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    Health Insurance for Foreigners in Germany
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    Residence Over 90 Days in Germany: Which Insurance Is Typically Required?

    Practical guide for foreigners in Germany: what the German Ausländerbehörde (immigration office) and the German embassy commonly accept, how to attach the right insurance proof, and which recognized tariffs (Care Visa Protect, Care Economy, Care Expatriate, DAK-Gesundheit) typically apply for this situation.

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    Frequently asked questions

    For a stay over 90 days in Germany, which insurance is typically required?

    From €58/month: Care Expatriate is the recognised long-stay lane for stays 91 days–5 years, accepted by the Ausländerbehörde under § 5 AufenthG — overview.

    Is a 90-day Schengen travel insurance enough for a stay over 90 days?

    No. EU Reg. 810/2009 covers up to 90 days only; a national D-visa needs GKV or recognised private insurance (Care Expatriate from €58/month, 1–60 months).

    What minimum cover does the Ausländerbehörde require for over 90 days?

    €30,000 minimum medical cover with no time cap, worldwide repatriation, and validity for the full residence permit period (§ 5 AufenthG, § 2 AufenthV).

    Can I switch from Care Economy to Care Expatriate after 90 days?

    Yes — Care Economy bridges the entry weeks (from €30/30 days, 0–49 y), then switch to Care Expatriate for months 4–60 — Care Expatriate.

    Is statutory GKV always accepted for stays over 90 days?

    DAK-Gesundheit ~17.8% gross, split with the employer) is fully accepted for employees, students under 30 and family members under § 10 SGB V. Yes. GKV (e.g.

    What insurance do I need for a stay over 90 days in Germany?

    For stays exceeding 90 days, German authorities typically require comprehensive health insurance — not a standard travel policy. Options include statutory insurance (GKV, e.g., DAK-Gesundheit) for employees and students, or private plans like Care Expatriate (from €58/month, up to 5 years) for freelancers and self-employed expats.

    Can I use incoming insurance for a German residence permit?

    In many cases, yes. Products like Care Economy (from €30/30 days, up to 2 years) are frequently accepted by immigration offices for residence permits. However, standard travel insurance is almost always rejected. Always confirm with your local Ausländerbehörde.

    What is the difference between incoming and full health insurance in Germany?

    Incoming insurance (e.g., Care Economy) covers temporary stays — affordable but time-limited. Full insurance (GKV/PKV) provides permanent coverage preferred for residence permits. Care Expatriate bridges both worlds: up to 5 years, recognized by authorities.

    Choose your situation

    Visa insurance

    Schengen & national visa

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    Student insurance

    GKV & private (Care College)

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    Expat & freelancer

    Care Expatriate, long-term

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    Employees

    DAK-Gesundheit, GKV

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    Retirees & seniors

    Care Expatriate / S1 form

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    Tools & checks

    Tariff finder, requirement checks

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