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Important tips for freelancers

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

01

Use your free access

As a freelancer, you can switch to private health insurance regardless of your income. A Jahresarbeitsentgeltgrenze JAEG · 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 → as for employees does not apply to you.

02

A premium independent of income

Your premium does not rise with the volume of your assignments. Unlike the voluntary statutory contribution, it stays stable even in strong years. This makes it predictable.

03

Secure Krankentagegeld early

Without an employer, nobody keeps paying your wages when you are ill. Take out Krankentagegeld KrankentagegeldPrivate sick pay: a daily allowance from private insurance while you are unable to work. It replaces lost income from an agreed day of illness.More about Krankentagegeld → that replaces your lost income early. Many plans pay from day 15.

04

Check the artists' social insurance fund

Freelancers in artistic and journalistic work can receive an allowance through the artists' social insurance fund (KSK), similar to an employer contribution. We check whether this is an option for you.

05

Combine a deductible with premium relief

A moderate deductible lowers your current premium, and a premium relief plan lowers your premium in old age. We match both to your income situation.

Comparison: statutory or private insurance for freelancers?

A neutral comparison of the two insurance systems for freelancers.

CriterionStatutoryPrivate
PremiumVoluntary members pay according to income up to the Beitragsbemessungsgrenze BBG · BeitragsbemessungsgrenzeThe contribution ceiling of statutory health and long-term care insurance. Income above this amount is not used to calculate contributions.More about BBG → and often reach the maximum contribution quickly.Calculated from health status, age at entry and scope of benefits, regardless of income.
FamilySpouses without income and children are covered free of charge.Each person needs their own contract and pays their own premium.
BenefitsCare defined by law at a sufficient, appropriate and economical level.A contract you can design individually, with guaranteed and often broader benefits.
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.

Starting as a freelancer at 31

Healthy, switched with a low starting premium to a plan with strong benefits, independent of later income.

A year with many assignments

The private health insurance premium stayed stable, while the former voluntary contribution would have risen with it.

An artist with the KSK

The allowance from the artists' social insurance fund noticeably lowered the own share of the private health insurance premium.

How much does private health insurance cost for freelancers?

For freelancers, the cost of private health insurance does not depend on income. It depends mainly on age at entry, health status, the level of benefits you want, the deductible and Krankentagegeld . Simple plans can start at around €300 per month. For strong cover, freelancers should realistically plan for a higher premium. In many cases, Krankentagegeld comes on top, because no employer keeps paying your income during a longer illness.

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

Voluntary members of statutory health insurance pay according to income. With a higher income, they quickly reach the maximum contribution of up to €1,261.32 per month including long-term care insurance, with no employer contribution. In private health insurance, solid plans start at around €500 per month. Krankentagegeld  is calculated on top.

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, and in statutory health insurance by 3.9%. Since no employer cushions the premium, a solid calculation matters. This is why we pay special attention to premium stability.

How do costs stay manageable in old age?

The premium is calculated regardless of income, also in old age. Ageing reserves cushion the premiums, and the statutory surcharge of 10% ends from age 60. With a premium relief plan, you lower your premium in retirement in a targeted way.

How can I reduce my premiums?

A deductible suits freelancers with savings and lowers the premium. An internal plan change under § 204 VVG often saves money without changing insurer and without losing your ageing reserves. Freelancers in artistic work should also check the allowance from the artists' social insurance fund.

Example calculationFreelancer · 32 years old · comfort plan
ParameterCurrent status (voluntary statutory)Target status (private)Difference
Monthly premium€1,017.19€520−€497
Employer contributionnonenonesame
Own share, gross€1,017.19€520−€497
Total annual costsaround €12,200€6,240−€5,960

Sample calculation based on average plans. The voluntary statutory contribution depends on income. Individual factors such as health status and choice of plan affect the result.

The best plans for freelancers

Selected plans for freelancers, with a focus on benefits, stable premiums and cover in case of illness.

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 freelancers?

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

Dental treatment and dentures

Private health insurance should cover at least 80% of high costs for dental treatment, crowns, implants and other dentures.

Chief physician treatment and single room

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

Preventive check-ups

Private health insurance should reimburse the important preventive check-ups without restrictions.

Therapeutic treatments

Physiotherapy, speech therapy and occupational therapy should be reimbursed without tight benefit limits. With a fluctuating income, every quick recovery counts.

Reimbursement above the standard maximum rates

Good plans reimburse doctors' fees even above the standard maximum rates of the fee schedule. Otherwise you pay the remaining costs yourself.

Medical aids

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

Accommodation and optional benefits

Single or two-bed room and optional medical benefits, 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

Can freelancers always take out private health insurance?

Yes. Freelancers have free access to private health insurance, regardless of income. There is no Versicherungspflichtgrenze  for you as there is for employees.

Do freelancers get an allowance toward the premium?

Usually not. One exception are freelancers in artistic and journalistic work, who can receive an allowance through the artists' social insurance fund, similar to an employer contribution. You can also claim the premiums for tax purposes.

Why is Krankentagegeld important for freelancers?

Without an employer, there is no continued payment of wages during illness. Krankentagegeld  replaces your lost income from an agreed day and secures your living costs during a longer illness.

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.

Currently insured
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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