| As an alternative to the state supported | | | | might be expected cost is determined by such |
| healthcare system expats in Germany have the | | | | variables as the patient's medical history, age and |
| option of signing up to a private health care plan. | | | | gender. |
| The prerequisite is a salary over 47,700 Euros. | | | | Its is important to bear in mind that while the |
| Those working in Germany on an independent | | | | GKV covers family and non working dependents |
| basis (i.e. self employed) would also be eligible. | | | | the PKV only covers the paying customer. On the |
| Employees would have to demonstrate that they | | | | plus side private providers are not allowed to |
| had earned more than the threshold amount for 3 | | | | cancel policies on the basis of claims made. They |
| years. Otherwise they will automatically be | | | | are legally required, furthermore, to set aside |
| enrolled in the government scheme (gesetzliche | | | | 10% of contributions against health care provision |
| Krankenversicherung of GKV). It is always | | | | to be rendered in retirement. |
| prudent to address this with employers as soon | | | | Self employed German residents who are |
| as possible since when staff are registered for | | | | covered by the policy of an international (i.e. non |
| the state insurance there is no option to change | | | | German) provider should check the small print and |
| for three years. This draconian seeming measure | | | | make sure it is acceptable in Germany. Even if |
| is a result of recent reforms and is designed to | | | | the existing policy is applicable, long term |
| compel higher earners to stick with the state | | | | Pflegeversicherung (nursing care) must be |
| system. The private option is attractive for | | | | acquired as well.private Krankenversicherung |
| expats because although standards are high with | | | | (PKV) regulations stipulate that all self employed |
| the standard program it is reassuring to have | | | | persons must now purchase private health |
| access to medical staff whose competency in | | | | insurance (even if they had no cover previously). |
| their patients mother tongue can be guaranteed. | | | | The German providers are legally obliged to |
| German hospitals depend increasingly on their | | | | accept applicants regardless of their health |
| private practice for funding and so receive new | | | | situation. Finally, the cost will be capped by 1st |
| patients with open arms. The private | | | | January 2009. This government of the Federal |
| Krankenversicherung (PKV) market is covered by | | | | Republic has introduced these measures to ensure |
| around 50 firms and there is a good palette of | | | | that ultimately all residents have cover. |
| products available to meet most requirements. As | | | | |