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    Health Insurance for Foreigners in Germany
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    Health Insurance When Changing Jobs: What Happens with Insurance and Proof in Germany?

    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

    What happens to my health insurance when I change jobs in Germany?

    Nothing changes if the switch is seamless — DAK-Gesundheit stays as your Krankenkasse and the new employer files the Sozialversicherungsnachweis under § 28a SGB IV within 6 weeks. Contributions remain 17.8% of gross, split 50/50.

    Do I have to inform DAK-Gesundheit about a job change?

    No — but it is a good moment to check the 18-month binding period — after that, switching Krankenkassen (§ 175 SGB V) becomes free of charge. The new employer reports the change to the same Krankenkasse.

    Is there a gap between two jobs in health insurance?

    § 19 (2) SGB V grants a one-month post-employment cover through DAK-Gesundheit. Not usually. If the gap is longer, freiwillige Versicherung (~€230/month) or Care Expatriate (from €58/month) closes it.

    Can I switch to private insurance when changing jobs?

    Only if the new gross salary exceeds the JAEG (€77,400 in 2026) for three consecutive years or you're a Beamte/self-employed. Otherwise Care Expatriate (from €58/month) works only as a bridge, not as GKV replacement.

    What documents does the new employer need for insurance registration?

    HR files everything within 6 weeks under § 28a SGB IV — 17. The Sozialversicherungsausweis (SV-Nummer), tax ID, DAK-Gesundheit Mitgliedsbescheinigung and the previous Arbeitsbescheinigung. 8% of gross starts with the first payroll.

    Do I need separate insurance if there is a gap between two jobs in Germany?

    For gaps up to one month, your GKV coverage continues automatically. For longer gaps, an incoming policy like Care Economy (from €30/30 days) provides coverage and an instant PDF certificate for authorities.

    How much does statutory health insurance cost for employees changing jobs in Germany?

    Statutory health insurance contributions are approximately 17.8% of gross salary, split equally between employer and employee. The DAK-Gesundheit (unlimited duration) offers a Garantietarif that saves €120/year on top.

    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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