Health Insurance

German Healthcare Terms Expats Should Know

Written by Clara | Feb 10, 2026 5:31:14 PM

German Healthcare Terms Expats Should Know

Navigating Germany's healthcare system is much easier when you understand the key terminology. Whether you're visiting a doctor, filling a prescription, or dealing with your insurance provider, knowing these German terms will help you feel more confident.

We've put together a comprehensive glossary to help you communicate effectively and understand your options.

Essential Medical Terms

German English Notes
Arzt Doctor General term for any physician
Hausarzt General practitioner (GP) Your primary care doctor; often the first point of contact
Facharzt Specialist e.g., cardiologist, dermatologist, neurologist
Zahnarzt Dentist  
Frauenarzt/Gynäkologe Gynaecologist  
Apotheke Pharmacy Where you collect prescriptions
Krankenhaus Hospital  
Notaufnahme Emergency room/A&E  
Rettungswagen Ambulance Emergency number: 112

Common Healthcare Vocabulary

German English When You'll Need It
Rezept Prescription Needed to collect medications
Überweisung Referral From your GP to a specialist
Krankschreibung Sick note Required after 3 days of illness for your employer
Medikament Medication  
Impfung Vaccination  
Patient Patient  
krank Sick/ill  
Termin Appointment  

Insurance Terms

German English Explanation
Krankenversicherung Health insurance General term
Gesetzliche Krankenversicherung (GKV) Public/statutory health insurance The government-regulated system
Private Krankenversicherung (PKV) Private health insurance For higher earners, freelancers, and self-employed
Krankenkasse Health insurance provider The organisation managing your public insurance
Krankenversichertenkarte Health insurance card Present this at every medical appointment
Sozialversicherungsnummer Social security number Your unique ID in the German system
Familienversicherung Family insurance Coverage for dependents under public insurance

Types of Hospitals

Germany has three types of hospitals:

Type German Name Description
Public Öffentliches Krankenhaus Owned and operated by the government
Non-profit Frei gemeinnütziges Krankenhaus Run by charitable organisations or churches
Private Privatkrankenhaus Privately owned and operated

All three types accept patients with public or private insurance, though private hospitals may offer enhanced amenities.

Understanding the Insurance System

Public Health Insurance (GKV)

Around 90% of residents in Germany are covered by public insurance. Key points:

  • Mandatory for employees earning below €77,400/year (2026 threshold)
  • Contributions are approximately 14.6% of gross income, plus 1–2% depending on provider
  • Employer pays half of your contribution
  • Family members (non-working spouse and children) can be covered at no extra cost
  • You receive a health insurance card (Krankenversichertenkarte) to use at appointments

Private Health Insurance (PKV)

Available if you earn above the threshold, are self-employed, or are a freelancer:

  • Premiums based on age, health, and chosen coverage—not income
  • Faster specialist access and more treatment options
  • Each family member needs their own policy
  • You typically pay upfront and claim reimbursement

Choosing Between Public and Private

Your eligibility depends on three factors:

1. Your Employment Status

Status Insurance Options
Employee earning <€77,400/year Public (mandatory)
Employee earning >€77,400/year Public or Private (your choice)
Self-employed/Freelancer Public or Private (your choice)
Civil servant Private (with state subsidy)

2. Your Family Situation

  • Public insurance includes family coverage at no extra cost
  • Private insurance requires separate policies for each family member

3. Your Health Needs

  • Pre-existing conditions? Public insurance offers guaranteed acceptance
  • Want faster specialist access? Private insurance typically offers shorter wait times

Additional Services

Pregnancy and Maternity Care

Public insurance covers all medically necessary pregnancy care, including:

  • Prenatal check-ups
  • Delivery
  • Postnatal care
  • Midwife services

Private insurance may have waiting periods or exclusions for pregnancy-related care depending on your plan.

Mental Health Services

Public insurance covers mental health treatment, though wait times for therapists can be long. Private insurance often provides faster access to psychologists and psychiatrists.

Alternative Medicine

Treatments like acupuncture, osteopathy, or naturopathy (Heilpraktiker) are generally not covered by public insurance but may be included in private plans.

Getting Started

1. Register your address (Anmeldung) at your local citizens' office

2. Receive your social security number (Sozialversicherungsnummer)

3. Choose or be assigned an insurance provider

4. Receive your insurance card for medical appointments

If you need help navigating the system, we're here to guide you through every step.