Affordable Long-Term Health Insurance for Foreigners in Germany — Expats, Families, Retirees & Parents
From €58/month · up to 5 years · entry age 0–74 · Overview & Quick StartFrom just €58/month (up to 5 years possible) · entry age 0–74 — Overview & Quick Start
Renowned insurer
HanseMerkur Insurance Group Hamburg – Advigon Insurance AG
Visa & renewal
Proof often needed for embassy, visa and residence-permit situations.
Proof of cover
Useful for many visa, authority, university and employer situations.
Documents instantly
Download minutes after applying & present.
A quick check — then apply with confidence:
- Stay covered for up to 5 years — sign up once, with no yearly renewal hassle. Entry age 0–74.
- Affordable long-term coverage: expats, freelancers, self-employed people, posted workers, emigrants, families, retirees and parents.
- Use real medical cover — doctor, dentist and hospital treatment within the tariff benefits.
- Get help when something happens — 24/7 emergency line + digital insurance card — help at 3am, in English, worldwide.
- Need proof quickly? Documents are sent by email after applying — useful for many visa, residence-permit, university and employer situations.
- Age-based rates: from €58/month ages 13–40 · from €68/month ages 41–60 · from €246/month ages 61–74, depending on plan and deductible.
Why Care Expatriate?
Starting a regular job with a German employer? Then statutory health insurance (GKV) may be required. → See DAK-Gesundheit
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Plan at a glance
🏛️ HanseMerkur Insurance Group Hamburg – Advigon Insurance AG
📄 Instant proof for residence permit & authorities
🔒 Outpatient + inpatient + medical repatriation
💶 Visa refused? Premium refunded on request, only a €5 admin fee is retained.
🏷️ from €58/month (up to 5 years)
Visa refused?
Premium is refundable on request — submit the rejection letter; a small €5 admin fee applies.
📍 Preparing for a visa or Ausländerbehörde appointment?
For long-term stays in Germany, many applicants need health insurance proof before submitting documents to an embassy, consulate or local Ausländerbehörde. This is relevant in major cities such as Berlin, Munich, Hamburg, Frankfurt, Cologne, Stuttgart, Düsseldorf, Leipzig, Bonn and Bremen. Care Expatriate can be a suitable long-term private insurance option for many cases, but final document requirements depend on your authority, embassy and personal situation.
Care Expatriate — all prices by age & deductible
| 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.
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).
Next step
Read plan details
Review variants and coverage overview.
Start the online application
Fill in the form & submit — confirmation of cover within minutes.
Confirmation
Insurance confirmation in minutes — simply print and present, e.g. at doctor appointments, for visa applications/renewals, and at authorities.
Frequently Asked Questions
Not the right plan yet?
No problem — compare all options at your own pace and find the best fit:
Note: We do not provide insurance advice. Content is for general information and orientation only. All information without guarantee, errors and omissions excepted.