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Plan combination VA6-U, Premium Zahn-U
Suitable for Doctors
Data as of July 2026, source: plan terms and our advisory practice

Why this plan is in our selection

The AXA combination of VA6-U and Premium Zahn-U is in our selection for medical professionals because it combines a well-rounded range of benefits with one of the more attractive premium levels in the doctors' segment. The VA6-U, which covers outpatient and inpatient care, provides free choice of doctor, reimbursement above the maximum rates of the fee schedule and a single or two-bed room. The module Premium Zahn-U takes care of dental cover and can be added or left out deliberately. The two key figures for price and stability are at 7 and 8 out of 10 points. The strongest point for doctors is the option right: it can be used, among other occasions, on gaining a specialist qualification, on appointment as senior or chief physician and when setting up in private practice, and it adapts the cover to your career without new health questions.

01

Option right for a doctor's career

The VA6-U grants an option right for higher-level cover linked to typical stages of a doctor's career: specialist qualification, appointment as senior or chief physician, setting up in private practice, marriage or the birth of a child. This lets you expand the cover later without new health questions.

02

Dental module flexibly selectable

Dental cover is set up as the separate module Premium Zahn-U. It reimburses dental treatment at 100 percent and dentures at 90 percent and can be added or left out to match your dental situation, without touching the basic cover.

03

Stable premiums with a behavior bonus

We rate AXA at 8 and 7 out of 10 points for premium stability and premium level. In addition to the performance-based refund, there is a behavior bonus for not smoking, a healthy body mass index and fitness.

Our rating

Five key figures from our plan analysis, each on a scale from 1 to 10. They are based on the plan terms, the premium histories and our experience from advisory practice.

7/10

Benefit coverage

How much the cover really pays in a serious case.

8/10

Premium stability

How reliably premiums have developed in the past.

8/10

Claims handling

How quickly and fairly bills are reimbursed.

8/10

Family friendliness

Terms for children and co-insured family members.

7/10

Premium level

10 means a comparatively low premium. Low values stand for a higher premium.

The benefits in detail

The core benefits from the plan terms, grouped by area. Open an area to see the details.

Outpatient treatment

Outpatient care decides how freely you choose doctors and how much of private doctors' fees is reimbursed. The VA6-U also reimburses above the maximum rates of the GOÄ and covers alternative practitioners through the GebüH.

Choice of doctor

Free choice of doctor, no primary doctor principle

Fee schedule (GOÄ)

Reimbursement also above the maximum rates

Preventive checkups

According to the statutory programs without age limit, without affecting the refund

Psychotherapy

100% for 30 sessions per insured event, then 80%, without prior approval

Alternative practitioner

Up to €2,000 per year according to the fee directory for alternative practitioners

Medicines and dressings

Reimbursed, including products for artificial nutrition

Remedies (physiotherapy and others)

Up to the maximum amounts of the insurer's price and benefit directory

Medical aids

Open catalog, limits include €520 per wig and €1,450 per hearing aid per ear

Visual aids and laser eye surgery

Depending on the visual impairment up to €300 to €1,000 per 24 months, Lasik included

Inpatient treatment

In hospital the VA6-U covers the optional hospital services. Unlike some plans, the substitute daily allowance for doing without them is deliberately lower here.

Accommodation

Single or two-bed room

Medical treatment

Private doctor treatment, GOÄ also above the maximum rates

Substitute daily hospital allowance

€30 per day if you do without a single or two-bed room

Private clinics

Reimbursement, for general hospital services limited to 1.5 times regular hospital rates

Inpatient psychotherapy

Reimbursed, without prior approval

Companion

Covered for children up to age 5 for at most 5 days

Transport

To and from the nearest suitable hospital

Dental benefits

The separate module Premium Zahn-U takes care of dental cover. It reimburses dental treatment in full, while a moderate percentage deduction applies to dentures. What you need to know are the dental benefit limits of the first years.

Dental treatment

100%, including professional teeth cleaning, root canal and periodontal treatment

Dentures

90%, including crowns, bridges, veneers

Inlays

90%

Implants

90%, including bone grafting

Orthodontics

100% up to age 18, then 90%

Fee schedule (GOZ)

Reimbursement also above the maximum rates

Dental benefit limits

Maximum €2,000 in year 1, €4,000 up to year 2, €6,000 up to year 3, €8,000 up to year 4, unlimited from year 5

Option right and right to switch

For doctors, what matters is how the cover can be adapted to later career steps. This is exactly where the VA6-U sets its strongest accent.

Occasions for the option right

Specialist qualification, appointment as senior or chief physician, setting up in private practice, marriage, posting abroad

Option right for children

Within 3 months after birth or adoption

Option right on a fixed date

On January 1 of the 6th year of insurance for first-time insured people

Effect

Expansion of cover without new health questions, no simplified right to change plan

No-claims refund

If you submit no bills, you get money back. AXA combines a fixed refund with a behavior bonus, and preventive care does not count against you.

Performance-based refund

€1,200 after each of the first four claim-free years, €1,500 from the fifth year

Behavior bonus

€25 non-smoker bonus, €25 for a healthy body mass index, €50 fitness bonus per year

Dental module

No refund is paid for Premium Zahn-U

Prevention protection

Preventive checkups and vaccinations do not put the refund at risk

Family, travel and extras

The points beyond the core benefits often decide how comfortable everyday life is, especially when your life situation changes.

Fertility treatment

100% for organic infertility, with age limits and limits on the number of attempts

Premium exemption

For the first 6 months while receiving parental allowance

Insuring a child alone

Young people can be insured alone from age 16

Cover abroad

In the EU and the EEA without a fixed limit, outside 6 months, transfer of remains up to €5,200

Health cures and rehab

Only follow-up rehabilitation after a hospital stay, other health cures are not reimbursed

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 → is not part of this combination. As an employed doctor you need it from the end of continued pay during illness, as a doctor in private practice from the first day of incapacity for work. We add the right daily rate in our advice.

All benefit details come from the insurer's plan terms and are summarized in simplified form. Only the insurance conditions are binding. In a consultation we check the details for your situation.

Strengths and limits

No plan is the right choice for everyone. This is what speaks for this combination, and this is what you should know.

What speaks for it

  • ✓

    Option right linked to specialist qualification, a senior or chief physician post and setting up in private practice, which expands the cover without new health questions.

  • ✓

    Attractive premium level (7 out of 10) with stable calculation (8 out of 10).

  • ✓

    Reimbursement also above the maximum rates of the fee schedule, for outpatient and inpatient care.

  • ✓

    Flexibly selectable dental module with 100 percent for treatment and 90 percent for dentures.

  • ✓

    Behavior bonus for not smoking, a healthy body mass index and fitness.

What you should know

  • !

    The substitute daily allowance for doing without the optional hospital services is low at €30 per day.

  • !

    No no-claims refund is paid for the dental module, and the dental benefit limits cap the first four years.

  • !

    The combination has no simplified right to change plan, only the option right for higher-level cover.

  • !

    Krankentagegeld  must be added separately and belongs in every calculation for doctors.

  • !

    A strong plan only pays off if your application is accepted cleanly. If you have pre-existing conditions, we recommend an anonymous risk enquiry before you apply.

Who this plan suits

The combination suits doctors who start early in their career and want to keep the possibility of expanding their cover on gaining a specialist qualification or setting up in private practice without new health questions. If you look for a balanced ratio of benefits and premium, this is also a solid choice.

It is less suitable if a high substitute daily allowance for doing without the optional hospital services is important or if the maximum scope of benefits comes before price. For these cases we show you better alternatives from our comparison in our advice.

Premium development at AXA: A plan is only as good as its calculation. We show the adjustments of past years transparently by year and plan.

View the premium history →

Frequently asked questions

What exactly does the option right give doctors?

The option right of the VA6-U can be used, among other occasions, on gaining a specialist qualification, on appointment as senior or chief physician, on setting up in private practice, on marriage or the birth of a child. You can then expand the cover without new health questions. This is an advantage especially during specialist training, because your needs change with your career. Whether the plan fits your career path, we clarify in the plan analysis.

Can I adjust dental cover separately?

Yes. Dental cover is the separate module Premium Zahn-U and can be chosen to match your own dental situation. It reimburses dental treatment at 100 percent and dentures at 90 percent. Dental benefit limits apply in the first four years, which we explain to you in our advice.

Does my employer contribute to this plan?

As an employed hospital doctor you receive the employer contribution of half your premium, up to the statutory maximum. As a doctor in private practice you can deduct the premiums from tax instead.

What happens if premiums rise?

Premium adjustments are part of how private health insurance works. What matters is their long-term size. You can find AXA's specific adjustments by year and plan in our overview of premium adjustments. If an increase is large, we check plan optimization with you.

How is our rating calculated?

The five key figures come from our ongoing plan analysis. They are based on the plan terms, the published premium histories and our experience with claims handling. The rating is our professional assessment, not a ranking by a testing institute.

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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