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How do Beihilfe and the Restkostenversicherung work together?
Unlike employees, civil servants do not need comprehensive health insurance. The combination of state Beihilfe and a private Restkostenversicherung Restkostenversicherung · RestkostentarifA private plan that covers the share of medical costs that Beihilfe does not pay. Together with Beihilfe it gives civil servants full cover. gives the same full cover at much lower premiums. Beihilfe BeihilfeThe state healthcare allowance for civil servants. The Beihilfestelle pays a fixed share of medical costs, the Beihilfesatz, and private insurance covers the rest.More about Beihilfe → pays the first part of the treatment costs and the Restkostenversicherung pays the remaining part, so without a deductible in the plan your own share is zero. This way civil servants pay noticeably lower premiums than self-employed people with full private health insurance.
The Beihilfe rates above are guide values for the federal government. They can differ from one federal state to another, so always ask your public employer for your rate in writing. The exact contract details also depend on the plan and the insurer.
When does the insurance need to be adjusted?
The Beihilfe rate of your public employer decides which share the Restkostenversicherung has to cover. Civil servants in training often start with 50% Beihilfe. When your family grows or you retire, the rate changes, and the Restkostenversicherung must be adjusted to match. If you miss this, you are over or underinsured.
Typical triggers for checking an adjustment are the birth of a child, when the Beihilfe rate can rise, retirement with a rate of 70% at federal level, and reaching the age limit for child Beihilfe when children leave the household. A good plan can be adjusted to the new Beihilfe rate without new health questions.
How does the Restkostenversicherung differ from comprehensive health insurance?
The Restkostenversicherung is not comprehensive health insurance. It covers only the remaining share after Beihilfe . If you have no right to Beihilfe, for example after leaving civil service, you need full private health insurance.
We recommend that you have your public employer confirm your Beihilfe rate in writing and adjust the Restkostenversicherung to exactly that rate. A change in your Beihilfe rate because your family grows or you retire should always be a reason to review your plan.
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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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