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Plan combination Comfort-U, SP2
Data as of July 2026, source: plan terms and our advisory practice

Why this plan is in our selection

The Continentale combination of Comfort-U and SP2 is in our selection for the self-employed because it combines free choice of doctor with strong reimbursement for naturopathy and a high no-claims refund. The structure has two parts. Comfort-U covers outpatient and dental benefits as well as basic inpatient cover, and SP2 raises hospital cover to a two-bed room and private doctor treatment. Instead of a fixed annual deductible, the plan works with a deductible per benefit, usually €20. We rate the benefit level, family friendliness and claims handling at 7 out of 10 points each, and the premium level also at 7 out of 10 points. We have to be honest about premium stability: at 4 out of 10 points it is the weakest value in this comparison group. If you decide on this plan, you should factor in the possibility of larger future adjustments from the start.

01

Free choice of doctor without restrictions

The plan has no primary doctor principle. You choose doctors and specialists freely, without having to arrange your first treatment through a family doctor. Reimbursement for alternative practitioners is particularly strong: treatment according to the fee directory is covered at 100 percent.

02

High no-claims refund

If you submit no bills, you get a lot back. The plan combines a guaranteed lump-sum payment of two monthly premiums after the first claim-free year with a performance-based refund that reaches four monthly premiums after five years, together up to six monthly premiums.

03

Also calculated as a plan for doctors

The same plan line is also offered to medical professionals on favorable terms. For the self-employed, this points to a broadly calculated plan with a clear benefit profile.

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.

4/10

Premium stability

How reliably premiums have developed in the past.

7/10

Claims handling

How quickly and fairly bills are reimbursed.

7/10

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 your choice of doctor and the reimbursement of private doctors' fees. Comfort-U gives you free choice of doctor and is particularly strong on naturopathy.

Choice of doctor

Free choice of doctor, no primary doctor principle

Fee schedule (GOÄ)

Reimbursement up to the maximum rates of the GOÄ

Medicines and dressings

Reimbursed, including homeopathic medicines and products for artificial nutrition

Alternative practitioner

100 percent according to the fee directory, including prescribed medicines and remedies

Remedies (physiotherapy and others)

Reimbursed according to the federal allowance regulation for civil servants or the GOÄ, whichever amount is higher

Medical aids

Open catalog of medical aids, 100 percent up to €1,000 per medical aid, above that with a cost estimate, otherwise 80 percent

Outpatient psychotherapy

Up to 50 sessions per year, prior approval from the 31st session

Visual aids

Up to €300 per 2 years, a need that already exists when the contract is signed is only covered against a surcharge

Inpatient treatment

In hospital two modules work together: Comfort-U covers the standard case, and SP2 raises this to a two-bed room and private doctor. Only this combination brings private comfort.

Accommodation

Comfort-U multi-bed room, SP2 raises this to a two-bed room

Medical treatment

Comfort-U standard and affiliated doctor, SP2 private doctor treatment

Fee schedule (GOÄ) for inpatient care

Comfort-U up to the standard maximum rates, SP2 also above the maximum rates

Substitute daily hospital allowance

Through SP2 €20 if you do without the two-bed room, €50 if you do without private doctor treatment

Private clinics

Treatment in private clinics is reimbursed through Comfort-U

Inpatient psychotherapy

Reimbursed, without prior approval

Mixed-type clinics

After prior approval, without it in emergencies and defined cases

Dental benefits

The plan reimburses dental treatment in full, while dentures and orthodontics leave a share of your own. The dental benefit limits open up particularly wide from the sixth year.

Dental treatment

100 percent, including root canal and periodontal treatment, prophylaxis and professional teeth cleaning

Dentures and inlays

80 percent, including crowns, bridges and facings

Implants

80 percent, at most 6 implants per jaw, including bone grafting

Orthodontics

80 percent

Fee schedule (GOZ)

Reimbursement up to the maximum rates

Dental benefit limits

At most €1,000 in year 1, staggered up to €5,000 in year 5, from year 6 €10,000 every 2 years, no limit after an accident

Deductible

The plan does without a fixed annual deductible and works with a deductible per benefit instead. This keeps the premium moderate and spreads your share over the year.

Basic principle

Deductible per benefit, usually at most €20 per day or product

Medical aids

At most €50 deductible per medical aid

Hospital

€20 per day for at most 14 days per hospital stay

Scope

Deductible on outpatient, inpatient and dental benefits, generics are excluded

No-claims refund

The plan rewards claim-free years twice: with a guaranteed lump sum after the first year and a performance-based refund that grows over the years.

Guaranteed lump-sum payment

2 monthly premiums after a claim-free year through Comfort-U

Performance-based refund

1 monthly premium after 2, 2 after 3, 3 after 4 and 4 monthly premiums after 5 claim-free years

Together

Up to six monthly premiums over a long claim-free period

Restriction

If preventive care or vaccinations are reimbursed, the performance-based refund no longer applies, and SP2 pays no refund

Family, travel and extras

Beyond the core benefits, the plan shows good fertility treatment benefits and clear limits on health cures and cover for children.

Fertility treatment

100 percent after prior approval for organic infertility, at most 3 attempts

Option right

No option for higher-level cover

Cover abroad

Outside Europe up to 6 months, additional costs for medically necessary repatriation

Insuring a child alone

Children cannot be insured alone in this plan

Health cures and rehab

Follow-up rehabilitation within 2 weeks after the hospital stay, health cures and sanatorium treatment are not reimbursed

This combination includes comprehensive health insurance and the Pflegepflichtversicherung PflegepflichtversicherungCompulsory long-term care insurance. Everyone with health insurance in Germany must have it, privately insured people through their private insurer., but no 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 →. As a self-employed person you have no continued pay during illness, so Krankentagegeld from a chosen day belongs in every calculation. We set 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

  • ✓

    Free choice of doctor without a primary doctor principle, plus free choice of hospital with a two-bed room and private doctor through SP2.

  • ✓

    Very strong naturopathy: alternative practitioners at 100 percent according to the fee directory, homeopathic medicines included.

  • ✓

    High no-claims refund of up to six monthly premiums together for claim-free years.

  • ✓

    Fertility treatment at 100 percent after approval, dental treatment including professional teeth cleaning at 100 percent.

  • ✓

    Deductible per benefit instead of a fixed annual deductible, so your share is predictable in each case.

What you should know

  • !

    We rate premium stability at 4 out of 10 points, the weakest value in the comparison group. You should factor in larger future adjustments.

  • !

    The deductible applies to every benefit. If you have many small bills, this adds up to noticeable amounts of your own.

  • !

    A need for visual aids that already exists when the contract is signed is only covered against a surcharge, and classic health cures are not reimbursed.

  • !

    Children cannot be insured alone in this plan, and there is no option right for higher-level cover.

  • !

    A plan with a good benefit profile 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 the self-employed and freelancers who value free choice of doctor, strong naturopathy and a high refund and are willing to accept a deductible per benefit and a weaker premium history for it.

It is less suitable if maximum premium stability, a single room or an option right matter to you, or if you regularly submit many small bills. For these cases we show you better alternatives from our comparison in our advice.

Premium development at Continentale: 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

How does the deductible per benefit work?

Instead of a fixed annual deductible, Continentale deducts a small share of your own for most benefits, usually at most €20 per day or product, up to €50 for medical aids and €20 per day for at most 14 days in hospital. Generics are excluded. The advantage is a moderate premium, the disadvantage adds up with many small bills.

Can I deduct my premiums from tax as a self-employed person?

You can claim the basic share of your premium, meaning cover at the level of statutory basic care, as pension and insurance expenses for tax purposes. We explain the details and maximum amounts under deducting private health insurance from tax.

Can I adjust the combination later?

Within Continentale you can switch to similar plans using the right to change plan under § 204 VVG, and you keep your ageing reserves. However, the combination has neither a simplified right to switch to higher-level plans nor an option right.

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 Continentale'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 from advisory practice. 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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