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    Health Insurance for Foreigners in Germany
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    Probation Period in Germany: Does Anything Change for Your Health Insurance?

    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

    Does health insurance change during probation in Germany?

    No. § 186 SGB V ties GKV membership to the contract start, not to the end of probation. DAK-Gesundheit (17.8% of gross, split 50/50) stays active from day one — even if the employer terminates within the 6-month Probezeit.

    What if I'm terminated during probation in Germany?

    § 19 (2) SGB V grants a one-month nachgehender Leistungsanspruch through DAK-Gesundheit at no cost. After that, freiwillige Versicherung (~€230/month), ALG I, or Care Expatriate from €58/month bridge the gap.

    Can I switch Krankenkasse during probation?

    Yes, but the 18-month Bindungsfrist under § 175 SGB V still applies. Once served, a switch (Sonderkündigungsrecht triggers earlier if the Zusatzbeitrag rises) takes 2 months to become effective.

    Do foreigners on probation keep their residence permit?

    Yes — § 82 AufenthG requires continuous insurance proof only. As long as DAK-Gesundheit membership persists or Care Expatriate (from €58/month) bridges a termination, the residence permit remains valid under § 18a AufenthG.

    Is Krankengeld available during probation in Germany?

    Yes, but only from the 43rd sick day. Days 1–42 are covered by the employer's Lohnfortzahlung (100% of gross). From day 43, DAK-Gesundheit pays 70% of gross (max €120.75/day in 2026) for up to 78 weeks under § 44 SGB V.

    Does health insurance change during the probation period in Germany?

    No — your statutory health insurance (GKV) coverage starts on day one and remains unchanged throughout the probation period. The probation period is an employment law concept, not an insurance concept.

    What happens to my health insurance if I am terminated during probation in Germany?

    Your GKV membership continues for up to one month after employment ends. You should register as unemployed or arrange follow-up insurance. An incoming policy like Care Economy (from €30/30 days) covers any gap with an instant PDF certificate.

    How much does health insurance cost during probation in Germany?

    The contribution is approximately 17.8 % of your gross salary, split equally between you and your employer (8.9 % each). This rate applies from day one — regardless of probation status. A DAK-Gesundheit membership covers you with full statutory benefits.

    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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