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Plan combination AM10, S1, Z9
Suitable for Families
Data as of July 2026, source: plan terms and our advisory practice

Why this plan is in our selection

The SDK combination of AM10, S1 and Z9 is in our selection for children because it combines a high benefit level with very accommodating claims handling. For families this means strong all-round cover without a deductible: a single room in hospital, private clinics without a cap on fees, remedies without the limit of the federal allowance regulation for civil servants and psychotherapy without a limit on sessions. For scope of benefits and claims handling we give 9 out of 10 points each. The outpatient plan AM10 includes a simplified right to change plan, which lets you adjust the plan level without new health questions. We rate the premium history at 8 out of 10 and the starting premium at 7 out of 10 points. If you deliberately put benefits and quality of claims handling first for your child, you will find a very strong option in this combination.

01

High benefits with accommodating claims handling

We give 9 out of 10 points each for scope of benefits and claims handling. In concrete terms this means a single room in hospital, private clinics without the limit of the fee schedule, remedies without the limit of the federal allowance regulation for civil servants and outpatient psychotherapy without a limit on the number of sessions.

02

Simplified right to change plan

The outpatient plan AM10 offers a guaranteed right to switch to a plan level with a deductible without new health questions. In addition there is a broad option right for higher-level cover, for example on reaching certain age bands or on a change of professional status.

03

Strong dental benefits through Z9

The dental module Z9 reimburses dental treatment at 100 percent, dentures and orthodontics at 90 percent, implants including bone grafting. Inlays and onlays are fully covered, and for adults the dental benefit limits can later be lifted through a findings report.

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.

8/10

Premium stability

How reliably premiums have developed in the past.

9/10

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 runs through the AM10 and carries a large part of the benefit score. Free choice of doctor, full psychotherapy and remedies without the 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 → limit shape the picture.

Choice of doctor

Free choice of doctor, no primary doctor principle

Fee schedule (GOÄ)

Reimbursement also above the maximum rates of the GOÄ

Remedies (physiotherapy and others)

Reimbursed, without limitation by the federal allowance regulation for civil servants

Psychotherapy

No limit on the number of sessions, no prior approval

Alternative practitioner

Up to €1,000 per year according to the fee directory and the Hufeland directory

Prevention and vaccinations

Preventive care and prevention up to €500 per 3 years, comprehensive vaccinations including travel vaccinations

Medical aids

Open catalog, 100 percent, digital health applications also beyond the statutory directory

Visual aids

Up to €1,000 per 3 years, surgical vision correction up to €3,000 per eye

Inpatient treatment

The inpatient module S1 belongs to the premium class. A single room, private doctor and private clinics without fee limits are covered.

Accommodation

Single room

Medical treatment

Private doctor treatment, GOÄ for inpatient care also above the maximum rates

Private clinics

Treatment in private clinics is reimbursed, without the limit of the fee schedule

Companion in hospital

Admission for children up to age 12

Substitute daily hospital allowance

€40 if you do without the two-bed room, €20 if you do without the single room, €60 if you do without the private doctor

Mixed-type clinics

Treatment is reimbursed

Transport

To and from the nearest suitable hospital

Dental benefits

For dental care, the module Z9 provides a high level. Dental treatment is fully covered, dentures and orthodontics at a high rate, plus dental benefit limits in the first years.

Dental treatment

100 percent, including professional teeth cleaning

Dentures and implants

90 percent, implants including bone grafting

Inlays and onlays

100 percent

Orthodontics

90 percent

Dental benefit limits

Maximum €2,700 in the first 2, €4,500 in the first 3 and €6,750 in the first 4 years, no limit from year 5

Fee schedule (GOZ)

Reimbursement also above the maximum rates

Deductible and plan structure

The combination consists of three modules that cover outpatient, inpatient and dental benefits. There is no share of your own.

AM10 (outpatient)

Covers outpatient care, no deductible

S1 (inpatient)

Single room, private doctor, private clinics without limit

Z9 (dental)

Dental treatment, dentures and orthodontics at a high level

Right to switch

Guaranteed switch to a plan level with a deductible without a risk assessment

No-claims refund

If you submit no bills, you get money back through AM10 and Z9. The inpatient module S1 pays no refund.

Refund AM10

2 monthly premiums after a claim-free year for outpatient care

Refund Z9

2 monthly premiums after a claim-free year for dental care

Prevention protection

Preventive care, vaccinations and prophylaxis up to €500 per year do not put the refund at risk

Family, travel and extras

The family modules of the combination are strong, but in one place they are tied to a condition: insuring the child alone.

Insuring a child alone

Possible if at least one parent has full cover with another insurer

Fertility treatment

100 percent for organic infertility, up to 8 attempts per procedure

Cover abroad

Worldwide up to 6 months, repatriation through S1 including a companion for a minor

Option right

Higher-level cover at certain age bands, on a change of status or when the child completes training

Health cures and rehab

Follow-up rehabilitation and health cures up to €2,000 per 3 years

As a combination for children, AM10, S1 and Z9 include 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 →, and for children that is the right design. We plan the premium development into adulthood 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

  • ✓

    A high benefit level and accommodating claims handling with 9 out of 10 points each, and this shows in a serious case.

  • ✓

    Single room and private clinics without the limit of the fee schedule, plus remedies without the Beihilfe  limit.

  • ✓

    Simplified right to change plan to another plan level without new health questions.

  • ✓

    Strong dental benefits through the module Z9 and outpatient psychotherapy without a session limit.

What you should know

  • !

    Insuring a child alone requires at least one parent to have full cover with another insurer. This does not suit every family situation and should be clarified in advance.

  • !

    The dental benefit limits cap dentures and orthodontics up to the fourth year. If you plan major treatment early, you should factor this in.

  • !

    The health cure benefit is limited to €2,000 per three years, and the inpatient module does not pay for an inpatient health cure.

  • !

    We see the starting premium at 7 out of 10 points. The plan is not the cheapest in our selection.

Who this plan suits

The combination suits families who want to give their child a high benefit level with very accommodating claims handling and who value flexibility through the simplified right to change plan. Insuring the child alone requires a parent with full cover at another insurer.

The combination fits less well if the lowest premium is decisive or if no parent has full cover with another insurer. For these cases we show better alternatives from our comparison in our advice.

Premium development at SDK: 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

Under what condition can my child be insured alone?

SDK insures a child alone if at least one parent has full cover with another insurer. If this is not the case, the Kindernachversicherung through a parent insured with SDK is the usual route. We clarify this together before the application.

What does the simplified right to change plan mean?

The outpatient plan AM10 allows a guaranteed switch to a plan level with a deductible without new health questions. For a switch to a higher benefit level, the statutory right to change plan under § 204 VVG also applies.

Does my child need a deductible?

No. The combination works without a deductible. The outpatient module AM10 has no share of your own, so preventive care and treatment are reimbursed without a billing hurdle.

What happens to the premium when my child gets older?

The premium rises with the technical entry age. If an adjustment is large, we check plan optimization together, and you can find the specific premium adjustments at SDK in our overview.

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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