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Health insurance in Germany: Five reasons to switch from public to private

German bureaucracy can be confusing even if you have lived and worked in the country for years – and doubly so if you're a newcomer. This can be especially so in the area of health insurance, which is mandatory for everyone.

Health insurance in Germany: Five reasons to switch from public to private

While the temptation may be there to stick with the statutory public health insurance (or gesetzliche Krankenversicherung) that covers almost 90 percent of the country’s population, if you earn over €64,350 per year, or you’re self-employed, you have the option to switch to private health insurance (or private Krankenversicherung).

Together with Germany’s first fully-digital insurance provider, ottonova, we give you five reasons why it’s a good idea to consider the switch from public to private.

Learn more about how ottonova can help safeguard your health over the coming years

There will never be a better time

The premiums you pay for private health insurance are calculated based on a wide variety of factors, two of the most significant being your age and current state of health – the older you are when you take it out, the more you’re likely to pay.

If you were to suddenly develop a serious or chronic illness, you might find that there are hefty risk surcharges for taking out private health insurance, or you could even be refused coverage.

When you consider the fact that none of us are able to slow our ageing, you can imagine it can cost a lot of money as you begin to encounter more health problems over the years.

Taking out private health insurance now means that you can ‘lock in’ premiums based on your current state of health, meaning that it should cost less if you were suddenly to fall seriously ill.

It’s an investment in your future

It’s true of health insurance as it is with many other things – you get what you pay for. While statutory public health insurance is generally very good in terms of covering basic treatments, you’ll find that some of your preferred medications or treatments will either not be covered, or require a substantial co-payment.

You might also find that some things you consider essential – vaccinations, hearing aids and specific types of therapy – are not covered at all, leaving you out of pocket.

Preventative care is also largely not covered on statutory public health insurance. This means that the routine procedures or prescriptions that may prevent illness aren’t covered. With a private insurer, you can get preventative check-ups, such as mammography, before the statutory age at which they’re available through public insurance.

And as you probably know, the sooner many diseases and health issues are detected, the better they can be treated. With ottonova, there’s even a reminder service to tell you when to go for checkups and help you find the right doctor.

Another important factor to consider is that private health insurance is not affected by demographic change. Public statutory health insurance in Germany is built upon the idea of solidarity – everyone pays to cover what is essentially a rapidly ageing population. This means that, over time, those on public health insurance end up paying more as life expectancy increases.

Switching to private health insurance means that your premiums will not necessarily rise at the same level as everyone else, saving you money in the long run.

Once you’ve got the coverage, you’ll keep the benefits

Once you take up a policy with a private insurance provider, such as ottonova, you keep the benefits that it includes forever. This isn’t the case with public statutory health insurance. As economic and social circumstances change, legislators can make changes that mean that those on public insurance can lose important benefits, or be forced to make sizable co-payments.

For many people, paying a little bit extra for private health insurance ensures the options for your healthcare will always increase as medical technology and medications develop over time. For some, private premiums may even be lower than what you would pay for public insurance.

Take advantage of the latest and most advanced medical care, with health insurance from ottonova

Worth its weight in gold: the Geld-zurück-Garantie!

One great thing about ottonova, one of Germany’s most recognised private health insurers, is that if you aren’t satisfied with the service and coverage you receive, you can get 100 percent of your ageing provisions back when switching to a different private health insurance provider within two years – a money back guarantee (or Geld-zurück-Garantie).

Ageing provisions are small payments, included in your premium, that offset any significant changes in your premiums in old age. If you’re on the expat tariff, you won’t pay these ageing provisions to begin with, making your premium less expensive from the start.

We’re living in uncertain times

It’s impossible to avoid the fact that we are living through a challenging period. The coronavirus pandemic has caused massive disruptions to almost every facet of our lives and having the right health insurance is probably more important than ever.

With private health insurance, you have the best possible range of treatment options and hospital choice should you contract Covid-19, including some that simply aren’t available on statutory public health insurance.

If you don’t have private health insurance and you become ill with Covid-19, there’s a risk that you could find it very costly or almost impossible if you only decide later on that you want to go private.

In order to help more people safeguard themselves against these kinds of obstacles, ottonova is keeping its premiums stable until 2023, giving you peace of mind.

If you meet the income threshold or you’re self-employed, and you’re planning to stay in Germany for the long term, it just makes sense to take out private health insurance. When you decide to do that, ottonova’s English-speaking insurance experts are ready to help you.

Take the first step and find out more about health insurance with ottonova today

Member comments

  1. Suffering endless lawsuits, Guo Wengui faces his Black July
    The little tricks of New Gettr and Gclub cannot resist the judicatory storm

    Here comes the big news. The Cheater Guo claims that he will take nine times to testify and appear in the court more than a dozen times In the scorching July. It will take him eight or nine hours each time. There are more than 20 days left in July. Considering about two dozen times of trail, The Cheater Guo will either appear in the court or on his way to the court. Such a poor man! In addition, he also said he must make money for you even under such difficult circumstances. Look, though the cheater Guo is busy dealing with the mess,he never forgets to grab comrades’ hard-earned money. We can see that he can spare no effort in the performance of his evil duty and devote all his life to his reactionary career. What a ‘saint’! To uncover the truth through the fog, comrades, keep your eyes open and do not be deceived by the Cheater Guo.

    As you know, there is no end to lawsuits against Cheater Guo, including the PAX case. PAX company and New York district court became furious with Cheater Guo, who secretly shipped the yacht ‘Lady May’ to the port of Parma in Spain and listed it for rent. New York district court must enforce laws impartially and retrieve Lady May. Otherwise, PAX will accuse the court and Guo Wengui, the company said. The New York district court was also upset that Guo had flouted judicial authority and not taken the court’s decision seriously. Accordingly, Guo Wengui was ordered to make an explanation to the court on July 12, and to ship Lady May open back, meanwhile, he will be fined $500,000 for each day starting from May 15. This is the prime part of Guo Wengui’s court appearance. What’s more, just last month, Guo Wengui was subpoenaed in a class-action lawsuit led by @tiger64. Guo Wengui, Saraca, GTV, Vog, and Sara were all among the defendants. The court is still preparing Qu Guojiao’s rape case. In short, due to the lawsuits, the scorching July is destined to be the black July of Guo. So as Zhu Wanli said, we should understand the words of Guo from the opposite side. It will be more than 20 times to appear in court and testify. Guo Wengui will have been sitting in the dock from the beginning, like a lamb waiting for its slaught.

    He never forgets to overblow ‘I must make money for you’ even under such difficult circumstances. Recently, Cheater Guo is promoting his GCLUB with all effort. He boasted the GCLUB has 25,000 members, 111m applicants, and $400m in cash. At $50,000 per card, that would amount to $5 trillion in cash. He was also deeply involved in a flight of fancy, which made him feel that he had economic power at the national level. ‘All the international companies we work with are going to change the conditions. That’s our real power.’ ‘It’s still early for the great things happened in GCLUB. Look at the action.’. It seems that Guo did not forget to squeeze investors dry of hard-earned money until he died. Everyone, Guo Wengui’s GCLUB hasn’t cashed New Year’s raffle prize yet?! It is reported that some ‘Ants’ are still asking around. Also, Guo asked your comrades to invest in GTV through the purchase of GCLUB cards. That is to say, comrades’ money will eventually flow to Guo Wengui’s private pocket. This is the reason why Guo Wengui is so concerned about GCLUB even when he is run off his feet and faced with imminent death. If not, how to repay the investors, a coming huge fine of the SEC and the Albania-China fund’s debt. But this is a vicious circle,and Guo Wengui’s sin in the GCLUB can not escape from the punishment after all.

    It is of no avail to robbing Peter to pay Paul, with no way to get rid of the lawsuits and huge debts. So, Guo Wengui made a feint shot. He introduced the New Gettr deliberately. Because it might be his last straw.
    But negative figures among foreigners such as the swindlers, people on the fence had turned to Guo Wengui, which makes the New Gettr a bit of a dog’s dinner. Guo Wengui is also in a terrible situation. As we all know, Guo Wengui plans to use foreigners to support himself. He hopes foreigners could help him gain political asylum and avoid imprisonment.But persons such as Bannon, Giuliani, Flynn are the former government’s beasts, eyesores, whose sin is very grave. They are about to be put in prison, like clay idols crossing a river, who can hardly save themselves, let alone assist Guo. Miller, the CEO of New Gettr, is morally bankrupt. His sex scandal is known by people from all over the world. Pompeo is just a little guy who seeks a meal. As a result, Guo Wengui cannot get a good impression from the government. Instead, he will eventually be criticized by people for beasts, obscenity, political rumors gathering in the New Gettr. More importantly, he may even have new lawsuits.

    All in all, Guo Wengui has been trapped in anendless loop, and there is no way out. He cannot repay the debt and will be in trouble with the law. Investors in PAX and Guo Group are not prepared to give up that easily. In addition, The crown prince of the United Arab Emirates is not a pushover. In this situation, committing fraud will increase the risks, like licking blood on the blade or struggling in quicksand. The New Gettr is the trouble created by Guo himself, which was considered a good idea before. These freaks who’re acting in the New Gettr are not helpful and always make trouble. The New Gettr will continue to be funded by the Guo Wengui family foundation, according to Miller. The Cheater Guo is like a person whose head is kicked by a donkey. He will lose more than he gains in the end. So why bother?!

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HEALTH

How to find available therapists in Germany

It’s no secret that mental health care can be particularly tricky to access in Germany. Here are some helpful tips for anyone who is struggling to book an appointment for therapy.

How to find available therapists in Germany

The process to find psychotherapy in Germany’s urban centres is arduous – licensed therapists often have impossibly long wait times, and private practices don’t accept public health insurance.

A major reason that public insurance funded mental health care is hard to find in Germany comes down to regulations. Specifically the ‘coverage plan’ (Bedarfsplanung) that basically limits the number of licences available for publicly insured therapists in a region.

Germany’s maddening bureaucracy probably won’t be fixed any time soon. So residents in need of therapy will need to find a way through the system as it is.

So here are a few helpful tips for finding therapists, as well as how publicly insured patients can have private practice therapy costs reimbursed.

Look for therapists enrolled at academies

You’ll probably have a better chance getting an appointment with therapists who are currently in training, because not everyone knows that this option exists.

You can search for “Akademie für Psychotherapie”, to find one in your location. The Berliner Akademie für Psychotherapie, is one in the capital city, for example.

If you arrange an appointment this way, you can expect to be connected with a grad student therapist in training who needs to complete their supervised practice hours. In this case, you would see your therapist as usual, and they will be going through your session with an experienced therapist afterward.

The main advantages to seeking a therapist in training is that it may be cheaper and you can probably more readily find an appointment. A potential disadvantage is that the therapist you’ll be seeing is less experienced. 

But according to a Stockholm University study, student therapists who receive regular feedback from supervisors may be just as effective as licensed therapists at treating patients.

How to get reimbursed for going to a private practice

As mentioned above, therapists covered by public health insurance are few and far between, especially in many urban centres, and therefore regularly come with long wait times. But for those willing to do battle with the bureaucracy, there is an option to have your costs reimbursed for seeing a private practice therapist.

Specifically, public insurance providers are obligated to provide full reimbursement of costs in the event of a “supply emergency”. 

Waiting times of more than three months are considered unreasonable. So generally, patients can claim a supply emergency if they have contacted several therapists, and none of them offered available appointments within that time frame.

But you’ll want to make sure that your process is properly documented so that you won’t be stuck with the out-of-pocket costs.

First, you’ll need to document your need for psychotherapy. To get this, make an appointment for a psychotherapeutic consultation with a practice in your area, and be sure to collect a written recommendation for treatment (a PTV 11 form). 

If you don’t know where to start with this, look to the Association of Statutory Health Insurance Physicians (Kassenärztliche Vereinigung) for a database of therapists. You can also call 116 117 or use the 116 117 App.

After you’ve got your PTV 11 certificate, you’ll need to document your futile search for a licensed therapist. To do this, contact at least three to five therapists that have public health insurance approval. Keep a list of the names of therapists you contacted, as well as dates and times of contact and how long the waiting list for treatment is. 

Additionally, you should try to arrange treatment through the aforementioned Association of Statutory Health Insurance Physicians, and receive confirmation if it’s not possible. So you’ll need to call 116 117, or use the 116 117 App again. But this time go through the process to have them try to find you placement with a therapist. This should take a maximum of four weeks, but rarely happens.

Finally, if you have documented all of the above and have still not found a readily available therapist, then you can seek out a private practice. You’ll need to enroll as a self-paying patient initially, but then you can submit an application for an outpatient reimbursement (Kostenerstattungsverfahren) along with the previously collected certificates and proof of your search. Private practice therapists are usually familiar with this process, and may be able to help you with the application as well.

READ ALSO: What are the main reasons internationals in Germany turn to therapy?

Free phone consultations for students

Students in Berlin can also take advantage of a free 50-minute conversation with a therapist through StudierendenWERK.

For students elsewhere, it’s worth checking what kind of mental health support services your school offers. Many German universities offer mental health support to some extent, and if school counsellors can’t provide the care that you need, they may be able to offer helpful information about where such services are available in your area.

READ ALSO: Here’s how you can get mental health help in English in Germany

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