---
title: "From €58/mo · Expat job change: insurance in Germany 2026"
description: "Changing employer in Germany as an expat — what stays (DAK membership, family cover) and what changes (contribution, lane). Recognised options."
lang: en
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            "text": "Yes. Your Krankenkasse membership is portable under § 175 SGB V — you keep the same insurance number, family cover and Bonusprogramm. Only the employer's payroll reference changes. Contribution stays at 17.8% of gross, split 50/50."
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        },
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          "@type": "Question",
          "name": "Do I need to re-register with a Krankenkasse after switching jobs?",
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            "text": "No — the new employer requests your existing membership certificate (Mitgliedsbescheinigung) directly from DAK-Gesundheit within 14 days of your start date under § 28a SGB IV. No action needed from you."
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            "text": "Yes, GKV cover continues for one month after your last salary under § 19 SGB V (Nachwirkung). Beyond that, you can voluntarily continue (freiwillige Versicherung, ~€200/month) or bridge with Care Expatriate from €58/month."
          }
        },
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          "@type": "Question",
          "name": "Can I switch from GKV to private (Care Expatriate) when changing jobs?",
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            "text": "Only if your new gross salary exceeds €77,400/year (JVEG 2026) for three consecutive months. Otherwise GKV is mandatory under § 5 SGB V. Once above the threshold, Care Expatriate starts from €58/month with same-day PDF."
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            "text": "Spouse and children under 25 remain covered free under § 10 SGB V as long as their income stays below €556/month (2026 mini-job threshold). Yes, automatically. No re-application needed."
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          "url": "https://www.krankenversicherung-auslaender.de/en/guide-health-insurance-germany/health-insurance-expats-germany/health-insurance-at-employer-change-expat-what-remains-what-changes-self-germany/",
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          "text": "Only if your new gross salary exceeds €77,400/year (JVEG 2026) for three consecutive months. Otherwise GKV is mandatory under § 5 SGB V. Once above the threshold, Care Expatriate starts from €58/month with same-day PDF.",
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---

EN [+49 228 97735-44](tel:+4922897735-44)· German & English spoken 

[Health Insurance for Foreigners in Germany ](/en/)

-   Foreigners in Germany
-   Visa & Schengen
-   Studies & Language School
-   Expats
-   Employees
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-   Blocked Account
-   Guides

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Main areas 

🌍 Foreigners in Germany 

[Overview →](/en/health-insurance-foreigners-germany/)

Audiences & situations [Overview — all foreigners in GermanyThe umbrella hub: every visa, every audience, recognised cover under § 5 AufenthG — start here. ](/en/health-insurance-foreigners-germany/)[Visa & SchengenFast insurance proof for embassy/foreigners' authority — short stays, Schengen visa, family visit. ](/en/health-insurance-visa-foreigners-germany/)[Studies & Language SchoolAffordable long-term health insurance for international students, Studienkolleg, German courses, exchange students and PhD candidates. ](/en/health-insurance-foreign-students-germany/)[Expats (long-term)Affordable long-term health insurance for expats, international skilled workers, freelancers and their families. ](/en/expat-health-insurance-germany/)[Employees (job start)Foreign employees, skilled workers with work visa, seasonal workers and people in the recognition procedure. ](/en/health-insurance-foreign-employees-germany/)[Retirees / parent reunificationAffordable long-term health insurance for foreign retirees, seniors and their partners, family visits. ](/en/health-insurance-foreign-retirees-germany/)

More topics [Blocked account & visaAccepted for visa, Opportunity Card and university enrolment. ](/en/blocked-account-visa-germany/)[AustriaAffordable long-term health insurance for Austria. ](/en/health-insurance-foreigners-austria/)[Au-pair health insuranceAffordable health insurance for au-pairs in Germany, Austria & Switzerland — from €21/month. ](/en/au-pair-health-insurance-germany/)[Guides & FAQThe most common mistakes — and how to avoid them in 2 minutes. ](/en/guide-health-insurance-germany/)[Costs & benefitsWhat does it really cost? Compare tariffs, prices and benefits. ](/en/guide-health-insurance-germany/costs-benefits-germany/)

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✈️ Visa & Schengen 

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Audiences & situations [Overview — visa & SchengenThe visa umbrella hub: Schengen, national D-visa, short stay and family reunification at a glance. ](/en/health-insurance-visa-foreigners-germany/)[Schengen visa (up to 90 days)Fast health insurance proof for the Schengen visa — meet embassy requirements and avoid common mistakes. ](/en/health-insurance-visa-foreigners-germany/schengen-visa-health-insurance-germany/)[Short stay without visaAffordable health insurance for tourist and visa-free stays — easy, flexible and quick to apply online. ](/en/health-insurance-visa-foreigners-germany/short-stay-health-insurance-germany/)[Visitors & parent visits (3 months to 5 years)Cover for visitors and parents — for stays from 3 months to 5 years, affordable and online. ](/en/health-insurance-visa-foreigners-germany/foreign-visitors-visa-health-insurance-germany/)[Family reunificationFamily reunification: the right insurance proof for partner & children — so the application doesn't fail on missing documents. ](/en/guide-health-insurance-germany/faq-germany/family-reunification-which-health-insurance-is-commonly-required-germany/)

Info & requirements [Insurance proof for the visaWhich insurance proofs embassies and immigration offices actually require. ](/en/guide-health-insurance-germany/visa-residence-germany/insurance-proof-visa-germany/)[Schengen insurance requirementsMinimum coverage, repatriation and validity area — so your proof doesn't fail on formalities. ](/en/guide-health-insurance-germany/visa-residence-germany/requirements-schengen-health-insurance-germany/)[Documents & checklistWhich documents to prepare before the visa application — to avoid delays. ](/en/guide-health-insurance-germany/visa-residence-germany/documents-checklist-german-visa-health-insurance-germany/)[Avoid rejectionThe most common mistakes with visa, proof and insurance — and what embassies pay particular attention to. ](/en/guide-health-insurance-germany/visa-residence-germany/avoid-rejection-of-insurance-proof-for-german-visa-germany/)

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🎓 Studies & Language School 

[Overview →](/en/health-insurance-foreign-students-germany/)

Audiences & situations [Overview — students & language schoolThe student umbrella hub: GKV, private student insurance, language course, Studienkolleg, exchange and PhD at a glance. ](/en/health-insurance-foreign-students-germany/)[International studentsAffordable health insurance for international students — with quick proof for enrolment, visa and study start. ](/en/health-insurance-foreign-students-germany/)[Language school & German courseThe right insurance proof for language school & German course — so visa, embassy appointment and course start don't fail. ](/en/guide-health-insurance-germany/health-insurance-students-germany/health-insurance-language-course-before-study-differences-typical-mistakes-germany/)[StudienkollegAffordable health insurance for Studienkolleg — with quick proof for embassy, immigration office and course start, plus online application. ](/en/guide-health-insurance-germany/health-insurance-students-germany/preparatory-college-health-insurance-proof-registration-residence-germany/)[Exchange students & PhD candidatesSuitable health insurance for foreign exchange students & PhD candidates — for studies, exchange programmes, research and PhDs, with online application incl. insurance proof. ](/en/guide-health-insurance-germany/health-insurance-students-germany/exchange-students-phd-students-health-insurance-germany/)

Info & decisions [Statutory or private student insurance?Statutory health insurance or private student insurance? Find out what really fits your status and study path. ](/en/guide-health-insurance-germany/health-insurance-students-germany/statutory-or-private-student-health-insurance-germany/)[Student visa & proofWhich insurance proofs really count for visa, university enrolment and authorities. ](/en/guide-health-insurance-germany/health-insurance-students-germany/health-insurance-proof-enrollment-university-germany/)[GKV exemptionExemption from statutory insurance: what to know before deciding — so it doesn't become a problem later. ](/en/guide-health-insurance-germany/health-insurance-students-germany/exemption-from-statutory-health-insurance-students-key-points-germany/)[Blocked account & study startHow blocked account, university enrolment and health insurance interact — so your study start isn't delayed. ](/en/guide-health-insurance-germany/health-insurance-students-germany/blocked-account-study-start-health-insurance-enrollment-germany/)

Get started [Find a tariff Find the right insurance. ](/en/tariffinder-germany/)[All tariffs Overview of all tariffs. ](/en/product-overview-germany/)

🏠 Expats 

[Overview →](/en/expat-health-insurance-germany/)

Audiences & situations [Overview — expats long-termAffordable & long-term: 6–60 months, family, freelancers, GKV vs private. ](/en/expat-health-insurance-germany/)[Long-term expats in Germany (6–60 months)Affordable long-term cover in Germany — with accepted proof. ](/en/expat-health-insurance-germany/long-term-health-insurance-foreigners-germany/)[Long-term expats in Austria (6–60 months)Affordable long-term cover in Austria — accepted by MA 35. ](/en/health-insurance-foreigners-austria/)[Expats with family (partner & children)Affordable long-term cover for partner & children — no surprises. ](/en/guide-health-insurance-germany/health-insurance-expats-germany/expat-with-family-joint-planning-partner-children-typical-questions-and-mistakes-germany/)[Freelancers & self-employed without an employerNo employer? Affordable long-term option — GKV or private, clarified fast. ](/en/expat-health-insurance-germany/health-insurance-foreign-self-employed-germany/)[Transition without a job (job search / change / termination)Job change or termination: affordable bridge — long-term cover continues. ](/en/guide-health-insurance-germany/health-insurance-expats-germany/expat-without-employer-during-job-search-how-to-stay-insured-germany/)

Info & decisions [Which health insurance fits expats?Which health insurance fits as a long-term expat? Avoid mistakes — so registration works and you can see a doctor when needed. ](/en/guide-health-insurance-germany/health-insurance-expats-germany/)[GKV obligation or private solution? (quick check)Clear in 2 minutes: statutory obligation or private — so you don't commit to the wrong path. ](/en/guide-health-insurance-germany/health-insurance-expats-germany/private-vs-statutory-health-insurance-expats-which-factors-typically-matter-germany/)[Proofs for authorities (residence permit, registration, etc.)Get authority proofs right: avoid common mistakes, save time. ](/en/guide-health-insurance-germany/health-insurance-expats-germany/checklist-documents-immigration-office-expat-insurance-proof-deadlines-germany/)[Family & pregnancy: what to watch forAlready pregnant or planning? Common pitfalls in tariffs (waiting periods/benefits) — so there are no nasty surprises. ](/en/guide-health-insurance-germany/health-insurance-expats-germany/pregnancy-health-insurance-expats-proofs-costs-doctor-germany/)

Get started [Find a tariff Find the right insurance. ](/en/tariffinder-germany/)[All tariffs Overview of all tariffs. ](/en/product-overview-germany/)

Other groups 

💼 Employees 

[Overview →](/en/health-insurance-foreign-employees-germany/)

Audiences & situations [Overview — employees & job startThe employee umbrella hub: job start, Blue Card, job change, GKV obligation and employer proof. ](/en/health-insurance-foreign-employees-germany/)[Job start in GermanySo your job start works: the right health insurance + proof, fast and easy. ](/en/guide-health-insurance-germany/health-insurance-employees-germany/common-mistakes-when-starting-in-germany-registration-checklist-germany/)[Blue Card & skilled workersBlue Card & skilled workers: get insured properly, avoid mistakes — proof for employer and registration. ](/en/guide-health-insurance-germany/health-insurance-employees-germany/bluecard-skilled-workers-health-insurance-proof-employer-registration-germany/)[Job change / new positionJob change made easy: stay insured, avoid mistakes, done quickly. ](/en/guide-health-insurance-germany/health-insurance-employees-germany/job-change-health-insurance-what-happens-with-insurance-and-prove-germany/)[Part-time, mini-job & probationPart-time/mini-job/probation: find the right health insurance — without a wrong decision. ](/en/guide-health-insurance-germany/health-insurance-employees-germany/mini-job-midi-job-full-time-health-insurance-differences-germany/)

Info & decisions [GKV registration step by stepGKV in 3 steps: error-free, step by step — so you finish quickly. ](/en/guide-health-insurance-germany/health-insurance-employees-germany/statutory-insurance-registration-step-by-step-employees-germany/)[What certificate does the employer need?Employer proof: which certificate is really required — explained quickly. ](/en/guide-health-insurance-germany/health-insurance-employees-germany/employer-asks-insurance-proof-what-must-one-submit-germany/)[GKV obligation: who must, who may choose?Who must join statutory insurance — and who may choose? Without mistakes. ](/en/guide-health-insurance-germany/health-insurance-employees-germany/statutory-insurance-requirement-who-must-who-may-foreigners-germany/)[Documents & checklist for the job startJob start checklist: documents, deadlines, next steps — so you don't forget anything. ](/en/guide-health-insurance-germany/health-insurance-employees-germany/common-mistakes-when-starting-in-germany-registration-checklist-germany/)

[Find a tariff Find the right insurance. ](/en/tariffinder-germany/)[All tariffs Overview of all tariffs. ](/en/product-overview-germany/)

🧓 Retirees 

[Overview →](/en/health-insurance-foreign-retirees-germany/)

Audiences & situations [Overview — retirees & parentsThe retiree umbrella hub: parent reunification, seniors 60+, short visits and pre-existing conditions at a glance. ](/en/health-insurance-foreign-retirees-germany/)[Parent reunification / bringing parents to Germany permanentlyBringing parents to Germany permanently: find the right health insurance — avoid common mistakes. ](/en/health-insurance-foreign-retirees-germany/parent-reunification-health-insurance-germany/)[Foreign retirees/parents 60+ in Germany (6 months to 5 years)For parents 60+: find the right long-term cover — so doctor, hospital and authority proofs don't become a problem. ](/en/health-insurance-foreign-retirees-germany/long-term-health-insurance-seniors-germany/)[Short stay / visiting children (up to 90 days)For parent visits up to 90 days: affordable health insurance for doctor & emergency — incl. proof, quick to apply online. ](/en/guide-health-insurance-germany/health-insurance-retirees-germany/short-visit-seniors-health-insurance-which-coverage-commonly-required-germany/)[Retirees with pre-existing conditions & medication (special cases)Pre-existing conditions or medication? We show what's possible — clearly explained, no false promises. ](/en/guide-health-insurance-germany/health-insurance-retirees-germany/health-insurance-pre-existing-conditions-what-is-commonly-checked-when-taking-out-germany/)

Info & decisions [Which health insurance fits retirees? (quick overview)Find the right solution quickly for age, stay and proof — before you choose wrong. ](/en/guide-health-insurance-germany/health-insurance-retirees-germany/)[Statutory possible for retirees? Or rather private? (quick check)Statutory or private as a retiree? Clear in 2 minutes — so you don't decide wrongly. ](/en/health-insurance-foreign-retirees-germany/statutory-or-private-health-fund-foreign-retirees-germany/)[Proof for foreigners' authority & residence permit (checklist)Foreigners' authority: submit the proof correctly — avoid common mistakes, save time. ](/en/guide-health-insurance-germany/health-insurance-retirees-germany/immigration-office-insurance-proof-which-details-should-appear-germany/)[Costs in old age: contributions, deductibles, typical pitfallsWhat does it really cost in old age? Contributions, deductibles and typical cost traps — briefly explained. ](/en/guide-health-insurance-germany/health-insurance-retirees-germany/costs-in-age-premiums-deductible-cost-traps-germany/)[Acceptance, exclusions & waiting periods (age/pre-existing)Age/pre-existing conditions: what's possible, what's excluded, what waiting periods apply — briefly explained. ](/en/guide-health-insurance-germany/health-insurance-retirees-germany/health-insurance-pre-existing-conditions-what-is-commonly-checked-when-taking-out-germany/)

[Find a tariff Find the right insurance. ](/en/tariffinder-germany/)[All tariffs Overview of all tariffs. ](/en/product-overview-germany/)

🏦 Blocked Account 

[Overview →](/en/blocked-account-visa-germany/)

Audiences & situations [Overview — blocked accountThe blocked account umbrella hub: student visa, application, timing and Opportunity Card at a glance. ](/en/blocked-account-visa-germany/)[Blocked account for the student visa (national visa D)Combine blocked account + health insurance correctly — so the visa appointment doesn't fail. ](/en/blocked-account-visa-germany/blocked-account-student-visa-monthly-rate-logic-and-health-insurance-proof-germany/)[Blocked account + visa applicationWhich proofs belong together (blocked account, KV, documents) — avoid common mistakes. ](/en/blocked-account-visa-germany/blocked-account-and-health-insurance-for-visa-application-germany/)[Documents & checklist (blocked account)Which documents you really need — so nothing gets delayed. ](/en/blocked-account-visa-germany/blocked-account-documents-checklist-providers-mistakes-the-delay-germany/)[Timing: when to open, when to take out insurance?Order & timing: blocked account + KV in time before the visa appointment. ](/en/blocked-account-visa-germany/blocked-account-timing-opening-and-health-insurance-taking-out-before-visa-appointment-germany/)[Opportunity Card / stay without studiesWhen the blocked account is used for other purposes: what to watch for. ](/en/blocked-account-visa-germany/opportunity-card-residence-without-study-blocked-account-health-insurance-proofs-germany/)

Info & decisions [Blocked account explained in 2 minutesWhat it is, what it's needed for, common misunderstandings. ](/en/blocked-account-visa-germany/)[Health insurance as proof for the visa (checklist)Which information must be on the proof — so the embassy/authority accepts it. ](/en/guide-health-insurance-germany/visa-residence-germany/documents-checklist-german-visa-health-insurance-germany/)[Avoid rejection (queries / proof errors)Top mistakes + quick fix — so you don't have to resubmit. ](/en/guide-health-insurance-germany/visa-residence-germany/avoid-rejection-of-insurance-proof-for-german-visa-germany/)[Which insurance fits at study start?How blocked account, university enrolment & health insurance interact. ](/en/guide-health-insurance-germany/health-insurance-students-germany/blocked-account-study-start-health-insurance-enrollment-germany/)[Blocked Account productIf you want to open the account directly: overview + application. ](/en/insurance-plans/blocked-account/overview/)

[Find a tariff Find the right insurance. ](/en/tariffinder-germany/)[All tariffs Overview of all tariffs. ](/en/product-overview-germany/)

📚 Guides 

[Overview →](/en/guide-health-insurance-germany/)

Audiences & situations [Overview — guides & FAQThe guides umbrella hub: all topics, FAQs and checklists on health insurance in Germany. ](/en/guide-health-insurance-germany/)[Visa & residenceAvoid common mistakes before applying. ](/en/guide-health-insurance-germany/visa-residence-germany/)[StudentsWhich insurance fits enrolment and visa. ](/en/guide-health-insurance-germany/health-insurance-students-germany/)[FAQShort answers to the most common questions. ](/en/guide-health-insurance-germany/faq-germany/)[Costs & benefitsWhat to look out for in affordable tariffs. ](/en/guide-health-insurance-germany/costs-benefits-germany/)

More topics [ExpatsWhat matters during a longer stay. ](/en/guide-health-insurance-germany/health-insurance-expats-germany/)[EmployeesHow employees avoid expensive wrong decisions. ](/en/guide-health-insurance-germany/health-insurance-employees-germany/)[Language course / German courseWhich insurance is needed for language course and visa. ](/en/guide-health-insurance-germany/health-insurance-language-course-german-course-germany/)[RetireesWhat retirees should watch for when moving to Germany. ](/en/guide-health-insurance-germany/health-insurance-retirees-germany/)[StudienkollegSuitable cover for the time at Studienkolleg. ](/en/guide-health-insurance-germany/health-insurance-preparatory-college-germany/)

[Find a tariff Find the right insurance. ](/en/tariffinder-germany/)[All tariffs Overview of all tariffs. ](/en/product-overview-germany/)

[All tariffs](/en/product-overview-germany/)[Find a tariff](/en/tariffinder-germany/)

[DAK-Gesundheit — keep statutory cover at new job 17.8% of gross (open-ended) ](/en/insurance-plans/dak-gesundheit-angestellte/overview/)

1.  [Home](/en/)
2.  [Guide to Health Insurance in Germany](/en/guide-health-insurance-germany/)
3.  [Expat Insurance Germany](/en/guide-health-insurance-germany/health-insurance-expats-germany/)
4.  Employer Change for Expats in Germany 

In 95% of expat employer changes the statutory membership stays — but the cover lane can flip in the 5% with a longer gap or no new German employer 

# Health insurance when changing employer as an expat in Germany — what stays, what changes

4.9/5 · 10,000+ policies since 2009 458 customer responses · [our own survey](/en/review-methodology/) 

![Health insurance when changing employer as an expat in Germany — what stays (DAK-Gesundheit membership, Versichertennummer, insurance card, Familienversicherung) and what changes (contribution, Krankengeld basis, lane if no new German job)](/assets/aufenthaltserlaubnis-rentner-deutschland--SjhSpkd.jpg)

-   [Direct switch: DAK-Gesundheit ~17.8% of new gross](/en/insurance-plans/dak-gesundheit-angestellte/overview/) (membership stays · same eGK · family stays free) 
-   [No new German employer: Care Expatriate from €58/month](/en/insurance-plans/care-expatriate/overview/) (HanseMerkur · § 5 / § 21 AufenthG · up to 5 years) 
-   [Brief bridge: Care Economy from €30/30 days](/en/insurance-plans/care-economy/overview/) (Schengen-conform · cancellable when DAK restarts) 

Direct switch

DAK stays

No new job

Expatriate €58/mo

Brief bridge

Economy €30/30d

Three rules that decide what happens to your health insurance at an employer change  as an expat:

1.  1 **Direct switch — almost everything stays:** [DAK-Gesundheit 17.8% of gross (open-ended)](/en/insurance-plans/dak-gesundheit-angestellte/overview/) membership, Versichertennummer, insurance card and Familienversicherung continue. Only the contribution amount and the Krankengeld basis are recalculated against the new gross. 
2.  2 **Short gap ≤ 1 month — § 19 SGB V bridges:** Statutory follow-up cover (nachgehender Leistungsanspruch) protects the first month after the contract ends. From month 2 a freiwillige Weiterversicherung normally applies, with an income-based contribution; a recognised private incoming tariff is a fixed-premium alternative independent of income. 
3.  3 **No new German employer — switch lane:** Use [Care Expatriate from €58/month (up to 5 years)](/en/insurance-plans/care-expatriate/overview/) (HanseMerkur, § 5 / § 21 AufenthG, up to 5 years) for the long-term, or [Care Economy from €30 / 30 days (up to 2 years)](/en/insurance-plans/care-economy/overview/) for a planned short bridge. 

Job change in the next weeks?  [30-second employer-change tariff finder →](/en/tariffinder-germany/)

Inside:  the 5 things that stay in 95% of expat employer changes  ·  the 5 things that change automatically — and the one you have to file yourself  ·  the 1-month rule (§ 19 SGB V) that quietly saves most short gaps 

Sources:  § 5 SGB V (statutory GKV via employment) · § 11 SGB V (statutory benefit catalogue) · § 19 SGB V (nachgehender Leistungsanspruch — 1-month follow-up cover) · § 5 / § 21 AufenthG (residence permit & cover precondition) · HanseMerkur Care Expatriate / Care Economy AVB · DAK-Gesundheit 2026 · 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

![Steffan Grund](/assets/steffan-grund-B5K5tUm9.jpg)Written by **Steffan Grund** Reviewed: **August 27, 2026**  Sources§ 5 / § 11 / § 19 SGB V · § 5 / § 21 AufenthG · HanseMerkur Care Expatriate / Care Economy AVB · DAK-Gesundheit 2026 

4.9/5 458 customer responses · [our own survey](/en/review-methodology/) 

Over 10,000 policies issued · Since 2009

## Changing employer in Germany? Keep statutory cover with DAK if a new contract starts within 1 month — or switch to Care Expatriate as the recognised long-term lane if there is no new German employer.

[Care Expatriate — recognised if no new German job from €58/month (up to 5 years) ](/en/insurance-plans/care-expatriate/overview/)[Care Economy — short planned bridge from €30 / 30 days (up to 2 years) ](/en/insurance-plans/care-economy/overview/)

[🔍 Plan Finder](/en/tariffinder-germany/)[📋 All Plans](/en/product-overview-germany/)

🏛️ Authority-approved 📄 Instant proof 🔒 DAK / HanseMerkur 🏷️ Transparent pricing 

4.9/5 · Over 10,000 policies placed since 2009 

from 458 customer responses · [our own survey](/en/review-methodology/), not independently verified · [How this rating works](/en/review-methodology/) 

## 📌 TL;DR — at a glance

-   What stays in 95% of expat employer changes: DAK-Gesundheit membership, Versichertennummer, insurance card (eGK), Familienversicherung for spouse/children, full statutory benefit catalogue (§ 11 SGB V). The new employer simply re-registers payroll; no re-application is required. 
-   What changes: contribution amount (recalculated against the new gross salary at ~17.8%), Krankengeld basis (uses the new 3-month average), and — if the gap between contracts exceeds ~1 month or the residence permit was tied to the old employer — the cover lane itself. 
-   When statutory follow-up cover does not bridge the gap: the recognised long-term lane is Care Expatriate from €58/month at entry age 13–40 (Basic) — HanseMerkur incoming, accepted by the Ausländerbehörde for § 5 / § 21 AufenthG, up to 5 years. Use Care Economy from €30/30 days for short, planned bridges. One uninsured inpatient day in Germany averages ~€830 (Statistisches Bundesamt DRG 2024). 

Key facts at a glance Reviewed August 27, 2026

-   **§ 19 SGB V — nachgehender Leistungsanspruch covers the first month after a contract ends:** Statutory cover continues automatically for up to one month after the last day of the employee contract — the insurance card, the Familienversicherung and the benefit catalogue all stay in place. Most direct employer changes happen within this window. (Source: § 19 SGB V).
-   **§ 5 SGB V — statutory cover restarts on day 1 of the new contract:** DAK-Gesundheit (~17.8% of gross) re-engages automatically once the new employer registers payroll. No re-application is required at the same fund — the membership simply continues at the new contribution base. (Source: § 5 SGB V · DAK-Gesundheit 2026).
-   **Care Expatriate is the recognised long-term lane if there is no new German employer:** HanseMerkur incoming, ages 0–74, locked at entry: €58/month at age 13–40 (Basic), €68/month at 41–60, €246/month at 61–74. Accepted for § 5 / § 21 AufenthG, up to 5 years, certificate in German + English. (Source: HanseMerkur AVB 2026 · § 5 / § 21 AufenthG).
-   **Average uninsured inpatient day in Germany: ~€830:** Statistisches Bundesamt DRG data shows an average inpatient day rate of around €830 (basic ward). A clean handover between contracts — DAK continuation, Care Expatriate long-term, or Care Economy bridge — prevents this risk completely from day 1. (Source: Statistisches Bundesamt DRG 2024).

## What stays — and what changes — when an expat changes employer in Germany

**Quick answer:** "What stays the same and what changes in my health insurance when I change employer in Germany?" — for almost every direct switch the statutory membership stays. Only the contribution amount, the Krankengeld basis, and (in edge cases) the cover lane itself change.

### What stays (in 95% of switches)

-   ✓ DAK membership and Versichertennummer (insurance number) 
-   ✓ Electronic insurance card (eGK) — same card keeps working 
-   ✓ Familienversicherung for spouse / children (if no one else triggers their own GKV/PKV) 
-   ✓ Right to the full statutory benefit catalogue (§ 11 SGB V) 
-   ✓ Krankengeld waiting day count (Tag 43 onwards) is preserved at the same fund 

### What changes

-   ! Contribution amount — recalculated against the new gross salary (~17.8%) 
-   ! Krankengeld basis — uses the new average gross over the last 3 months 
-   ! Employer share — paid by the new employer once payroll runs 
-   ! Cover lane if there is no German follow-up employer (Care Expatriate becomes the recognised long-term option) 
-   ! Familienversicherung eligibility recheck if the spouse takes a new job above €556/month (Mini-Job grenze 2026) 

## 4 employer-change scenarios — which lane applies

1 

### Direct switch — new contract starts the day the old one ends

DAK-Gesundheit membership stays — same Versichertennummer, same insurance card, no re-application. Only the contribution base changes (new gross). The old employer deregisters, the new one registers — the funds handle this electronically.

[DAK-Gesundheit ~17.8% of new gross →](/en/insurance-plans/dak-gesundheit-angestellte/overview/)

2 

### Short gap up to ~1 month between contracts

Statutory cover continues automatically as obligatory follow-up insurance (§ 19 SGB V — nachgehender Leistungsanspruch covers the first month after the contract ends). DAK membership stays in place; from month 2 a freiwillige Weiterversicherung normally applies if no new contract has started.

[DAK-Gesundheit · § 19 SGB V follow-up cover →](/en/insurance-plans/dak-gesundheit-angestellte/overview/)

3 

### Gap longer than 1 month / no new German employer in sight

Statutory voluntary continuation (freiwillige GKV) often becomes expensive — and is normally not open at all if the residence permit was tied to the previous employer. The recognised long-term lane is Care Expatriate from €58/month at entry age 13–40 (Basic), accepted for § 5 / § 21 AufenthG, up to 5 years.

[Care Expatriate from €58/month →](/en/insurance-plans/care-expatriate/overview/)

4 

### Brief, planned bridge during probation or contract renegotiation

Care Economy from €30/30 days is the recognised short bridge — Schengen-conform, instant German + English PDF, cancellable the day the new DAK enrolment starts (no overlap fee). Use only when statutory follow-up cover does not apply.

[Care Economy from €30/30 days →](/en/insurance-plans/care-economy/overview/)

## 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 happens when an expat misses the 1-month follow-up window without a new German contract

## 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.

## New contract starts in 4 weeks? Confirm DAK continuation now or lock the recognised private incoming lane before the gap exceeds 1 month

## 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 employer change to clean cover handover — in 3 steps

For DAK continuation the new German employer normally handles re-registration on day 1 of the contract. For a private incoming lane (Care Expatriate or Care Economy) 10 minutes online are enough — the policy document is issued by email in German + English and is accepted by every Ausländerbehörde.

## 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.  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.  2 📝 
    
    Complete the application
    
    Enter passport, destination, stay details and requested coverage period online. Additional questions may apply depending on the plan.
    
3.  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 keeping statutory cover with DAK during an employer change in Germany

4.9/5 458 customer responses · [our own survey](/en/review-methodology/) 

“ 

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](/assets/georges-kamerun-C6GQZGzu.jpg) 

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](/assets/olga-russland--B_6p7O-.jpg) 

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](/assets/michael-deutschland-CFcwSzJg.jpg) 

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](/assets/yunhee-australien-CaHyNO5z.jpg) 

Yunhee

Australia

### Now choose your plan

4.9/5 458 customer responses · [our own survey](/en/review-methodology/) 

## The 3 recognised lanes for an expat employer change

✅ Direct switch · membership stays

### 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

[DAK-Gesundheit – Quick Overview](/en/insurance-plans/dak-gesundheit-angestellte/plan-details/) [Apply online now](/en/insurance-plans/dak-gesundheit-angestellte/apply/)

→ Complete the application, start your membership, receive your health insurance card

🛂 No new German job · § 5 / § 21 AufenthG

### 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 Insurance Group Hamburg – Advigon Insurance AG
-   📄 Instant proof of insurance for visas & immigration authorities (PDF)
-   🔒 Doctor, clinic, dental treatment & repatriation coverage
-   🏷️ From €58 / month · coverage up to 5 years

[Care Expatriate – Quick Overview](/en/insurance-plans/care-expatriate/plan-details/) [Apply online now](/en/insurance-plans/care-expatriate/apply/)

→ Complete the application, receive your instant PDF, submit your proof

🛬 Short planned bridge

### 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 Insurance Group Hamburg – Advigon Insurance 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

[Care Economy – Quick Overview](/en/insurance-plans/care-economy/plan-details/) [Apply online now](/en/insurance-plans/care-economy/apply/)

→ Complete the application, receive your instant PDF, submit your proof

Need the lane logic in detail? [Private vs. statutory — which factors matter](/en/guide-health-insurance-germany/health-insurance-expats-germany/private-vs-statutory-health-insurance-expats-which-factors-typically-matter-germany/). Need bridging timing rules? [When bridging is enough](/en/guide-health-insurance-germany/health-insurance-expats-germany/expat-relocation-when-bridging-is-enough-germany/). Permit context: [why insurance is almost always required](/en/guide-health-insurance-germany/health-insurance-expats-germany/residence-permit-expats-why-health-insurance-almost-always-matters-germany/). Compare every lane in the [foreigners hub](/en/guide-health-insurance-germany/health-insurance-expats-germany/).

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

**Quick answer:** Three recognised products cover every employer-change scenario: DAK-Gesundheit at ~17.8% of gross continues automatically on day 1 of the new contract; Care Expatriate from €58/month is the recognised long-term private incoming lane if there is no new German employer; Care Economy from €30/30 days bridges short, planned gaps.

### Statutory continuation — DAK-Gesundheit

~17.8% of gross income, half paid by the new employer, family members covered free under Familienversicherung, no re-application at the same fund (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.

[DAK Employees — Overview](/en/insurance-plans/dak-gesundheit-angestellte/overview/) [Apply for membership](/en/insurance-plans/dak-gesundheit-angestellte/overview/)

### Long-term lane if no new German job — Care Expatriate

HanseMerkur incoming, ages 0–74, up to 5 years, accepted by the Ausländerbehörde for § 5 / § 21 AufenthG, certificate issued in German + English (3 tiers — Basic / Comfort / Premium · button price: from €58/month (up to 5 years)):

Care Expatriate worldwide without USA, Canada and Mexico 

Basic 

Bestseller Comfort 

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.

[Care Expatriate — Overview](/en/insurance-plans/care-expatriate/overview/) [Apply now](/en/insurance-plans/care-expatriate/overview/)

### Short planned bridge — Care Economy

Schengen-conform incoming, ages 0–74, 1 day to 2 years, cancellable the day DAK restarts (button price: from €30 / 30 days (up to 2 years)):

Care Economy  
Duration 

Bestseller up to 64 

up to 64 

Bestseller 65+ 

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.

[Care Economy — Overview](/en/insurance-plans/care-economy/overview/) [Apply now](/en/insurance-plans/care-economy/overview/)

## 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 comparison over five years — example values, Basic, age band 13–40 (€58/month)

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 — Health insurance at expat employer change

## Frequently Asked Questions

Does my DAK-Gesundheit membership stay when I change employer in Germany? 

Yes. Your Krankenkasse membership is portable under § 175 SGB V — you keep the same insurance number, family cover and Bonusprogramm. Only the employer's payroll reference changes. Contribution stays at 17.8% of gross, split 50/50.

Do I need to re-register with a Krankenkasse after switching jobs? 

No — the new employer requests your existing membership certificate (Mitgliedsbescheinigung) directly from DAK-Gesundheit within 14 days of your start date under § 28a SGB IV. No action needed from you.

What if there's a gap between two jobs — am I still insured? 

Yes, GKV cover continues for one month after your last salary under § 19 SGB V (Nachwirkung). Beyond that, you can voluntarily continue (freiwillige Versicherung, ~€200/month) or bridge with Care Expatriate from €58/month.

Can I switch from GKV to private (Care Expatriate) when changing jobs? 

Only if your new gross salary exceeds €77,400/year (JVEG 2026) for three consecutive months. Otherwise GKV is mandatory under § 5 SGB V. Once above the threshold, Care Expatriate starts from €58/month with same-day PDF.

Does my family stay covered under DAK Familienversicherung after a job change? 

Spouse and children under 25 remain covered free under § 10 SGB V as long as their income stays below €556/month (2026 mini-job threshold). Yes, automatically. No re-application needed.

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Copyright © 2026 Health insurance for foreigners, foreign guests and visitors in Germany and the EU.  
All rights reserved. All information without guarantee, errors excepted.

Note: The content of this site is for general information and orientation purposes only. It does not constitute legal or insurance advice. For binding information, please contact the responsible Ausländerbehörde (foreigners' authority) or a lawyer. Last updated: August 27, 2026.