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HEALTH

What you need to know about the complicated world of German insurance

Germans love their insurances. From pet to death coverage, they've got it all. We take a look at all of the major insurance types and when you might need them.

What you need to know about the complicated world of German insurance
Photo: DPA

It’s no secret that in Germany, Versicherung, or insurance, is king. Whether it is to cover your home, car, work-life or person, you want to make sure that you are in-the-know about which services you should have. 

We are here to help with a full guide to the different types of insurances and when you might need them. 
 
Insurance for when you’re sick
 
With so many different kinds of health insurance, it’s good to know the differences. Photo: DPA
 
Krankenversicherung (health insurance) is the mack-daddy of all insurances, because without health insurance you are not even allowed to be in the country.
 
There are two basic types of health insurance in Germany – public and private. And trust us, there are some big differences between the two. 
 
Public, or statutory health insurance, is required for everyone earning less than €64,350 per year before tax, and what you pay as a contribution is adjusted for how much you earn. Certain people may opt out, like those making above this threshold or those who are self-employed.
 
If you’re a freelancer, a long-term student or a high-earner, you may be trying to decide between public or private. The main thing to keep in mind is this: statutory insurance contributions are based on income and the benefits you receive are according to need, whereas private insurance premiums are based on your risk factors and the benefits you receive are according to what’s in your contract.
 
Some 90 percent of the German population is covered by statutory sickness funds, according to the German Medical Association.
 
 
There are some insurances that you can add on top of your mandatory health insurance, such as Reisekrankenversicherung (Travel Health Insurance) and Pflegeversicherung (Care Insurance), depending on your particular needs. 
 
While not a necessity for everyone, if you find yourself frequently back-and-forth between many different countries outside of the EU, travel health insurance may be the best way to ensure that your healthcare benefits travel with you. In the same vein, care insurance, which provides funds for those who need intensive care through the form of hospice or other intensive service, may only be needed if you foresee a long-term care need for someone in your family. 
 
 
Insurance for when you may be liable
 
Let’s be real: sometimes we do stupid things. And if you hurt someone, you may be on the hook without this insurance. Photo: DPA
 
Most Germans consider Haftpflichtversicherung (third-person liability insurance) a must-have, as it protects you from personal liability in your everyday life. In a nutshell, this insurance covers participants for damages to a third party caused through careless actions on your part.
 
While this may sound a bit arbitrary, think of it this way: according to section 823 of the Civil Code in Germany, if a person causes injury to another – even accidentally – they are fully liable for any damage culpably caused.
 
This means if you accidentally drop a box off of your balcony and it lands on someone and permanently injures the person, you would be left on the hook to pay for damages. In this case, your Haftpflichtversicherung would cover these additional costs.
 
An important note for this insurance is that it does not cover people who are NOT third parties – as in your spouse, family, etc.  
 
Insurance for protecting your stuff
 
No use crying over spilled milk – but broken vases? Without this insurance, maybe. Photo: DPA
 
Hausratversicherung, or insurance of household contents, may be very useful if you value your stuff. This type of plan covers the costs if any of your home goods are stolen, damaged or otherwise harmed.
 
A home contents insurance can make particular sense if the value of your possessions rises. This is usually the case with growing families who are also expanding spatially and gradually adding higher quality purchases to their households. 
 
However, Hausratversicherung is meant to cover the things within your home – not the structure of your home itself. For example, if you live in a place with a lot of windows, glass damage is not usually covered by your household contents insurance. But never fear: Glasversicherung, or glass insurance, is an option to make sure that the possibility of a smashed window does not keep you up at night.
 
Particularly if you are a homeowner, Feuerversicherung, or fire insurance and Wohngebäudeversicherung (residential building insurance) are important for keeping your home intact. Residential building insurance is meant to reimburse residents for damages stemming from natural disasters, weather or water breaks, while fire insurance… well, it covers the costs of fire damages.
 
Insurance for getting around town
 
This is every driver’s worst nightmare, but it could be a whole lot worse without this type of insurance. Photo: DPA
 
This will likely come as a no-brainer, but car insurance, or Kfz-Versicherung, is important on German roads. In fact, a policy number is required to even register your car in Germany. So this is a must if you want to use your four wheels in Deutschland.
 
There are three basic categories of car insurance: Haftpflicht – third-party coverage, Teilkasko – partial coverage and Vollkasko – comprehensive coverage. 
 
Third-party coverage is the legal minimum coverage in Germany, and covers all damages you and your car cause to others on the road in an accident. However, this form does not cover damages made to your car if the accident was deemed your fault.
 
Partial coverage is a step up from the Haftpflicht, in that it includes all the basics, as well as protection in the case of theft, glass breakage and weather damages. However, this still will not include vandalism.
 
The comprehensive package combines the coverages of both of these and adds protection against damages made to your vehicle. This is also true when the accident is deemed your fault. 
 
Obviously the price of the coverage goes up significantly with the amount of coverage, so which plan is best for you? While there is no hard-and-fast rule, financial service company Allianz recommends the full coverage for owners of new cars, while saying many used car owners choose Teilkasko.
 
Are you one of Germany’s big city residents who don’t own a car? Your bike is up for coverage too! Fahrradversicherung, or bicycle insurance, comes at a lower price than the car version, and may be a good idea if you want to protect yourself if your fancy wheels get stolen.
 
Insurance for your day in court
 
In Germany, people go to court a lot. So much so that there is a type of insurance for it. Photo: DPA
 
Literally “law protection insurance”, Rechtsschutzversicherung will cover legal fees you incur in court or with a legal service. If you foresee a squabble with your landlord or have pesky neighbours, this may be the ticket to getting out of all of those annoying legal fees.
 
Depending on the policy, the Rechtsschutzversicherung may extend into your professional life too. Many professionals involved in risky work, such as doctors or nurses, choose insurance plans that can cover legal action taken as a result of their profession.
 
This form of insurance may not be necessary for everyone, but may be helpful when you feel you are getting ripped off by your landlord or want to negotiate a better contract. 
 
Insurance for the worst case scenario
 
Getting injured stinks. Without this insurance, bills when you are down-and-out can skyrocket. Photo: DPA
 
You know the old adage “accidents happen”? Well, they can also happen to you. For that reason, Germany has Unfallversicherung, or accident insurance. 
 
Accident insurance is intended to provide for your medical bills should you become disabled after a serious injury. While this is important for anyone in Germany, this insurance plan is extremely relevant for those who work in a job that involves manual labour or your ability to move around, as these injuries could impact work performance.
 
There are two main groups of accident insurance: the statutory accident insurance that covers accidents on the way to and from work and the private accident insurance, which is applicable for accidents in the private area, such as leisure, sports and household accidents. 
 
Depending on your job or leisure activity (we’re looking at you, bungee jumping enthusiasts) one or both forms of accident insurance may be a worthwhile investment during your time in ‘Schland.
 
Insurance for when the worst gets worse
 
Sometimes, injury means we are no longer able to work. In Germany, there is an insurance for that. Photo: DPA 
 
Berufsunfähigkeitsversicherung, or occupational disability insurance, shares a common thread with Unfallversicherung in that it protects you in the event of a severe accident, but serves a different function.
 
Unfallversicherung covers you if you incur medical expenses as a result of an accident: occupational disability insurance, on the other hand, takes effect if you are no longer in a position to pursue your profession. 
 
It makes no difference whether you have become incapacitated due to illness, bodily injury or an accident – an occupational disability insurance is valid for your entire working life and will pay the amount stipulated in the contract until the end of working years. 
 
According to a study by Nürnberger Versicherung and FAZ Institut, only 31 percent of millennials in Germany surveyed chose to have Berufsunfähigkeitsversicherung – a fact that the authors of the study say shows that young people here “seem to clearly underestimate the risk and its negative impact on living standards.” 
 
Whether or not occupational disability insurance is necessary for you will likely depend on your job and status within your family dynamic.
 
Insurance for your furry friend
 
Love them or not – pets can cause damage. In Germany, there is an insurance to make sure they don’t get you into too much hot water. Photo: DPA
 
Have you brought your pet along to Germany? Then it might be a good idea to insure your furry companion with Haustierversicherung, or pet insurance, before taking to the city streets.
 
One area of pet insurance is liability insurance, much like the human version Haftpflichtversicherung mentioned earlier. In Germany, if your pet causes any damages to another person or property, you as the owner are liable for the damage. With Haustierversicherung, these costs are covered by your insurance plan.
 
 
In addition to the liability risk, pet insurance can also be taken out to cover veterinary costs. This type of pet insurance is then called Tierkrankenversicherung, or animal health insurance, and ranges in coverage from medications to exams and even surgeries. This is usually separate from the pet liability insurance, though sometimes can be bought as a bundle package.
 
Animal health insurance is currently available in Germany for dogs, cats and horses. 
 
Insurance for your final resting place
 
We all have to die at some point. In Germany, there are a few options for making sure your loved ones are taken care of after you are gone. Photo: DPA
 
You never know what is around the corner, so life insurance is a must no matter where you live, and Germany is no different. 
 
In Germany, there are multiple forms of Risko-Lebensversicherung, or term-life insurance, that can take care of your loved ones between 10, 15 and 20 years after your death. 
 
Premiums vary depending on the amount of the plan, as well as the risk factors held by the individual seeking insurance. While this is not necessary for everyone, term-life insurance is particularly encouraged for people that are the main breadwinners in their families or have small children.
 
In Germany, however, there is another option for protecting those close to you after your final goodbye: Sterbegeldversicherung, or death expenses insurance. Intended primarily for those already at an advanced age, this kind of insurance only covers the costs of a funeral and the associated bills. 
 
While this may not sound like much, funeral guide company Funeral Arrangement Guide estimates that the average funeral in Germany costs as much as €8,000 and can soar even higher than that. With these kind of prices, it can be advantageous to have a cost plan to help cover.
 
The maximum amount available with the Sterbegeldversicherung is usually around €20,000.
 
 

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HEALTH

Klinik-Atlas: What to know about Germany’s new hospital comparison portal

The German government has launched a ‘Bundes-Klinik-Atlas’ which provides information on services and treatment quality at almost 1,700 hospitals throughout Germany. Here's what you need to know.

Klinik-Atlas: What to know about Germany's new hospital comparison portal

Whether you’re a foreign resident or a local, it can be tricky to navigate hospital care in Germany. 

Now the German government has launched a new nationwide ‘Klinik-Atlas’ aimed at making it easier for people to compare different services in hospitals. 

If a patient needs care at a hospital or clinic, such as a knee operation, cancer treatment or to get their tonsils out, they can look through the state-run comparison portal to compare the services offered and their quality. The portal is intended to help patients make a decision on where they want to access care. 

It was launched on Friday May 17th and so far includes details on 1,700 hospitals throughout the country. 

Why has the Klinik-Atlas been launched? 

The German government believed there was a need to get more information on hospitals out there to the public. 

Health Minister Karl Lauterbach, of the Social Democrats (SPD), said comprehensive information on how to find good care is now more accessible to everyone with the new portal. 

He said that transparency was needed in view of the 16 million hospital treatments that take place in Germany per year and the 500,000 new cancer patients per year alone. Most patients are unsure which clinic or hospital is best suited for their treatment, he added. 

Compared to existing information portals, the Klinik-Atlas is particularly unique in the way it prepares data for patients, Lauterbach said: “With just a few clicks, they can compare clinics and find the best clinic in their area for the treatment they need.”

READ ALSO: Which of Germany’s hospitals are among the ‘world’s best’?

Patients can see and assess hospitals side by side instead of having to “hop from clinic to clinic”, added Lauterbach. He called it “clear guide” to help people sift through the maze of health care. 

However, there’s been a mixed reception to the project, with hospitals raising some concerns.

How does it work exactly?

One thing to keep in mind is that the site, which is located at www.bundes-klinik-atlas.de, is only in German, but it is fairly simple to use. 

– On the site you can see a map with all the clinics in your area, as well as the number of beds they have and treatments they offer. Each clinic is scored on the quality of its care. The score is based on the number of patients per nurse, taking into account the severity of the cases. Lower values equate better scores in this case.

A sign at a Charité Campus points to the Central Emergency Department.

A sign at the Berlin Charité points to the Central Emergency Department. Photo: picture alliance/dpa | Sebastian Gollnow

– You can also enter your place of residence and an illness or a very specific treatment in the portal. The system offers search suggestions if you don’t know the specialised term. According to the ministry, 28,000 treatment and 13,000 disease definitions are stored.

– There is a kind of speedometer display to help patients categorise their cases. The ‘faster’ you go, so to speak, i.e. the further the needle moves to the right, the better. For the time being, there are two speedometers – for the number of annual cases of a treatment and for the number of nursing staff in the hospital. The speedometers have five coloured elements to which the needle can point – from ‘very few’ to ‘very many’ cases, for example. 

What else can you find out?

A comparison shows that there are “huge differences within a very small area”, said Lauterbach. For example, there are 48 hospitals in Berlin and the surrounding area that perform bowel cancer operations, but only 18 of them are certified as specialist centres.

In the case of severe bowel disease in children, there are clinics that perform more than 70 operations a year, while others only perform four.

It is not the case that large clinics are automatically always ‘the winners’. There are also small clinics that are extremely specialised.

The portal is to receive its first update in a few weeks’ time and will then include complication rates for treatments. Figures on the number of specialised doctors will follow.

The information will be updated regularly, according to the Institute for Quality and Transparency in Healthcare, which is coordinating the implementation. At the moment the data is lagging, featuring case numbers from 2022. The information comes from several sources, including clinics and health insurance company invoices.

READ ALSO: How could Germany solve its worsening GP crisis?

How’s the reaction so far? 

According to the ministry, there were more than five million hits in the first three hours of the comparison launching, with some page views also experiencing a brief hitch due to the volume of traffic. 

But not everyone is for it. The German Hospital Federation said the portal does not provide patients with any additional information and even adds more bureaucracy to hospitals’ workloads. The hospital sector recently expanded its own online overview portal. The Deutschen Krankenhaus Verzeichnis’ or ‘German Hospital Directory’, which has existed since 2002, was updated to include more search functions. 

The German Patient Protection Foundation said that people want to know about the range of services and quality. “But the ‘hospital atlas’ lacks crucial information,” said CEO Eugen Brysch. “The quality of patient management in the clinic is not recorded.”

The German Social Association welcomed the comparison site, but added: “It remains to be seen how great the added value for patients really is.”

READ ALSO: How Germany is planning to save its ailing hospitals 

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