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    Health Insurance for Foreigners in Germany
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    Care Au-Pairfrom €21/month (up to 2 years)

    Au pair to student visa Germany — how to stay after your au-pair year

    Reviewed by Steffan Grund, insurance specialist for foreign residents in Germany · Last reviewed 2026-04-11

    Sources: § 16b · § 16a · § 20 AufenthG · § 12 BeschV · BAMF au-pair guideline · HanseMerkur AVB · Care Concept AG

    Quick answer: The au-pair residence permit under § 12 BeschV is limited to 12 months and typically not extendable as an au-pair. To stay in Germany you switch to a student visa (§ 16b AufenthG), an Ausbildung (§ 16a) or a job-seeker visa (§ 20) — and you replace Care Au-Pair with a tariff that fits the new permit (Care College, Care Student, or Care Expatriate).

    Stay in Germany after au pair is one of the most-searched post-au-pair questions among native English-speaking au-pairs from the US, UK, Ireland, Australia, New Zealand, Canada and South Africa. The path is well-trodden — but you must apply for the new residence permit before the au-pair permit expires, and you must show a new German-recognised insurance certificate that matches the new purpose of stay.

    4.9/5

    Over 10,000 policies issued · Since 2009

    Continuing in Germany after au pair — pick the right follow-on insurance

    🏛️ Authority-approved📄 Instant proof🔒 DAK / HanseMerkur🏷️ Transparent pricing

    One wrong insurance choice can cost you money, time and your application deadline

    A medical incident can become expensive fast — but the wrong certificate can also delay your visa, enrollment, residence permit or work start.

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    €500–€1,500

    Emergency doctor visit

    One urgent doctor or emergency-room visit can already create a painful bill — before tests, medication or follow-up treatment are added.

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    €2,000–€10,000+

    Hospital treatment

    If observation, surgery, overnight stay or specialist treatment is needed, costs can quickly move from hundreds to thousands of euros.

    👨‍👩‍👧

    24 months max

    Contract and visa proof must match

    Au-pair insurance should match the host-family contract, stay dates and visa documents before the application is submitted.

    • Wrong or incomplete proof can delay your visa, enrollment or authority process.
    • Cheap home-country policies may miss the exact coverage, dates or repatriation wording required.
    • The cheapest policy can become expensive if it is the wrong proof for your situation.

    Before you apply, check: coverage amount, validity dates, destination area and repatriation cover.

    Why act before the au pair contract starts

    Au pair insurance proof should match the host-family contract, visa documents and stay dates before travel begins.

    👨‍👩‍👧

    Contract proof matters

    Care Au-Pair can provide proof for au pair, host family and visa documents where required.

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    1 to 24 months

    Choose the coverage term that matches the planned au pair stay.

    Pick the plan level early

    Si, S, M and XL differ by budget and benefits. Do not wait until the visa appointment.

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    Trips need checking

    Temporary trips outside the host country may be covered depending on tariff and conditions.

    Switch matrix — new purpose → new insurance

    New residence purpose Legal basis Standard follow-on insurance
    German language course / Studienkolleg § 16f AufenthG Care College (ages 12–40, 1–60 months)
    University degree (Bachelor / Master / PhD) § 16b AufenthG DAK Studenten (under 30) or Care Student (30+ / GKV-exempt / PhD)
    Apprenticeship (Ausbildung) § 16a AufenthG GKV through the training employer (typical)
    Job-seeker § 20 AufenthG Care Expatriate until the GKV-eligible job starts
    Opportunity Card § 20a AufenthG (Chancenkarte) Care Economy or Care Expatriate (depending on duration)

    Care Au-Pair ends with the au-pair residence permit and is not transferable to the new residence purpose — every switch needs a fresh insurance certificate.

    Care Au-Pair — all tiers, all monthly prices

    Care Au-Pair
    Care Au-Pair SI
    Care Au-Pair S
    BestsellerCare Au-Pair M
    Care Au-Pair XL
    Monatsprämie (€/Monat) 21,– € / Monat 26,– € / Monat 35,– € / Monat 43,– € / Monat
    Selbstbeteiligung 50 €/Fall 35 €/Fall 0 € 0 €

    Alle Preise pro Monat/Person in Euro. Eintrittsalter bis 35 Jahre. Laufzeit 1–24 Monate. Versicherbar sind ausländische Au-pairs mit ständigem Wohnsitz im Ausland während eines Aufenthalts in Deutschland sowie deutsche/österreichische Versicherte im Ausland; Geltungsbereich abhängig von Wohnsitz, Gastland und Tarifbedingungen, USA, Kanada und Mexiko ausgenommen. Nachhaftung 3 Monate (alle Tarife). Stand 2026.

    Case study: Carla, 22, from São Paulo → au-pair year, then Studienkolleg in Cologne

    With 11 months of her au-pair year done, Carla booked the Ausländerbehörde appointment 8 weeks before the § 12 BeschV permit ran out. She bought Care College Basic online in 6 minutes (PDF issued instantly), brought the language-school confirmation, and the authority granted a Fiktionsbescheinigung on the spot — no gap, no exit-and-reentry.

    Time saved: waiting until after the au-pair permit expired would have meant flying home, applying for a new D-visa at the consulate, and re-entering — roughly a four-figure euro bill in flights plus 6–8 weeks lost. Care College from €27.50/month bridges seamlessly into the language-course / Studienkolleg period. Get Care College now →

    Document checklist for the Ausländerbehörde

    • Old au-pair residence card (still valid) and passport
    • New insurance certificate (Care College / Care Student / Care Expatriate, depending on purpose)
    • Purpose proof — enrolment letter from the German university, Sprachkurs confirmation, signed Ausbildungsvertrag, or Chancenkarte points sheet
    • Anmeldung (Meldebescheinigung) — current German address
    • Biometric passport photos and the residence-permit fee (~€100)
    • Proof of financial means (Sperrkonto / scholarship / employment contract / parental funding declaration)
    4.9/5

    Over 10,000 policies issued · Since 2009

    Continuing in Germany after au pair? Get the right insurance for the new permit.

    🏛️ Authority-approved📄 Instant proof🔒 DAK / HanseMerkur🏷️ Transparent pricing

    Related guides

    Frequently Asked Questions

    Can I extend the au-pair visa beyond 12 months in Germany?

    The au-pair residence permit under § 12 BeschV is granted for up to 12 months and is typically not extended as an au-pair. Most former au-pairs switch to a language-course visa, an apprenticeship (§ 16a AufenthG), a student visa (§ 16b AufenthG) or a job-seeker visa (§ 20 AufenthG).

    Can I stay in Germany after my au-pair year — switch to student, Ausbildung or work visa?

    Yes. The standard paths are: § 16b AufenthG for a university degree or Studienkolleg, § 16a AufenthG for an Ausbildung, § 20 AufenthG for job-seekers and § 20a (Chancenkarte) for points-based qualified job seekers. Apply at the Ausländerbehörde BEFORE the au-pair permit expires.

    Does Care Au-Pair still cover me if I switch to a language course (Sprachkurs)?

    No — Care Au-Pair is specific to the au-pair residence permit. For Sprachkurs or Studienkolleg the standard follow-on tariff is Care College (ages 12–40, 1–60 months), which the Ausländerbehörde regularly accepts for the new permit.

    Which insurance do I need if I become a student after the au-pair year?

    Under age 30 and enrolling at a German university you typically join statutory health insurance (DAK Studenten). Over 30, on PhD, or formally GKV-exempt, you switch to Care Student (the recognised private alternative for foreign students).

    What is a Fiktionsbescheinigung and do I need one between the au-pair and the new permit?

    If you apply for the new residence permit before the au-pair card expires, the Ausländerbehörde typically issues a Fiktionsbescheinigung — a temporary certificate that legalises your stay (and any allowed work) until the new card is printed.

    Can a former au-pair from the US, UK, Australia, New Zealand, Canada or South Africa apply for the Chancenkarte?

    Yes, if the points threshold under § 20a AufenthG is met (qualification, German or English language proof, age, work experience). Most former au-pairs combine the language skills earned during the au-pair year with their existing degree or vocational training to qualify.