Expert tips

The most important points on the Jahresarbeitsentgeltgrenze  for employees at a glance.

01

JAEG 2027: €84,150

The Jahresarbeitsentgeltgrenze for 2027 rises to €84,150 (from €77,400 a year). If you are already exempt in 2026 and earn between €77,400 and €84,150, you should act soon: if you are privately insured on December 31, 2026, the threshold of €80,550 applies to you in 2027.

03

What counts is the expected annual pay

Under § 6 SGB V, what counts is the regular pay of the coming year, not the previous year.

Requirements for employees →
04

The statutory health insurance fund must inform you

Under § 188 (4) SGB V, the statutory health insurance fund must inform you about your exemption from compulsory insurance. You then have two weeks to respond. Otherwise the regular notice periods apply.

The Jahresarbeitsentgeltgrenze in detail

How high is the Jahresarbeitsentgeltgrenze and what does it mean?

The JAEG , often also called the Versicherungspflichtgrenze in health insurance, is €77,400 a year or €6,450 a month in 2026. Compared with 2025, it rose by €3,600, which is 4.9%. If you regularly earn more than this as an employee, you can choose freely between statutory and private health insurance.

Besides this regular threshold, there is a second, much lower threshold that is only relevant for a smaller group of existing policyholders. If you keep the two apart, you avoid the typical confusion with the Beitragsbemessungsgrenze BBG · BeitragsbemessungsgrenzeThe contribution ceiling of statutory health and long-term care insurance. Income above this amount is not used to calculate contributions.More about BBG →.

Outlook for 2027: the JAEG  rises to €84,150 a year or €7,012.50 a month. The jump is larger than usual, because a special increase of €300 a month, decided by law, comes on top of the normal adjustment to wage growth. The Federal Cabinet decided the values on October 7, 2026, and the Bundesrat still has to approve them. If your income is between €77,400 and €84,150 and you are already exempt in 2026, you should therefore check a planned switch to private health insurance in 2026: if you are privately insured on December 31, 2026, the threshold of €80,550 a year or €6,712.50 a month applies to you in 2027 under § 6 (8) SGB V. The condition is that you were exempt because of your income on December 31, 2026. If you are still compulsorily insured, you cannot leave at the turn of the year, because under § 6 (4) SGB V compulsory insurance only ends if you also exceed the threshold of the following year. We have summarized the details in our news item on the JAEG 2027 that has been decided.

What is the difference between the JAEG, the BBG and the Versicherungspflichtgrenze?

The JAEG  and the BBG  are often mixed up, although they have different functions:

FigureValue 2026Value 2027Purpose
JAEG  (Versicherungspflichtgrenze, § 6 SGB V)€77,400 a year, €6,450 a month€84,150 a year, €7,012.50 a monthDecides whether you may choose between statutory and private health insurance
BBG  (Beitragsbemessungsgrenze)€69,750 a year, €5,812.50 a month€76,500 a year, €6,375 a monthDecides the maximum on which the statutory contribution is calculated

The values for 2027 come from the cabinet decision on the calculation values regulation. The approval of the Bundesrat is still pending.

If you stay in statutory health insurance, you therefore pay your contribution at most up to the BBG. A switch to private health insurance makes you independent of the BBG . The premium then depends on the plan, your age and your health, not on a contribution ceiling.

What is the difference between the general and the special JAEG?

The general JAEG  of €77,400 applies to everyone who becomes exempt from compulsory insurance today. The special JAEG of €69,750 only applies to people who on December 31, 2002 were already exempt because they exceeded the JAEG and had comprehensive private health insurance. In 2026, this value is identical to the BBG  and gives existing policyholders a lower threshold. From 2027, the special JAEG is €72,900 a year or €6,075 a month and therefore below the BBG of €76,500.

For 2027, a third threshold is added: if you are exempt because of your income and privately insured on December 31, 2026, a threshold of €80,550 a year or €6,712.50 a month applies to you under § 6 (8) SGB V. It protects existing policyholders from becoming compulsorily insured again only because of the special increase of the general JAEG .

The JAEG  does not rise automatically every year. It is linked to the reference value West (§ 18 SGB IV, 2026: €3,955 a month, 2027: €4,130) by the Social Insurance Calculation Values Regulation and set by the Federal Cabinet.

Which income counts toward regular annual pay?

Under § 6 SGB V, what decides is the expected regular annual pay, not the pay you actually received in the past.

Regular annual pay includes:

  • contractually agreed earnings
  • taxable benefits in kind
  • holiday pay
  • Christmas bonus
  • capital-forming payments
  • regular profit shares, if they are paid with certainty
  • pay for on-call duty and supplements for shift work or work under difficult conditions
  • overtime pay only if it is paid as a flat rate
  • performance-based pay only with the guaranteed minimum amount

Regular annual pay does not include:

  • voluntary one-off payments
  • family supplements
  • irregular overtime pay

A worked example: €5,500 base salary times twelve gives €66,000. Adding €3,000 holiday pay and €5,500 Christmas bonus gives €74,500. That is below the €77,400 of the JAEG  2026, so the employee remains compulsorily insured.

Who does the Jahresarbeitsentgeltgrenze apply to?

The Jahresarbeitsentgeltgrenze  does not affect all groups of people in the same way:

Group of peopleDoes the JAEG  apply?Note
Salaried employees and workersYesJAEG  2026: €77,400
Junior doctors and employed doctorsYesJAEG  2026: €77,400
Self-employed doctorsNono compulsory statutory insurance
Self-employed people, freelancers, entrepreneursNono compulsory statutory insurance
InternsNono JAEG , exemption possible in some cases
StudentsNono JAEG , exemption possible, for example from age 25
Civil servants and people entitled to 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 →Nogenerally exempt from compulsory insurance
Low earners and unemployed peopleNousually below the JAEG , therefore compulsorily insured
Children and spouses without their own incomeNousually covered by statutory insurance through family insurance

What happens when you exceed the JAEG?

As soon as the statutory health insurance fund establishes your exemption from compulsory insurance, it informs you of the option to leave. Under § 188 (4) SGB V, you then have two weeks. From this moment, four paths are open to you:

PathWhat happens
Switch to private health insuranceAn active application with a private insurer, with health questions. The employer pays a contribution of up to €508.59 a month for health insurance (2027 expected: €557.81).
Voluntary statutory insuranceCompulsory membership ends. Without an application to switch, voluntary membership starts automatically after two weeks.
Stay in statutory insurance and add supplementary insuranceTop up statutory benefits with private supplementary insurance without switching completely.
Later return to compulsory insuranceIf you fall below the JAEG  in the following year.

Before a formal application, an anonymous risk enquiry with several insurers checks your likely chances of acceptance, without a rejection being stored by the insurer. To compare the cost side: the maximum contribution to statutory health insurance including long-term care insurance is €1,226.44 a month in 2026.

What happens if you fall below the JAEG again?

If your pay as an employee falls below the JAEG  again in the following year, you generally become compulsorily insured in statutory insurance again.

One exception is the age 55 rule under § 6 (3a) SGB V. If you would only become compulsorily insured after reaching age 55, you remain exempt if you had no statutory insurance in the five years before and were exempt, released from compulsory insurance or self-employed as your main occupation for at least half of that time. No application is needed for this.

How does the JAEG affect a change in salary in practice?

An employee earns €6,200 gross a month, which is €74,400 a year. In 2025 she was above the JAEG  of €73,800, and in 2026 she falls below the new threshold of €77,400. The consequence: she was exempt in 2025, but becomes compulsorily insured again from January 1, 2026.

In our advice we often see this pattern with pay rises during the year. If you exceed the threshold in August, you may not choose right away. You may only choose from January 1 of the following year, and only if your pay is also expected to exceed the new threshold then.

Does a switch make sense as soon as I exceed the JAEG?

Exceeding the JAEG  gives you a choice, not an obligation to switch. As rules of thumb for the question of suitability: an entry age under about 40 years, a minimum net income from €3,000 a month and a stable long-term life plan.

If you exceed the JAEG  for the first time and switch without stable income, you risk falling back into compulsory statutory insurance as early as the following year.

Does the JAEG also apply to self-employed people and civil servants?

No. The Jahresarbeitsentgeltgrenze  only affects employees. Self-employed people, freelancers and civil servants may join private health insurance regardless of income.

Am I automatically in private health insurance after exceeding the JAEG?

No. The statutory health insurance fund informs you about your exemption from compulsory insurance, with a two-week period under § 188 (4) SGB V. The switch to private health insurance requires an active application. If you do nothing, you stay in statutory insurance as a voluntary member.

Does a pay rise count immediately or only in the following year?

Only from January 1 of the following year, and only if your pay is also expected to be above the threshold that then applies. A pay rise during the year alone does not give you a choice right away.

One exception is a change of employer. If you change employer and your starting salary is directly above the JAEG , you can switch from the start of the employment.

How has the Versicherungspflichtgrenze developed?

Looking at past years, the general Versicherungspflichtgrenze  was adjusted almost every year. Only in 2021 and 2022 did it stay the same at €64,350.

YearJAEG special JAEG 
2027€84,150€72,900
2026€77,400€69,750
2025€73,800€66,150
2024€69,300€62,100
2023€66,600€59,850
2022€64,350€58,050
2021€64,350€58,050
2020€62,550€56,250
2019€60,750€54,450
2018€59,400€53,100
2017€57,600€52,200

For employees who were exempt from compulsory health insurance on December 31, 2002, the special, lower Jahresarbeitsentgeltgrenze  applies. New from 2027 is a third threshold under § 6 (8) SGB V: for employees who are exempt and privately insured on December 31, 2026, it is €80,550 in 2027.

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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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