Family Reunification for Expats in Germany: Common Health Insurance Proofs 2026
- Spouse / child / parents (private side): Care Expatriate from €58/month (HanseMerkur · per family member · up to 5 years)
- Spouse / child of DAK employee: Familienversicherung free (§ 10 SGB V · joint Mitgliedsbescheinigung)
- Embassy / pre-arrival bridge: Care Economy from €30/30 days (Schengen-conform · per family member)
Three rules that pass the family-reunification visa:
- 1Match the family member to the lane: Statutory sponsor → DAK Familienversicherung free for spouse and children. Private / incoming sponsor → separate Care Expatriate from €58/month (up to 5 years) per family member.
- 2Lock in the embassy / pre-arrival bridge: Care Economy from €30 / 30 days (up to 2 years) per family member covers the joint visa appointment until the long-term cover is in place.
- 3Get the wording right per certificate: Full name, date of birth, validity covering the entire permit duration, geographical scope, insurer details. The Ausländerbehörde and German embassy check each certificate independently.
Joint visa appointment soon? 30-second family-reunification tariff finder →
Inside: the one § that makes Familienversicherung disappear on the private side · why a 6-month-old child still needs an independent certificate · the bridge tariff that covers the entire family for the joint visa appointment
Sources: § 5 Abs. 1 Nr. 1 AufenthG (cover precondition) · § 27 ff. AufenthG (family reunification) · § 30 AufenthG (spouse) · § 32 AufenthG (children) · § 36 AufenthG (parents / hardship) · § 10 SGB V (Familienversicherung) · DAK-Gesundheit tariff sheet 2026 · HanseMerkur Care Expatriate / Care Economy AVB
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
Over 10,000 policies issued · Since 2009
Family reunification ahead? Lock in a recognised certificate per family member before the joint embassy or Ausländerbehörde appointment — Care Expatriate per family member on the private side, DAK Familienversicherung free for statutory employees, Care Economy as the bridge.
Recognised insurance proofs by family-member category
Quick answer: "Which health-insurance proofs are common for family reunification under § 27 ff. AufenthG?" — these six categories cover spouse (§ 30), children (§ 32), parents (§ 36) and the embassy / pre-arrival bridge. Each row shows the recognised certificate with the right wording.
Spouse joining a sponsor with PKV / incoming cover (§ 30 AufenthG)
Each spouse needs a separate recognised incoming or PKV contract — Familienversicherung does not exist on the private side. Care Expatriate from €58/month (HanseMerkur, ages 18–74, up to 5 years) is accepted by the Ausländerbehörde and German embassies for § 30 AufenthG joint entry.
Spouse joining a statutory employee (§ 30 AufenthG + § 10 SGB V)
Spouse joins DAK Familienversicherung free of charge under § 10 SGB V — provided own income stays below the statutory limit. HR registers the spouse via the same Mitgliedsbescheinigung; DAK issues the joint certificate for the visa file. Once registered, no separate premium is due.
Children joining a parent (§ 32 AufenthG)
Statutory parent: children join DAK Familienversicherung free of charge. Private / incoming parent: each child needs a separate Care Expatriate contract — children's premiums are typically the lowest age bracket and are locked at the start for up to 60 months.
Parents reunification to an adult sponsor (§ 36 Abs. 2 AufenthG)
Parents reunification to an adult is a hardship case — the cover requirement is strict. Care Expatriate is the recognised long-term incoming product for older parents (entry age 61–74 from €246/month, locked at the start for up to 60 months). DAK is not available unless the parent becomes statutory in their own right.
Embassy / pre-arrival entry bridge (joint visa appointment)
Care Economy from €30/30 days (Schengen-conform, entry until the 75th birthday, 1 day to 2 years) is the typical embassy / pre-arrival bridge for the family. Each family member needs a separate Care Economy contract until the long-term cover (Care Expatriate or DAK Familienversicherung) is in place.
Joint validity & wording on the certificates
Each family-member certificate must include: full name, date of birth, validity period (covering the entire requested permit duration), geographical scope (Germany / EU / worldwide), insurer details. Care Expatriate and Care Economy ship a German + English certificate per insured person — accepted by every Ausländerbehörde and German embassy.
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 family-reunification proof can cost the joining family
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.
Joint visa appointment booked? Lock in a recognised certificate per family member this week — older parents (entry age 61–74) save the most by booking early
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 decision to recognised proof per family member — in 3 steps
10 minutes online for Care Expatriate (per family member) or Care Economy (joint embassy bridge), one policy document per insured person is issued by email in German + English and is accepted by every German embassy and Ausländerbehörde. For statutory sponsors, DAK issues the joint Familienversicherung certificate via the employee's Mitgliedsbescheinigung.
Long-term stay covered in 3 steps
Care Expatriate can cover longer incoming stays up to 5 years, depending on age and selected plan.
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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.
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Complete the application
Enter passport, destination, stay details and requested coverage period online. Additional questions may apply depending on the plan.
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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 for family reunification visas in Germany
“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
Cameroon
“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
Russia
“Found the best solution and best service for health insurance for foreign visitors and guests in Germany.
Fast, simple and affordable.
Highly recommended!”
Michael
Germany
“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
Australia
Now choose your plan
The 3 recognised products for the family-reunification proof
Care Expatriate
from only €58.00 / month (coverage up to 5 years)
For foreign nationals with longer stays: expats, self-employed professionals, freelancers, employees on assignment without German statutory insurance, retirees & seniors up to age 74
- Proof of insurance for visas & immigration authorities quickly available (PDF)
- Coverage up to 5 years – less renewal stress
- Doctor, hospital, prescription medication & dental treatment coverage
- For longer stays in Germany, Austria, the EU/Schengen Area, Liechtenstein or Switzerland
- Suitable for expats, self-employed professionals, freelancers, employees on assignment without German statutory insurance, retirees & seniors
- More planning security for residence permits, projects or jobs
- 24/7 assistance + digital insurance card
- Age-based rates: from €58/month ages 13–40 · from €68 ages 41–60 · from €246 ages 61–74
- Coverage term: 3 months to 5 years · entry age 0–74
- Reputable insurance carrier
Why Care Expatriate?
For foreign nationals with longer stays who need solid health insurance and proof of coverage for authorities — suitable for expats, freelancers, self-employed professionals, employees on assignment without German statutory insurance, retirees & seniors up to age 74.
Why a 5-year coverage term?
More planning security: less renewal stress and a lower risk of a coverage gap if your stay lasts longer.
- 🏛️ HanseMerkur Versicherungsgruppe Hamburg (Advigon Versicherung AG)
- 📄 Instant proof of insurance for visas & immigration authorities (PDF)
- 🔒 Doctor, clinic, dental treatment & repatriation coverage
- 🏷️ From €58 / month · coverage up to 5 years
→ Complete the application, receive your instant PDF, submit your proof
DAK-Gesundheit Employees
currently 17.8% of gross income
(employer pays half · plus long-term care insurance)
For foreign employees with a social-security-covered job in Germany
- Statutory health insurance for employees in Germany
- Employer pays half of the health insurance contribution
- Family coverage for spouse & children may be possible under statutory rules
- Doctor, dentist, hospital, pharmacy & prescription medication coverage
- Health insurance card for medical treatment in Germany
- EU/EEA coverage via the European Health Insurance Card
- Save €120 per year with DAK Garantietarif 120 possible
- Optional: DAK Fit & Travel with additional benefits up to age 39
- Mandatory long-term care insurance also applies
- Reputable statutory health insurance provider
Why DAK-Gesundheit?
For foreign employees in Germany who need statutory health insurance with a health insurance card, employer contribution and possible family coverage.
Why statutory health insurance as an employee?
More security in everyday working life in Germany: the employer pays half, family members may be covered free of charge under certain conditions, and medical treatment is handled easily through the health insurance card.
- 🏛️ DAK-Gesundheit
- 📄 Membership certificate for employers & authorities
- 🔒 Doctor, dentist, clinic, pharmacy & prescription medication
- 🏷️ Currently 17.8% of gross income · employer pays half
→ Complete the application, start your membership, receive your health insurance card
Care Economy
from only €30.00 / 30 days (coverage up to 2 years)
For guests, tourists, family visits, job seekers & the German Opportunity Card
- Proof of insurance for visas & immigration authorities within minutes
- Affordable coverage from €1.00 per day
- Doctor, hospital & dental emergency coverage
- Suitable for Schengen visas, the Opportunity Card & family visits
- Flexible coverage from 1 day up to 2 years
- Coverage in Germany, the EU & the Schengen Area
- 24/7 assistance + digital insurance card
- Age-based rates: from €1.00/day up to age 64 · from €2.95/day for ages 65–74
- Coverage term: 1 day to 2 years · entry age 0–74
- Reputable insurance carrier
Why Care Economy?
For anyone who needs fast, affordable proof of health insurance — ideal for guests, visitors, tourists, family visits or job seekers, with doctor/clinic coverage subject to the policy terms and benefits.
Why a 2-year coverage term?
More flexibility when plans are uncertain: if your visa, trip or stay is extended, you avoid last-minute renewal stress and reduce the risk of a coverage gap.
- 🏛️ HanseMerkur Versicherungsgruppe Hamburg (Advigon Versicherung AG)
- 📄 Instant proof of insurance for visas & immigration authorities (PDF)
- 🔒 Doctor, clinic, dental emergency & repatriation coverage
- 🏷️ From €30 / 30 days · up to 2 years possible
→ Complete the application, receive your instant PDF, submit your proof
Need the residence-permit explainer? Why insurance is almost always required. Sponsor is employed? HR insurance-proof checklist. Compare every expat lane in the foreigners hub.
Full price tables — Care Expatriate · DAK-Gesundheit · Care Economy
Quick answer: Three recognised products cover the full family-reunification proof flow: Care Expatriate from €58/month per family member (children at the lowest age bracket, parents 61–74 from €246/month), DAK Familienversicherung free for spouse and children of statutory employees under § 10 SGB V, and Care Economy from €30/30 days as the embassy / pre-arrival bridge.
Per family member (private side) — Care Expatriate
HanseMerkur incoming, ages 0–74, up to 5 years, accepted by the German embassy and Ausländerbehörde for § 30 / § 32 / § 36 AufenthG, 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.
Statutory employee sponsor — DAK Familienversicherung
Sponsor pays ~17.8% of gross salary (employer pays half), spouse and children join Familienversicherung free of charge under § 10 SGB V (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)
|
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.
Embassy & pre-arrival bridge — Care Economy
Schengen-conform incoming, ages 0–74, 1 day to 2 years, one contract per family member, cancellable when the long-term cover 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.
How long should the health insurance run?
Quick answer: Usually for as long as the stay is planned to last — and not shorter. The premium is set by the entry age at the start of the contract and stays in that age band for the whole term. Anyone who extends later typically signs a new contract at the age they are by then.
| Term | Premium/month | Total | Renewals needed | Pre-existing-condition gap |
|---|---|---|---|---|
| 12 months | €58 | €696 | 4 | possible (2×) |
| 24 months | €58 | €1,392 | 2 | possible (1×) |
| 60 months | €58 | €3,480 | 0 | none |
Is a 41st birthday coming up?
In the 13–40 age band the Basic premium is €58/month; in the 41–60 band it is €68/month (example values). The difference is around €10 a month — roughly €600 over 60 months. What counts is the age at the start of the contract, not the age during the term. Concretely: someone who chooses a 60-month term at 40 pays the 13–40 band for five years, rather than the 41–60 band from their 41st birthday onwards.
When the renewal falls due
A policy with a twelve-month term typically expires at close to the point the residence permit (Aufenthaltstitel) also needs extending. Both then fall in the same weeks: new contract, new proof of cover, new appointment at the foreigners' authority (Ausländerbehörde) — often under time pressure. A longer term decouples the two dates. There is also the practical effort: every renewal means passport details, proof of address and personal information again — usually gathered by relatives in Germany while the insured person is still abroad.
What is different at renewal
Conditions that first arise during a running contract are, as a rule, covered within that contract. In a contract taken out later they typically count as a pre-existing condition — and pre-existing conditions are usually excluded in incoming tariffs. The older the insured person, the more likely it is that a diagnosis falls between two contracts, and that diagnosis then usually counts as pre-existing in the follow-up contract. A continuous term avoids that gap.
A gap can also open up between two contracts — days without cover, which may become visible when the residence permit is next extended. A continuous term avoids that.
A fixed term also means planning certainty for the family: the premium is set for the whole duration, with no annual recalculation.
For context: Care Expatriate can be taken out up to the age of 74.
Monthly or a single payment?
Quick answer: Both are possible, and the price is the same — there is no discount for paying in one go. The difference lies in the risk: if a direct debit goes unpaid, that can affect the insurance cover — and the residence permit rests on that cover. With a single payment the cover no longer depends on an ongoing bank debit. That matters above all where the premiums are paid by relatives in Germany: a job change, a change of bank or one tight month then has no bearing on the insured person's residence status.
Where the premium is transferred from abroad, one payment replaces up to sixty individual transfers — each with its own bank charges and exchange rate.
What happens on an early return?
If the stay ends earlier than planned, the contract can be cancelled in writing. The overpaid premium is, as a rule, refunded minus a €5 processing fee (source: Care Concept FAQ). So someone who pays 60 months in advance and returns after two years gets the premium for the unused months back — the financial risk of paying in one go is therefore €5, not the remaining balance.
And if the visa is not granted?
If the entry visa is not granted, or entry does not take place for other reasons, the application can be cancelled in writing before the insurance cover begins. Premiums already paid are, as a rule, refunded minus a €5 processing fee (source: Care Concept FAQ).
FAQ — Family reunification & insurance proof for expats in Germany
Frequently Asked Questions
Which insurance proof is required for family reunification (§ 27–36 AufenthG)?
Care Expatriate from €58/month (ages 13–40), €40/month for children, or DAK Familienversicherung (free under § 10 SGB V if the sponsor is GKV-insured). A German-language certificate for every joining family member, valid from the arrival date.
Can the DAK Familienversicherung cover a spouse joining from abroad?
Free under § 10 SGB V as long as monthly income stays below €556 (2026 mini-job threshold). Yes, once the spouse enters Germany and is registered. Care Expatriate bridges the pre-arrival period from €58/month.
What if the sponsor has Care Expatriate — can family members join the same contract?
No, each family member needs their own Care Expatriate contract: €58/month (ages 13–40), €68/month (13–40), €118/month (41–60), €40/month for children under 18. All accepted under § 5 AufenthG.
How long must the insurance be valid for the family-reunification visa?
The full requested residence-permit duration — typically 12 months minimum. Care Expatriate covers 1–60 months from €58/month with a same-day PDF. Travel insurance (Schengen 90-day) is not accepted for § 27–36 AufenthG.
Does the embassy require the insurance certificate in German?
Yes — care Expatriate PDF is bilingual DE/EN from €58/month — no separate translation cost. All German embassies (Auswärtiges Amt guidance) require the certificate in German or with a certified translation.
Do family members need their own health insurance for family reunification in Germany?
Yes – each family member typically needs a separate proof of health insurance for the visa application and the residence permit. Care Expatriate provides individual policies accepted for residence permits.
What is the cheapest health insurance option for family reunification?
The GKV family insurance (Familienversicherung) is free for spouses and children if income conditions are met. For transition periods, Care Economy starts at €30/30 days.
How long does it take to get health insurance proof for family reunification?
With Care Expatriate or Care Economy, you receive your insurance certificate as a PDF within minutes after completing the online application – no appointment or waiting period needed.