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    Health Insurance for Foreigners in Germany
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    Care Expatriate — bridge after graduationfrom €58/month (up to 5 years)
    Graduation day is not the day your insurance changes — the de-enrollment date is. One gap-day can refuse your § 20b job-seeking permit

    Health Insurance After Graduation in Germany

    4.9/5 · Over 10,000 policies since 2009
    After studies — health-insurance status change for foreign graduates transitioning into a job in Germany
    Path A: Job
    Auto DAK day 1
    Path B: § 20b
    €58/mo bridge
    Path C: § 21
    Freelance, 5 yrs

    The status change is triggered by the de-enrollment date, not graduation day. Three legally distinct paths from there:

    1. AJob contract signed: DAK-Gesundheit (employees) 17.8% of gross (open-ended) — automatic enrolment from day 1, half paid by the employer (§ 5 SGB V). If there are gap-days between de-enrollment and start of work, a recognised bridge is mandatory.
    2. B§ 20b AufenthG job-seeking permit (up to 18 months): Care Expatriate from €58/month (up to 5 years) — recognised by every Ausländerbehörde for the residence-permit application, PDF certificate by email in minutes, monthly cancellable when a job contract starts.
    3. C§ 21 AufenthG freelance / self-employment: Care Expatriate from €58/month (up to 5 years) stays valid up to 5 years (60 months) — the standard cover for graduates who go freelance instead of taking a regular employment contract.

    De-enrollment date already in the system? 30-second tariff finder →

    Inside: the one date the Ausländerbehörde checks first (not graduation day) · why the § 20b permit is refused without a recognised insurance PDF · the gap-day rule that quietly invalidates job-seeking permits

    Sources: § 5 SGB V (employee GKV) · § 9 SGB V (voluntary GKV continuation) · § 16b AufenthG (study permit) · § 20b AufenthG (graduate job-seeking, 18 months) · § 21 AufenthG (self-employment) · HanseMerkur Care Expatriate AVB · DAK-Gesundheit Beitragssatzordnung 2025

    Student Coverage

    DAK-Gesundheit or HanseMerkur student options

    Enrollment Proof

    M10 notification for eligible university enrollment flows

    Visa & University Documents

    Receive confirmation for visa or enrollment steps where applicable

    4.9/5

    Over 10,000 policies issued · Since 2009

    De-enrollment date set? Take out Care Expatriate the same day so the Ausländerbehörde sees zero gap in coverage for the § 20b permit.

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

    Five typical mistakes after graduation

    Quick answer: "I just graduated — what happens with my insurance?" — most foreign graduates run into one of five issues: assuming the GKV student tariff continues until the final certificate arrives; cancelling the student tariff before the job starts; missing the 14-day voluntary-GKV deadline; applying for the § 20b job-seeking permit without an insurance PDF; or starting freelance work under § 21 AufenthG without recognised cover.

    Avoid the mistakes that can delay your application

    Enrollment can stall without M10

    DAK Student and Care Student support electronic M10 notification for eligible university enrollment flows.

    Under 30 or over 30?

    DAK Student fits many students up to age 29; Care Student can fit private student coverage up to age 39.

    Private or statutory confusion

    Choosing the wrong route can create extra steps. Check statutory, private and exemption rules before applying.

    Language school is different

    Care College is better for language school, Studienkolleg, DSH and educational stays — not M10 university enrollment.

    What a single uninsured day after graduation actually costs

    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.

    🎓

    1 missed M10

    Enrollment can get stuck

    For university enrollment, the wrong insurance route can delay the electronic M10 notification to your university.

    • 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.

    De-enrollment date already fixed? Care Expatriate delivers the recognised PDF in minutes

    Why act before university enrollment

    University enrollment can depend on the right insurance route. Waiting too long can delay M10 notification or create extra steps.

    🎓

    M10 timing matters

    DAK Student and Care Student can support M10 university enrollment flows where applicable.

    📄

    Wrong route creates delays

    Language school, Studienkolleg and DSH usually need Care College, not the university M10 route.

    ⚡

    Apply before enrollment pressure

    Prepare insurance proof before the university or visa office asks for it urgently.

    ✅

    Under 30 or over 30?

    DAK Student and Care Student serve different student situations. Check age and eligibility before applying.

    Bridge into the job — in 3 steps

    10 minutes online, certificate by email, recognised by the Ausländerbehörde for § 20b / § 21 AufenthG. Take out Care Expatriate the day the de-enrollment date is fixed; cancel monthly when the employment contract triggers automatic GKV. See also the de-enrollment timeline guide.

    Ready for university enrollment in 3 steps

    DAK Student or Care Student for university enrollment, M10 notification and proof of coverage.

    1. Choose your student plan

      DAK statutory student cover up to age 29 · Care Student private student cover up to age 39. For language school or Studienkolleg, use Care College.

    2. Complete the application

      Enter your passport, university/program and stay details. M10 applies to DAK Student and Care Student university enrollment flows.

    3. Receive your proof

      Receive visa or insurance proof after application; where applicable, the electronic M10 notification can be sent to the university.

    What graduates say about Care Expatriate as a bridge from German university into the first job

    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 — bridge cover and employer GKV

    Quick answer: Two recognised products cover the entire transition: Care Expatriate from €58/month (1–60 months, recognised for § 20b and § 21 AufenthG) for the bridge / freelance phase, and DAK-Gesundheit (employees) at ~17.8% of gross when a regular employment contract starts.

    Bridge / freelance phase — Care Expatriate

    Three tiers (Basic / Comfort / Premium), 1–60 months, monthly cancellable so it ends cleanly on the day a new employment contract starts the GKV — recognised by the Ausländerbehörde for § 20b and § 21 AufenthG decisions:

    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.

    First job — DAK-Gesundheit (employees)

    ~17.8% of gross income (half paid by the employer), automatic enrolment from day 1 of the contract, family insurance for spouse and children free of charge under § 10 SGB V:

    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.

    Sources: HanseMerkur Care Expatriate AVB, DAK-Gesundheit Beitragssatzordnung 2025, § 5 / § 9 / § 10 SGB V, § 20b / § 21 AufenthG. The exact price is calculated in the online application.

    Frequently Asked Questions

    When exactly does my German student health-insurance status end after graduation?

    On the date printed on the de-enrollment certificate (Exmatrikulationsbescheinigung) — not the day the final certificate arrives, not the day of the last exam. From that day onward, the cheap statutory student tariff at <a href="/en/insurance-plans/dak-gesundheit/overview/" class="text-primary underline underline-offset-2">DAK-Gesundheit (~€135.52/month)</a> stops tag-genau. The same day a 14-day § 9 SGB V window opens for voluntary GKV continuation; missed it means the door is closed permanently. See our <a href="/en/guide-health-insurance-germany/health-insurance-students-germany/de-enrollment-when-student-status-ends-what-happens-to-health-insurance-germany/" class="text-primary underline underline-offset-2">de-enrollment timeline</a>.

    I signed a job contract starting next month — what happens with my insurance?

    From day 1 of the employment contract the employer enrols you automatically in <a href="/en/insurance-plans/dak-gesundheit-angestellte/overview/" class="text-primary underline underline-offset-2">DAK-Gesundheit (employees) at ~17.8% of gross</a> (half paid by the employer). The student tariff ends on the de-enrollment date — if there are any days between de-enrollment and start of work, you need a recognised bridge. <a href="/en/insurance-plans/care-expatriate/overview/" class="text-primary underline underline-offset-2">Care Expatriate from €58/month</a> is monthly cancellable so it ends cleanly on the day work starts.

    I want to apply for the § 20b job-seeking permit — what insurance do I need?

    The Ausländerbehörde grants the 18-month § 20b AufenthG job-seeking permit only with proof of continuous health insurance recognised by German authorities. Voluntary GKV continuation under § 9 SGB V (~€210–230/month, 14-day deadline) is the cheaper option if you qualify; otherwise <a href="/en/insurance-plans/care-expatriate/overview/" class="text-primary underline underline-offset-2">Care Expatriate from €58/month</a> (HanseMerkur, up to 5 years) is the standard recognised private bridge. PDF certificate by email in minutes — accepted nationwide.