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Comparing private health insurance with method

What really matters in a plan comparison and which data you can rely on.

01

Four dimensions

Premium, benefits, stability of the plan and acceptance. Each dimension on its own falls short. Only the combination gives you a reliable picture.

02

The fee schedule factor as a benchmark for benefits

Entry-level plans reimburse up to 2.3 times the rate of the official fee schedule, comfort plans up to 3.5 times or more. Sub-limits for therapies and dentures must be checked separately.

03

Our advice on the data basis

Do not use the insurers' advertising as your basis. Use the plan terms and the premium adjustments of the past ten years, directly from the broker. Only these data are reliable.

04

Our top insurers from more than 15 years of advice

Signal Iduna, AXA, Allianz, SDK, Bayerische Beamtenkrankenkasse and Alte Oldenburger.

How to use this comparison

In the end, your priorities and your professional group determine the right private health insurance plan. Choose your group below. You see the plans that perform best in our analysis from more than 15 years of advice, plus the points that matter most in your situation.

A reliable comparison looks at four dimensions at the same time: the premium, the scope of benefits, the stability of the plan over many years and the insurer’s acceptance practice for your state of health. Today’s premium is the smaller question. The premium over the entire period of insurance is the bigger one.

Top plans by professional group

Choose your group. You see the plans that perform best in our analysis from more than 15 years of advice, plus the practical tips for your situation.

This comparison is for employees who can generally switch to private health insurance, for example when their regular annual earnings are above the Versicherungspflichtgrenze Versicherungspflichtgrenze · JahresarbeitsentgeltgrenzeThe annual income threshold in Germany. Employees who earn more than this per year may leave statutory health insurance and switch to private health insurance.More about JAEG →. The table shows which plans perform particularly well in important quality criteria.

PlanBenefits ×2Stability ×2FlexibilityFamilySatisfactionPointsVerdict
ARAG MB0Top rating19181010663Very good value for money
Signal Iduna Exklusiv-SI181879961Very good claims handling
LKH GUP500191779961High level of benefits, strong claims handling
Hanse Merkur AZP, EGO2, PS3, PSV181977960Ideal for clients who pay smaller bills themselves
Hallesche NK.select XL Bonus191778859Very good overall package
Universa Uni-Top/Privat 300201498859Ideal for clients who focus on benefits
Allianz GSB70, GSUB90, GSUB100, GSZ100191688859Clearly defined plan and policy terms
BBKK GesundVario, VarioKlinik+, VarioZahn+201469958Clearly defined plan, strong claims handling
AXA GesundExtra, PremiumZahn-U191578958Plan with a strong focus on prevention

What matters

Use the employer contribution

Your employer pays up to 50% of your private health insurance premium, capped at the maximum contribution. In 2026 this is €508.59 per month. In 2027, according to the cabinet decision, it is expected to be €557.81. Depending on your situation, there is a further contribution for the private Pflegepflichtversicherung PflegepflichtversicherungCompulsory long-term care insurance. Everyone with health insurance in Germany must have it, privately insured people through their private insurer.. This often makes good benefits affordable. What matters is the fit of plan, deductible and long-term stability.

Check claims handling

In everyday life, it is not only the premium that counts, but the reimbursement when you make a claim. Look for a clear process for submitting bills and answering queries, transparent rules on the required documents and a service you can reach when things get complicated.

Secure flexibility

Your situation can change, and the plan should be able to follow. Useful are an adjustable deductible, benefit modules you can add later and the option of an internal plan change if your priorities shift.

The tables rate each plan by five criteria. Factors marked ×2 count double because in the long run they have the strongest effect on price and everyday use. The points are a guide based on our analysis. What counts is always the specific policy terms and your personal situation.

Our rating criteria

Scope of benefits
Reimbursement rates for outpatient, inpatient and dental care, free choice of doctor and optional services such as chief physician treatment and a single or two-bed room.
Premium stability
Plan pool and premium development in recent years, ageing reserves and the RfB ratio for no-claims refunds.
Flexibility
Options for a plan change and useful adjustment options over the years.
Deductible
Amount of the deductible and a clear annual cap.
Additional benefits
Cover abroad, glasses and contact lenses, preventive care and alternative medicine, depending on your needs.
Customer satisfaction
Complaint ratio and experience with claims processing.

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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Swipe, drag or use the arrows

Frequently asked questions

What does private health insurance cost?

Premiums are individual and depend on age, state of health and the benefits you want, not on income. According to the Association of Private Health Insurers, they average around €529 per month, with a wide range. Younger and healthy people often start at a lower price. Civil servants pay significantly less on average because of Beihilfe . Between 2006 and 2026, premiums rose by an average of 3.4% per year, in statutory health insurance by 3.9%.

How do I find the best plan for me?

There is no single best plan, only the one that suits you. First clarify which benefits matter to you today and in the future, for example fertility treatment, level of care or dental benefits. Then similar plans from several insurers can be calculated and compared side by side. This shows the differences in premium, benefits and acceptance.

Which benefits are important in private health insurance?

A good plan reimburses doctors' fees at least up to the standard maximum rate of the official fee schedule (2.3 times), better up to the maximum rate (3.5 times). Free choice of doctor and hospital also matter, as do high-quality dental cover with at least 75% for dentures and cover abroad including repatriation. Optional extras are glasses and contact lenses, alternative practitioners and a no-claims refund.

Why are the premium adjustments of recent years more important than today's premium?

Today's premium applies to the first year of the contract. The development over ten years shows how the plan has behaved under real market conditions. Whether a plan pays off is decided by the premium over the entire period of insurance, not by the premium of the first year.

Can I compare private health insurance without a broker?

That is possible. The critical point is assessing acceptance. If you do not know how insurers accept applicants with different health profiles, you risk a formal application and, in the worst case, a registered rejection. Brokers also have experience of how the individual insurers reimburse bills when you make a claim.

When is an anonymous risk enquiry worth it before applying?

Always, especially with pre-existing conditions or risk factors. The anonymous risk enquiry shows the real range of acceptance between insurers, without creating an entry in an information database.

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

Please answer three short questions about the person who is to be insured.

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Occupation

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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