Semester Break in Germany: Must Health Insurance Run Continuously — or Is a Pause Possible?
- DAK-Gesundheit: from €135.52/month (continuous, 12 months a year — no pause)
- Care Student: from €101.54/month (over 30 / GKV-exempt / PhD, also continuous)
- Care Economy: from €30 / 30 days (≈ €1/day, non-EU home trip top-up)
Sources: § 5 Abs. 1 Nr. 9 SGB V (12-month obligation) · § 24 SGB IV (Säumniszuschlag 1 %/Mo) · EU Reg. 883/2004 (EHIC) · § 5 AufenthG · DAK-Gesundheit contribution statement 2025 · HanseMerkur Care Economy AVB
Health insurance in Germany is mandatory 12 months a year — also during the lecture-free period (§ 5 Abs. 1 Nr. 9 SGB V). A pause is not legally possible. DAK-Studenten runs automatically through the semester break, also during a home trip. For over-30 / GKV-exempt / PhD students Care Student from €101.54/month (up to 5 years) is the GKV-equivalent continuous alternative.
Inside the EU/EEA the EHIC card on the back of the eGK covers acute care. For non-EU home trips (Turkey, India, Russia, Brazil, China, USA…) the EHIC is invalid — close the gap with Care Economy from €30 / 30 days (up to 2 years) (≈ €1/day for ages 0–49). DAK keeps running in parallel so the German cover stays unbroken on return. Working more than 20 h/week during the break is allowed with a written limitation — see the part-time job guide.
Below: why a pause is legally impossible, what the 1 % Säumniszuschlag actually costs after a single missed month, when EHIC is enough and when Care Economy is mandatory, why a SEPA standing order from a German account beats a transfer from home, the four typical mistakes that block the next Rückmeldung at the university, and the full DAK / Care Student / Care Economy price tables.
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
Over 10,000 policies issued · Since 2009
Semester break ahead? Keep DAK running automatically — and add Care Economy for non-EU home trips in 5 minutes.
Four typical mistakes around the semester break
Quick answer: "Why was my Rückmeldung blocked at the start of the new semester?" — most cases share one of four issues: assuming insurance can be paused for a few weeks at home; relying on EHIC for a non-EU home country; stopping the SEPA standing order during the break and collecting Säumniszuschläge; or missing the M10 confirmation before the Rückmeldung deadline at the university.
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 stopping the GKV contribution 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.
Travelling outside the EU? Add Care Economy before departure — booked in 5 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.
Stay covered through the semester break — in 3 steps
10 minutes online. Set up the SEPA standing order so DAK keeps collecting; add Care Economy for non-EU home trips; keep the M10 confirmation in your email so the university Rückmeldung is not blocked when the new semester starts.
Ready for university enrollment in 3 steps
DAK Student or Care Student for university enrollment, M10 notification and proof of coverage.
-
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.
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Complete the application
Enter your passport, university/program and stay details. M10 applies to DAK Student and Care Student university enrollment flows.
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Receive your proof
Receive visa or insurance proof after application; where applicable, the electronic M10 notification can be sent to the university.
What students say about staying covered through the German semester break
“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
Recommended tariffs for the semester break
DAK-Gesundheit Students
from €145.52 / month
(effectively from €135.52 with DAK Garantietarif 120 possible)
For international students in Germany up to age 29
- Accepted for university enrollment – electronic M10 notification
- Visa confirmation directly after application
- Statutory health insurance + mandatory long-term care insurance included
- Doctor, dentist, hospital, pharmacy & prescription medication coverage
- Health insurance card for medical treatment in Germany
- Apply online from your home country – no German address required
- Save €120 per year with DAK Garantietarif 120 possible
- Alternative: DAK Fit & Travel with additional benefits
- 2026 contributions: from €145.52 · effectively from €135.52 possible
- Reputable statutory health insurance provider
Why DAK-Gesundheit?
For international students in Germany who need statutory health insurance for a visa, university and enrollment — including M10 notification and a health insurance card.
Why statutory student health insurance?
More security for your studies and enrollment: full statutory health coverage, electronic notification to the university and clear acceptance for enrollment.
- 🏛️ DAK-Gesundheit
- 📄 M10 notification + visa confirmation after application
- 🔒 Doctor, dentist, clinic, pharmacy & prescription medication
- 🏷️ From €145.52 / month · effectively from €135.52 possible
→ Complete the application, receive visa confirmation, secure your M10 notification
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
→ Complete the application, receive your instant PDF, submit your proof
For over 30 / GKV-exempt / PhD students see the age-30 / student tariff guide; the M10 workflow is in the M10 enrolment proof guide. Compare all 11 tariffs in the foreign-students hub.
Full price tables — all brackets by age & duration
Quick answer: The three tariffs that matter for the semester break: DAK-Gesundheit (~€135.52/month) continuous for under-30, Care Student (€101.54/month) continuous for over 30 / GKV-exempt / PhD, and Care Economy from ~€30/30 days as the non-EU home-trip top-up.
DAK-Gesundheit — three statutory student tariffs
Garantietarif 120 saves €120/year. Runs continuously through the lecture-free period and also during home trips. M10 notification filed automatically:
| Insured benefits |
DAK-Gesundheit
|
BestsellerDAK + Garantietarif 120
|
DAK + Fit & Travel
|
|---|---|---|---|
| up to age 23 | €145.52 / month | €145.52€135.52 / month | €145.52 / month |
| up to age 29, childless | €150.65 / month | €150.65€140.65 / month | €150.65 / month |
| up to age 29, with 1 child | €145.52 / month | €145.52€135.52 / month | €145.52 / month |
| Bonus / extra benefit | — | saves €120/year | free for under 39 |
Contribution incl. long-term care insurance (childless from age 23). Garantietarif 120: €120 contribution refund per year if no claims are filed. Fit & Travel: free for insured persons under 39. Entry age up to 29, term for the duration of studies (max. 14 specialist semesters / age 30). As of 2026.
Care Student — GKV-equivalent (over 30 / GKV-exempt / PhD)
Total €101.54/month: CCS €35 + PVN €58.04 + Pflege €8.50. Continuous cover, M10 notification included, accepted by the university after § 8 SGB V exemption:
| Care Student |
Health insurance
for students
|
Compulsory long-term care
for students
|
Total |
|---|---|---|---|
| 12–29 years | 69,62 € / month | 31,92 € / month | 101,54 € / month |
| 30–39 years | 95,68 € / month | 31,92 € / month | 127,60 € / month |
All prices per month/person in euros. Health insurance deductible: €300 per calendar year. Entry age 12–39, term up to 60 months. Premium guarantee for the full term. As of 2026.
Care Economy — non-EU home-trip top-up
~€30/30 days for ages 0–49 (≈ €1/day); €50–125/30 days for 50+. Bookable per day, runs in parallel with DAK so the German cover stays unbroken:
| 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.
Sources: DAK-Gesundheit contribution statement 2025, Care Concept AG tariff tables 2024/25, HanseMerkur AVB. The exact price is calculated in the online application.
Frequently Asked Questions
Can I pause my health insurance during the semester break in Germany?
No. The statutory insurance obligation in Germany applies 12 months a year — also during the lecture-free period (§ 5 Abs. 1 Nr. 9 SGB V). A pause is not legally possible, neither at DAK-Gesundheit (~€135.52/month) nor with Care Student (€101.54/month). Cancelling triggers a 1 % Säumniszuschlag per month, a Rückmeldesperre at the university and risks the residence permit.
Do I need extra travel insurance during the semester break if I go home?
It depends on the destination. Inside the EU/EEA the EHIC card (printed on the back of the eGK) covers acute, medically necessary care — usually no extra cover needed. For non-EU countries (Turkey, India, Russia, Brazil, China, USA…) the EHIC is invalid and German GKV only reimburses limited emergency costs. Care Economy from ~€30/30 days (≈ €1/day for ages 0–49) closes the gap — DAK keeps running in parallel.
Can I work more than 20 hours per week during the semester break?
Yes. During the lecture-free period students may work more than 20 h/week — provided the contract limits the higher hours in writing to the semester break only. The DAK student tariff stays in place. Always inform DAK-Gesundheit of every new job and keep the written limitation, otherwise the Werkstudent privilege can be retroactively revoked also for the lecture period. Full rules: <a href="/en/guide-health-insurance-germany/health-insurance-students-germany/part-time-job-student-health-insurance-what-changes-self-germany/" class="text-primary underline underline-offset-2">Part-time job as a student in Germany</a>.