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    Health Insurance for Foreigners in Germany
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    Mini-Job, Midi-Job, Full-Time: Health Insurance Differences Explained 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

    Is a mini-job (up to €556/month) subject to GKV in Germany?

    No — mini-jobs under €556/month (2026 threshold) are exempt from employee GKV contributions — the employer pays 13% flat to the Minijob-Zentrale. Foreign workers still need separate cover: Care Expatriate from €58/month or family insurance under § 10 SGB V.

    How does midi-job (€556.01–€2,000) insurance work?

    Midi-jobs trigger full GKV under DAK-Gesundheit (17.8% of gross) but with a reduced employee share — starting at ~5% and rising linearly to the full 8.9% at €2,000/month (§ 20 SGB IV — Übergangsbereich).

    What's the health insurance rule for full-time employees?

    Full-time (≥ €2,000/month) means full GKV at 17.8% of gross, split 50/50 with the employer. Above the JAEG of €77,400 (2026) private cover becomes optional — Care Expatriate from €58/month is the standard alternative.

    Can foreigners work only mini-jobs on a residence permit?

    § 18a AufenthG requires an income high enough to cover living costs (~€1,300/month net). Rarely. Multiple mini-jobs plus Care Expatriate (from €58/month) can bridge short phases, but a full-time contract stays the safer § 82 AufenthG proof.

    Do I need Krankengeld cover in a mini-job?

    No — mini-jobbers are not entitled to Krankengeld from DAK-Gesundheit (§ 44 SGB V requires main GKV membership). The employer pays 6 weeks Lohnfortzahlung; after that private daily-benefit riders on Care Expatriate step in.

    Do I need health insurance if I only have a minijob in Germany?

    Yes — a minijob does not provide health insurance. You must arrange your own coverage, e.g. through family insurance, voluntary statutory insurance, or an incoming policy like Care Economy (from €30/30 days).

    What is the difference between a minijob and a midijob for health insurance in Germany?

    A minijob (up to €556/month) does not include health insurance for the employee. A midijob (€556.01–€2,000/month) is fully subject to social insurance, including health insurance, with reduced employee contributions.

    How much does health insurance cost for full-time employees in Germany?

    Approximately 17.8 % of gross salary, split equally between employer and employee (8.9 % each). A DAK-Gesundheit membership (from 17.8 % of gross, unlimited) provides full statutory coverage from day one.

    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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