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    Health Insurance for Foreigners in Germany
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    Social Security Obligation in Germany: Health Insurance for Foreign Employees

    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

    Who is subject to Sozialversicherungspflicht in Germany?

    Every employee with gross earnings above €556/month (mini-job threshold, 2026) and below the JAEG of €77,400/year is subject to full statutory insurance under § 5 SGB V — pension, unemployment, care, accident, and DAK-Gesundheit at 17.8% of gross.

    Are foreign employees automatically insurance-obligated in Germany?

    Yes — § 3 SGB IV (Territorialprinzip) applies — anyone working in Germany falls under the same rules regardless of nationality. DAK-Gesundheit registration through the employer under § 28a SGB IV is compulsory from day one.

    Which contributions does Sozialversicherungspflicht include for employees?

    GKV 17.8% (DAK-Gesundheit), Pflege 3.6% (4.2% childless), Rente 18.6%, Arbeitslos 2.6%. Total ~42% of gross, split 50/50 with the employer. The Beitragsbemessungsgrenze in 2026 is €5,512.50/month for GKV/Pflege and €8,050 for Rente/Arbeitslos.

    Can foreign employees opt out of Sozialversicherungspflicht in Germany?

    Only above JAEG €77,400/year for GKV (private option: Care Expatriate from €58/month). Pension, unemployment and care insurance remain mandatory for everyone. Bilateral SV agreements (e.g., USA, Japan, Turkey) may exempt posted workers under Regulation 883/2004 or A1 certificates.

    What proof of Sozialversicherungspflicht does the immigration office want?

    The DAK-Gesundheit Mitgliedsbescheinigung (17.8% of gross) and the employer's § 28a SGB IV Meldung. Together they satisfy § 5 AufenthG for the residence permit. Private cover via Care Expatriate (€58/month) works only above the JAEG or for freelancers.

    How does compulsory social insurance work for foreign employees in Germany?

    All employees in Germany are subject to mandatory social insurance, regardless of nationality. This covers health, nursing care, pension, and unemployment insurance — contributions are split roughly 50/50 between employer and employee. The DAK-Gesundheit (from 17.8% of gross salary, unlimited duration) offers a Garantietarif that saves €120/year.

    Do I need separate insurance before my social insurance starts in Germany?

    Yes. Between your arrival and your first working day, statutory insurance does not yet apply. An incoming policy like Care Economy (from €30/30 days, up to 2 years) bridges this gap with an instant PDF certificate for immigration authorities.

    What is the total cost of social insurance for employees in Germany?

    Social insurance contributions total approximately 40% of gross salary, split evenly between employer and employee. Health insurance alone accounts for about 17.8%. At a gross salary of €3,000, the employee's share across all four pillars is roughly €600/month.

    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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