Received a premium increase: what now?

The most important steps for handling your premium adjustment the right way at a glance.

01

Stay calm and check the letter

A premium adjustment is provided for by law and affects all policyholders of a plan equally. Read the letter calmly and check the amount, the effective date and the reasons given before you respond.

02

Plan change under § 204 VVG

Within your company, you can switch to another plan with similar cover. Your accumulated ageing reserves are kept in full and often lower the premium noticeably.

03

Compare benefits carefully

Before any change, compare the benefits of the new plan with the old one. A cheaper premium only makes sense if the benefits that matter to you are kept.

04

Have it reviewed independently

We are not tied to any company and review your adjustment and suitable alternatives across all insurers. This way you can see whether an internal change or a switch of provider is the better way.

05

Keep an eye on deadlines

A premium increase can trigger a special right of termination. A deadline of two months from receipt of the notice applies. So clarify open questions early so that no option is closed to you.

Many privately insured people receive a letter about a premium adjustment at regular intervals. The key question then is: is the increase justified, and what can you do about it? A premium adjustment is provided for by law and no reason to worry. It even opens up several ways to act. On this page we explain your rights, show the most important steps and guide you to the detail page of your insurer.

Premium adjustment by insurer

In the following overview you will find a separate page for each insurer with the current premium adjustments, affected plans and vetted alternatives.

Your insurer is not on the list, or you are unsure which route is right for you? Talk to us. We review your premium adjustment independently and show you the options across all companies.

Premium increase: switch or stay?

Your rights after a premium increase

Internal plan change under § 204 VVG

Under § 204 VVG, you have the right to switch to another plan with similar insurance cover within your company. Your ageing reserves accumulated over the years are credited in full and kept. In many cases this makes the internal change the first option, because it can lower the premium without you giving up the capital you have built up.

Switching insurer

A switch to another company is possible but has a decisive disadvantage: the ageing reserves built up with your current insurer are largely lost. Only a share limited by law is transferred. A switch of provider can still be worth it, but it needs careful calculation and is mainly worth considering for younger policyholders with a short contract term.

Special right of termination under § 205 (4) VVG

If your insurer increases the premium, you have a special right of termination under § 205 (4) VVG. You can cancel the affected plan within two months of receiving the notice of change, with retroactive effect to the time of the increase. You should only cancel if follow-on cover without any gap is secured.

Checking the adjustment: requirements under § 203 VVG

A premium adjustment is bound to clear requirements under § 203 VVG. It is permitted if the calculated benefit expenditure or the mortality rates have changed permanently. In addition, an independent trustee must review the adjustment and approve it. Whether the formal requirements are met in the individual case can be checked against the specific letter.

Frequently asked questions

Is a premium increase in private health insurance lawful?

Yes, a premium adjustment is provided for by law. It is permitted under § 203 VVG if the calculated benefit expenditure or the mortality rates have changed permanently, and it must be reviewed and confirmed by an independent trustee. An increase always affects all policyholders of a plan equally.

Will I lose my ageing reserves if I switch?

That depends on the route. With an internal plan change under § 204 VVG, your ageing reserves are kept in full. If you change company instead, most of the reserves are lost, and only a share limited by law is transferred.

What deadline applies to the special right of termination?

After a premium increase, you have two months to exercise the special right of termination under § 205 (4) VVG. The deadline starts when you receive the notice of change. The termination takes effect at the time the increase would have become effective.

Is a plan change or a switch of provider worth it?

In most cases, the internal plan change is the better choice, because the ageing reserves are kept and the premium can still fall. A switch of provider is more of an option for younger policyholders with a short contract term. Which route fits can only be said after comparing premium and benefits.

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The PKV-Welt team: Tim and Sandra Bökemeier
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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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