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Plan combination GUK500
Data as of July 2026, source: plan terms and our advisory practice

Why this plan is in our selection

The LKH GUK500 is in our selection for the self-employed because it combines a high benefit level with fast reimbursement and a strong refund. We rate benefit coverage at 9 out of 10 points and claims handling also at 9 out of 10 points. The plan relies on free choice of doctor without a primary doctor principle, a two-bed room and private doctor in hospital and broad outpatient cover up to alternative practitioners. This is balanced by a fixed deductible of €500 a year on outpatient, inpatient and dental benefits. We rate the premium level at 6 out of 10 points, in the middle range, and premium stability at 7 out of 10 points, above average. The refund is particularly striking. New policyholders receive the high performance-based payment already in the first year.

01

High benefit level

The plan offers free choice of doctor without a primary doctor principle, a two-bed room and private doctor treatment in hospital with the GOÄ also above the maximum rates, and broad outpatient cover including alternative practitioners at 100 percent up to €1,000 a year. We rate benefit coverage at 9 out of 10 points.

02

High refund from the start of the contract

The performance-based no-claims refund reaches four monthly premiums after three claim-free years. The special feature is that new policyholders already receive these four monthly premiums for the first year. There is also a guaranteed lump-sum payment that can also be used as a premium deferral.

03

Free choice with a fixed deductible

Instead of steering through a family doctor, the plan relies on free choice of doctor and balances this with a fixed deductible of €500 a year. The deductible can be changed on fixed dates through an option right.

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.

9/10

Benefit coverage

How much the cover really pays in a serious case.

7/10

Premium stability

How reliably premiums have developed in the past.

9/10

Claims handling

How quickly and fairly bills are reimbursed.

8/10

Family friendliness

Terms for children and co-insured family members.

6/10

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. The GUK500 has no primary doctor principle and leaves you free choice of doctor.

Choice of doctor

Free choice of doctor, no primary doctor principle

Fee schedule (GOÄ)

Reimbursement up to the maximum rates of the GOÄ

Telemedicine

Telephone and video consultations with doctors at 100 percent

Preventive checkups

Statutory programs and further checkups, statutory preventive care up to €600 a year free of the deductible, plus up to €200 for prevention courses

Remedies (physiotherapy and others)

80 percent up to €1,000 of invoice amounts per year, 100 percent above that, at most 125 percent of the federal allowance regulation for civil servants

Medical aids

Open catalog of medical aids at 100 percent up to €1,000, above that after approval, otherwise 80 percent

Alternative practitioner

100 percent up to €1,000 per year according to the fee directory

Outpatient psychotherapy

80 percent for 30 sessions per year, then 100 percent, without prior approval

Visual aids and laser eye surgery

Up to €450 per 3 years for visual aids, surgical vision correction including Lasik up to €1,500 per eye

Inpatient treatment

In hospital the plan covers a two-bed room and private doctor treatment and pays a substitute daily allowance if you do without them.

Accommodation

Two-bed room

Medical treatment

Private doctor treatment, GOÄ also above the maximum rates

Substitute daily hospital allowance

€40 if you do without a two-bed room, €40 if you do without private doctor treatment

Private clinics

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

Inpatient psychotherapy

Reimbursed, without prior approval

Mixed-type clinics

Treatment is reimbursed

Transport

To and from the nearest suitable hospital, €0.30 per km in a private vehicle

Dental benefits

The plan reimburses dental treatment in full, while dentures at 80 percent leave an own share. Professional teeth cleaning is fully included twice a year.

Dental treatment

100 percent, including root canal and periodontal treatment, professional teeth cleaning twice a year at 100 percent

Dentures and inlays

80 percent, including crowns, bridges and veneers

Implants

80 percent, including bone grafting

Orthodontics

80 percent up to age 21, no age limit after an accident

Fee schedule (GOZ)

Reimbursement up to the maximum rates

Dental benefit limits

At most €1,000 in year 1, €2,000 by year 2, €3,000 by year 3, unlimited from year 4, prophylaxis and teeth cleaning excluded, no limit after an accident

Deductible

The plan works with a fixed deductible. It balances the free choice of doctor and can be adjusted through an option right.

Amount

€500 per calendar year on outpatient, inpatient and dental benefits

Young insured people

Half the deductible until the end of the year in which the insured person turns 20

Prevention exception

Statutory preventive care up to €600, vaccinations, prophylaxis and professional teeth cleaning stay free of the deductible

Right to switch

Change of deductible through the option right, each time on January 1, at the earliest after 3 calendar years

No-claims refund

The plan combines a guaranteed lump sum with a performance-based refund that is high for new policyholders already in the first year.

Guaranteed lump-sum payment

€100 after 1, €200 after 2, €300 after 3 claim-free years or for new policyholders, can also be used as a premium deferral

Performance-based refund

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

Advantage for new policyholders

New policyholders already receive the 4 monthly premiums for the first year

Prevention protection

Statutory preventive care, vaccinations, prophylaxis and professional teeth cleaning do not put the refund at risk

Family, travel and extras

Beyond the core benefits, the plan shows good cover for families and strong repatriation, with limits on the length of stays outside Europe.

Parental allowance and parental leave

Premium exemption for up to 6 months possible

Kindernachversicherung KindernachversicherungAdding a newborn to a parent's private policy without health questions. The application must reach the insurer within two months of birth.More about Kindernachversicherung →

Newborns free of premium in the month of birth and the following 6 months

Fertility treatment

80 percent for organic infertility, with limits on the number of attempts

Cover abroad

Comprehensive in the EU and the EEA, outside up to 3 months, medically necessary repatriation including air ambulance

Health cures and rehab

Health cures up to €2,000 within 3 years, rehab up to 1.5 times the statutory health insurance rate

The GUK500 is comprehensive health insurance, plus the Pflegepflichtversicherung PflegepflichtversicherungCompulsory long-term care insurance. Everyone with health insurance in Germany must have it, privately insured people through their private insurer.. 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 included. 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

  • ✓

    High benefit coverage (9 out of 10 points) with free choice of doctor, a two-bed room, private doctor and reimbursement above the maximum rates of the GOÄ.

  • ✓

    Fast claims handling (9 out of 10 points) and an above-average reliable premium history (7 out of 10).

  • ✓

    Very high no-claims refund, four monthly premiums for new policyholders already in the first year, plus a lump-sum payment that can be used as a deferral.

  • ✓

    Alternative practitioners at 100 percent up to €1,000, psychotherapy in full from the 31st session, professional teeth cleaning twice a year at 100 percent.

  • ✓

    Strong repatriation from abroad including air ambulance, and premium exemption during parental leave.

What you should know

  • !

    The plan works with a fixed deductible of €500 a year on outpatient, inpatient and dental benefits.

  • !

    Dentures are reimbursed at 80 percent, not at 100 percent. The dental benefit limits cap the first three years at €1,000 to €3,000.

  • !

    Outside the EU and the EEA, cover only applies for up to 3 months. With 6 out of 10 points, the premium level is in the middle range.

  • !

    The plan has no simplified right to switch to higher-level plans. The statutory right to change plan under § 204 VVG still applies.

  • !

    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 GUK500 suits the self-employed and freelancers who want a high benefit level with free choice of doctor, accept a fixed deductible and value a strong refund that already applies in the first year.

It is less suitable if you expect dentures at 100 percent, comprehensive cover outside Europe or a particularly low starting premium. For these cases we show you better alternatives from our comparison in our advice.

Premium development at LKH: 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

Why is the no-claims refund already interesting in the first year?

The performance-based refund reaches four monthly premiums after three claim-free years. New policyholders already receive these four monthly premiums for the first claim-free year. There is also a guaranteed lump-sum payment of up to €300 that can also be used as a premium deferral. In each case, the condition is that you make no claims in the entire plan.

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 plan later?

Within LKH you can switch to similar plans using the right to change plan under § 204 VVG, and you keep your ageing reserves. There is also an option right within the GesundheitsUpgrade line and the option to change the deductible.

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 LKH'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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