your current Beihilfesatz  exactly, otherwise you pay too much. An internal plan change under § 204 VVG often lets you save, without changing insurer and without losing your ageing reserves.

Example calculationCivil servant · 30 years · 50% Beihilfe 
ParameterCurrent status (statutory, without contribution)Target status (private with Beihilfe )Difference
Insured share of costs100%50% (remaining costs)half the burden
Monthly premiumaround €1,000€250−€750
Own share, grossaround €1,000€250−€750
Total annual costsaround €12,000€3,000−€9,000

Sample calculation based on average plans. In statutory insurance, civil servants receive no contribution and pay the full premium. That is why private health insurance with Beihilfe  is usually clearly cheaper.

The best plans for civil servants

Restkostentarif  plans that fit Beihilfe  for civil servants, rated on five key figures. The exact combination can differ from state to state, our example refers to Hesse.

Open the plan calculator

Our rating for each plan on a scale from 1 to 10. We deliberately show no monthly premiums, because the premium depends on age, health and scope of benefits.

Which benefits matter for civil servants?

Popular benefit modules you can choose in your private health insurance.

Dental treatment and dentures

Beihilfe  often makes cuts for dentures. Your Restkostentarif  should offer high reimbursement rates here.

Chief physician treatment and single room

Often a cost driver: how important are these benefits to you? This is a personal decision.

Preventive checkups

Private health insurance should reimburse the important preventive checkups without restrictions.

Supplementary cover

Closes the gaps between Beihilfe  and the Restkostentarif , for example for optional hospital services or dentures.

Glasses and contact lenses

Beihilfe  pays for glasses and contact lenses only within narrow limits. Your plan should cover this gap.

Medical aids

Private health insurance should pay for medically necessary aids such as hearing aids, bandages or orthopedic insoles.

Accommodation and optional services

Single or two-bed room and optional medical services, depending on the comfort you want in hospital.

Save up to 25% on your private health insurance

We compare the entire market and find the plan with the best balance of benefits and stable premiums.

Calculate your savings →

The essentials of private health insurance in 10 minutes

We show you what you should know before switching to private health insurance.

  • Explained step by step
  • Each lesson also as a short video (in German)
  • Short and to the point

1. Who is private health insurance right for?

Watch video (German) 2 Min
When private health insurance makes sense

2. What are the requirements for joining?

Watch video (German) 2 Min
Requirements for private health insurance

3. What should you know about the health questions?

Watch video (German) 2 Min
Health questions explained

4. How high are the costs in old age?

Watch video (German) 2 Min
Private health insurance in old age

5. What are the key differences between statutory and private?

Watch video (German) 3 Min
Statutory and private compared

6. How does the switch to private health insurance work?

Watch video (German) 2 Min
Switching to private health insurance

7. What to do about a premium adjustment?

Watch video (German) 2 Min
Premium adjustments in private health insurance

8. Which benefits matter most?

Watch video (German) 3 Min
Benefits of private health insurance
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Frequently asked questions

Why is private health insurance usually cheaper for civil servants?

Because your public employer pays a fixed share of your medical costs through Beihilfe , usually 50%. You only have to insure the remaining share privately. This makes the premium much lower than a full premium in statutory insurance.

What is a matching Restkostentarif?

It is a plan that covers exactly the share that Beihilfe  does not pay. With 50% Beihilfe, it insures the other 50%. This leaves no gap, and you do not have to pay anything yourself.

Should I use pauschale Beihilfe?

Pauschale Beihilfe  supports statutory insurance and is offered in some federal states. The step usually cannot be reversed. For most civil servants, private health insurance with classic Beihilfe is cheaper. We check this carefully in advance.

Contact our experts

Get all your questions answered, free of charge and without obligation.

Talk to an expert

Personal advice from our specialists. Response time: under 24 hours.

The PKV-Welt team: Tim and Sandra Bökemeier
Direct contact

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Switching to private health insurance is probably not advisable for you.

From the age of 55, admission to private health insurance is often possible only with restrictions. A late switch can also mean higher premiums.

It matters to us that a switch pays off for you in the long run. That is why we do not recommend a consultation when your answers already show that the conditions are rather unfavorable.

Not sure, or want to correct your answers? Feel free to contact us. We will help you assess your situation.

 

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