+49 228 97735-44· German & English spoken
    Health Insurance for Foreigners in Germany
    All tariffsFind a tariff
    Find a tariff
    Care Expatriate — recognised long-term prooffrom €58/month (up to 5 years)
    Missing one document at the Ausländerbehörde appointment delays the residence permit by 4–8 weeks — and the insurance certificate is the single most common reason for refusal

    Document Checklist for the Immigration Office (Expats) in Germany

    4.9/5 · Over 10,000 policies since 2009
    Document checklist for the German Ausländerbehörde — passport, visa, photo, application form, Anmeldung, income proof, recognised health-insurance certificate, and €100 fee
    8 documents
    Standard checklist
    Insurance proof
    Entire permit duration
    Recognised lane
    Expatriate €58/mo

    Three rules that prevent every refusal at the Ausländerbehörde:

    1. 1Insurance covers the entire requested permit duration: Use Care Expatriate from €58/month (up to 5 years) (private side, up to 5 years) or a DAK 17.8% of gross (open-ended) Mitgliedsbescheinigung (statutory side).
    2. 2Anmeldung address must match the application: Bürgeramt registration within 14 days of moving in (§ 17 BMG). Even a missing apartment number triggers a refusal at the appointment.
    3. 3Bridge any gap before the appointment: Care Economy from €30 / 30 days (up to 2 years) Schengen-conform — cancellable monthly the day the long-term lane starts.

    Appointment booked? 30-second permit-document tariff finder →

    Inside: the one document the Ausländerbehörde refuses 1 in 3 of the time · why a 12-month policy quietly shortens a 3-year permit request · the bridge tariff that costs less than one inpatient day (~€830)

    Sources: § 5 Abs. 1 Nr. 1 AufenthG (cover precondition) · § 16b / § 16f / § 18a / § 21 / § 36 AufenthG (permit categories) · § 17 BMG (Anmeldung deadline) · § 5 Abs. 1 Nr. 1 SGB V (statutory employees) · § 6 Abs. 6 SGB V (JAEG €77,400 in 2025) · DAK-Gesundheit tariff sheet 2026 · HanseMerkur Care Expatriate / Care Economy AVB · Statistisches Bundesamt DRG 2024

    Long-Stay Coverage

    Care Expatriate by HanseMerkur Versicherungsgruppe / Advigon

    Residence Documents

    Proof for visa or immigration authority documents

    Fast Confirmation

    PDF confirmation available after successful application

    4.9/5

    Over 10,000 policies issued · Since 2009

    Ausländerbehörde appointment ahead? Lock in the recognised insurance certificate this week — Care Expatriate from €58/month for § 21 / § 16f / § 36, DAK Mitgliedsbescheinigung for § 18a employed under JAEG, Care Economy from €30/30 days as the short bridge.

    🏛️ Authority-approved📄 Instant proof🔒 DAK / HanseMerkur🏷️ Transparent pricing
    4.9/5· Since 2009 · 10,000+ policies· Since 2009 · Over 10,000 policies issued

    8 documents to bring to the German Ausländerbehörde — full checklist

    Quick answer: "What documents do I need to bring to my residence-permit appointment in Germany?" — these eight items cover every standard permit category (§ 16b Study, § 16f Job-search, § 18a Skilled Worker, § 21 Self-employed, § 36 Family). The insurance certificate (item 7) is the single most common reason for refusal — bring a recognised long-term proof, never a travel-only or Schengen-only policy.

    1

    Valid passportOriginal + copy of the data page

    Must be valid for at least 3 months beyond the requested permit duration. Bring the original AND a clear copy of the data page (and any prior German visa pages).

    Compare every recognised lane →

    2

    Current entry visa or prior residence permitOriginal (in passport)

    If you entered on a national D-visa, the eAT (electronic residence permit) replaces it on first appointment. If you already hold an eAT, bring the card itself.

    Why insurance is almost always required →

    3

    Biometric passport photo1 photo, ICAO biometric (35 × 45 mm)

    Recent (within 6 months), neutral background, frontal pose. Most Bürgerbüros and Fotofix booths inside the Ausländerbehörde provide compliant photos for €5–10.

    Compare every recognised lane →

    4

    Residence-permit application formSigned Antrag auf Erteilung / Verlängerung

    Download from your local Ausländerbehörde website (typically a 4–6 page PDF). Fill in completely; the office no longer accepts handwritten partial forms in many cities (e.g. Berlin, Munich, Hamburg).

    What HR commonly requires on day 1 →

    5

    Anmeldung confirmation (Meldebescheinigung)Original, issued by the Bürgeramt

    Mandatory under § 17 BMG within 14 days of moving in. The Ausländerbehörde will not process the permit without it. The address must match the one on the application form.

    Compare every recognised lane →

    6

    Proof of income or financingWork contract / freelance contracts / Sperrkonto / Verpflichtungserklärung

    § 18a Skilled Worker → signed work contract (with salary stated). § 21 Self-employed → freelance contracts and business plan. § 16b Study → Sperrkonto certificate (€11,904 in 2025) or Verpflichtungserklärung. § 16f Job-search → bank-account proof for 18 months of living costs.

    Self-employed vs employed: what changes →

    7

    Recognised health-insurance certificateLong-term cover for the entire requested permit duration

    Mandatory under § 5 Abs. 1 Nr. 1 AufenthG. § 18a employed under JAEG (€77,400 in 2025) → DAK Mitgliedsbescheinigung (~17.8% of gross). § 21 / § 16f → Care Expatriate from €58/month (HanseMerkur, recognised, German + English certificate). Travel-only and Schengen-only policies are routinely refused as long-term proof.

    Care Expatriate from €58/month →

    8

    Appointment confirmation + fee (€100)Bring your Termin-PDF and €100 cash / EC card

    First-issue residence permit fee: €100 (€56 for renewals). Many offices only accept EC card, no credit cards. Keep the receipt — it is needed if you collect the eAT card 4–6 weeks later.

    Compare every recognised lane →

    Avoid the mistakes that can delay your application

    Visitor insurance may be too short

    For multi-month or multi-year stays, Care Expatriate can be a better fit than short visitor coverage.

    Statutory or private?

    Freelancers, self-employed people and some incoming long-stay cases may need private incoming coverage instead of German statutory insurance.

    Residence proof requested?

    Care Expatriate can provide PDF confirmation after successful application for visa or immigration documents.

    Renewal stress later

    A longer coverage term can reduce repeated renewal pressure during projects, residence processes or long stays.

    What missing or wrong insurance proof at the appointment can cost

    One wrong insurance choice can cost you money, time and your application deadline

    A medical incident can become expensive fast — but the wrong certificate can also delay your visa, enrollment, residence permit or work start.

    🏥

    €500–€1,500

    Emergency doctor visit

    One urgent doctor or emergency-room visit can already create a painful bill — before tests, medication or follow-up treatment are added.

    🏨

    €2,000–€10,000+

    Hospital treatment

    If observation, surgery, overnight stay or specialist treatment is needed, costs can quickly move from hundreds to thousands of euros.

    🧳

    Up to 5 years

    Short visitor cover may be too weak

    For long stays, freelance work or residence documents, short visitor insurance may be too short or not the right proof.

    • Wrong or incomplete proof can delay your visa, enrollment or authority process.
    • Cheap home-country policies may miss the exact coverage, dates or repatriation wording required.
    • The cheapest policy can become expensive if it is the wrong proof for your situation.

    Before you apply, check: coverage amount, validity dates, destination area and repatriation cover.

    Appointment in the next weeks? Order the long-term certificate today — the Ausländerbehörde checks every page on the spot

    Why act before your residence documents are due

    Long-stay proof can become urgent during visa, residence permit, project or relocation steps. Short visitor cover may not be enough.

    🧳

    Long stay, different proof

    Care Expatriate can fit longer incoming stays up to 5 years, depending on age and selected plan.

    📄

    Residence documents need clarity

    Your proof should match destination, coverage period and long-stay purpose.

    Do not wait for renewal stress

    Preparing longer coverage early can reduce repeated extension pressure.

    Private or statutory?

    Freelancers, self-employed people and employees on assignment without German statutory insurance may need a different route than employees.

    From document list to recognised certificate — in 3 steps

    10 minutes online for Care Expatriate (long-term, § 21 / § 16f / § 36) or Care Economy (short bridge), the certificate is issued by email in German + English within 24 hours and is accepted by every Ausländerbehörde for the appointment. For § 18a employed under the JAEG, request the DAK Mitgliedsbescheinigung directly from your Krankenkasse the day the contract is signed.

    Long-term stay covered in 3 steps

    Care Expatriate can cover longer incoming stays up to 5 years, depending on age and selected plan.

    1. Choose your plan

      Care Expatriate for expats, freelancers, self-employed people, employees on assignment without German statutory insurance, or seniors up to entry age 74.

    2. Complete the application

      Enter passport, destination, stay details and requested coverage period online. Additional questions may apply depending on the plan.

    3. Submit your proof

      Receive PDF confirmation after successful application and submit it to the embassy, consulate or immigration authority if requested.

    What expats say about Care Expatriate as recognised proof for the Ausländerbehörde

    4.9/5 · Since 2009 · Over 10,000 policies issued
    5/5
    “My biggest worry was that the embassy wouldn't accept the insurance.
    The proof was accepted immediately — no questions asked.

    That saved me a lot of stress.”
    Georges from Cameroon

    Georges

    Cameroon

    5/5
    “I needed proof of insurance urgently for my visa appointment.
    The confirmation arrived within minutes by email.

    Everything worked first time at the embassy.”
    Olga from Russia

    Olga

    Russia

    5/5
    “Found the best solution and best service for health insurance for foreign visitors and guests in Germany.
    Fast, simple and affordable.

    Highly recommended!”
    Michael from Germany

    Michael

    Germany

    5/5
    “The online sign-up was done in just a few minutes.
    When I actually had to see a doctor, the billing went smoothly.

    I was really covered — not just on paper.”
    Yunhee from Australia

    Yunhee

    Australia

    Now choose your plan

    4.9/5 · Since 2009 · Over 10,000 policies issued

    Full price tables — Care Expatriate · DAK-Gesundheit · Care Economy

    Quick answer: Three recognised products cover every Ausländerbehörde permit category: Care Expatriate from €58/month for the private side (§ 21 / § 16f / § 36), statutory DAK at ~17.8% of gross under the JAEG for § 18a employed, and Care Economy from €30/30 days as the universal short bridge before the appointment.

    § 21 / § 16f / § 36 permit — Care Expatriate

    HanseMerkur incoming, ages 0–74, up to 5 years, accepted by every Ausländerbehörde for the private-side permit categories, certificate issued in German + English (3 tiers — Basic / Comfort / Premium):

    Care Expatriateworldwide without USA, Canada and Mexico
    Basic
    BestsellerComfort
    Premium
    Deductible / yr
    150,–
    Deductible / yr
    150,–
    Deductible / yr
    500,–
    Deductible / yr
    0,–
    Deductible / yr
    500,–
    Deductible / yr
    1.000,–
    Entry age:0–12 (€ / month) 64,– 104,– 81,– 191,– 149,– 117,–
    Entry age:13–40 (€ / month) 58,– 84,– 63,– 181,– 141,– 109,–
    Entry age:41–60 (€ / month) 68,– 103,– 77,– 256,– 201,– 156,–
    Entry age:61–74 (€ / month) 246,– 322,– 248,– 432,– 336,– 263,–

    All prices per month/person in euros. Deductible applies per insurance year. As of 2026.

    § 18a employed under JAEG — DAK-Gesundheit

    Statutory under § 5 Abs. 1 Nr. 1 SGB V, ~17.8% of gross salary, employer pays half, free Familienversicherung for spouse and children (DAK button price: 17.8% of gross (open-ended)):

    DAK-Gesundheit for employees (statutory)
    General contribution rate
    14.6 % of gross
    + 3.2 % DAK supplement = 17.8 %
    Employer / employee share
    8.9 % each
    Paid 50/50
    Compulsory long-term care
    approx. 3.6 % standard
    4.2 % childless from age 23 · reductions depending on number of children
    Total (incl. care, childless)
    ≈ 22.0 % of gross
    Depending on long-term care variant
    Family co-insurance
    possible
    Spouse & children covered under statutory conditions
    Sickness pay (Krankengeld)
    from day 43
    70 % of gross, max 78 weeks
    Compulsory insurance limit (JAEG)
    €77,400 / year
    = €6,450 / month (as of 2026)
    Income-based
    No flat rate — contribution scales with gross salary
    Family covered free
    Spouse without income + children co-insured
    Mandatory under JAEG
    Gross < €77,400 / year → statutory insurance required

    2026 contribution rates: 14.6 % general + 3.2 % DAK supplement = 17.8 %; split 50/50 between employer and employee (8.9 % each). Compulsory long-term care approx. 3.6 % standard, 4.2 % childless from age 23, reductions depending on number of children. Family co-insurance possible under statutory conditions. As of 2026.

    Short bridge — Care Economy

    Schengen-conform incoming, ages 0–74, 1 day to 2 years, cancellable the day the long-term lane (DAK or Care Expatriate) is in place:

    Care Economy
    Duration
    Bestsellerup to 64
    up to 64
    Bestseller65+
    65+
    no deductible with deductible no deductible with deductible
    up to 90 days €1.18/day €1.00/day €3.48/day €2.95/day
    91–180 days €1.59/day €1.35/day €4.37/day €3.70/day
    181–365 days €2.30/day €1.95/day €5.84/day €4.95/day
    366–730 days €2.83/day €2.40/day €9.32/day €7.90/day

    All prices per day/person in euros. Minimum premium €10 per person and term. Deductible is the share you pay yourself. Entry age 0–74. As of 2026.

    FAQ — Document checklist for the German Ausländerbehörde

    Frequently Asked Questions

    Which documents do I need to bring to the German Ausländerbehörde for the residence-permit appointment?

    Eight standard documents: (1) Valid passport (valid 3 months beyond the requested permit + copy of the data page). (2) Current visa or prior eAT card. (3) 1 biometric photo (35 × 45 mm). (4) Signed residence-permit application form. (5) Anmeldung confirmation from the Bürgeramt (§ 17 BMG). (6) Proof of income / financing (work contract, freelance contracts, Sperrkonto €11,904, or Verpflichtungserklärung). (7) Recognised health-insurance certificate — typically a <a href="/en/insurance-plans/dak-gesundheit-angestellte/overview/" class="text-primary underline underline-offset-2">DAK Mitgliedsbescheinigung</a> for § 18a employed under JAEG, or <a href="/en/insurance-plans/care-expatriate/overview/" class="text-primary underline underline-offset-2">Care Expatriate from €58/month</a> for § 21 / § 16f. (8) Appointment confirmation + €100 fee (€56 for renewals).

    What kind of health-insurance proof is accepted by the German Ausländerbehörde for an expat residence permit?

    Two recognised types of certificate: (a) Statutory — a <a href="/en/insurance-plans/dak-gesundheit-angestellte/overview/" class="text-primary underline underline-offset-2">DAK Mitgliedsbescheinigung</a> for § 18a employed under JAEG (€77,400 in 2025), automatic from the contract start under § 5 Abs. 1 Nr. 1 SGB V. (b) Private incoming — <a href="/en/insurance-plans/care-expatriate/overview/" class="text-primary underline underline-offset-2">Care Expatriate from €58/month</a> (HanseMerkur, recognised by every Ausländerbehörde for § 21 self-employed and § 16f Job-search permits, certificate issued in German + English). Travel and Schengen policies are not accepted as long-term proof — bridge the gap with <a href="/en/insurance-plans/care-economy/overview/" class="text-primary underline underline-offset-2">Care Economy from €30/30 days</a> (Schengen-conform).

    What happens if my insurance certificate does not cover the entire requested permit duration?

    The Ausländerbehörde typically pauses the application and asks you to submit a longer certificate within 4–6 weeks, or grants only a shorter permit matching the certificate validity. <a href="/en/insurance-plans/care-expatriate/overview/" class="text-primary underline underline-offset-2">Care Expatriate</a> can be issued for up to 60 months in one contract — locking the entry-age premium (€58/month at 18–29) for the entire term. A 12-month policy renewed later resets the entry age and increases the premium. Coming from a job change? See the <a href="/en/guide-health-insurance-germany/health-insurance-expats-germany/expat-without-employer-during-job-search-how-to-stay-insured-germany/" class="text-primary underline underline-offset-2">job-search lane</a>.