Health Insurance

German Healthcare Terms Expats Should Know

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

German Healthcare Terms Expats Should Know

Getting familiar with 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 this vocabulary will help you feel more confident.

In this guide, we've put together a comprehensive German-English glossary to help you communicate effectively and understand your options.

Essential Medical Terms

Before your first doctor's visit in Germany, it helps to know the basic words used in medical settings. You'll see these terms on clinic signs, appointment confirmations and medical forms:

 

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 For example cardiologist, dermatologist, neurologist
Zahnarzt Dentist  
Frauenarzt/Gynäkologe Gynaecologist  
Apotheke Pharmacy Where you collect prescribed medication
Krankenhaus Hospital  
Notaufnahme Emergency room/A&E  
Rettungswagen Ambulance Emergency number: 112

Common Healthcare Vocabulary

During medical appointments, certain administrative and treatment-related words appear frequently. Understanding them will make conversations with doctors, clinics, and pharmacies much clearer.

 

German English When You'll Need It
Rezept Prescription Required to collect medication from the pharmacy
Überweisung Referral A document from your GP to see a specialist
Krankschreibung Sick note Usually required by employers after 3 days of illness
Medikament Medication  
Impfung Vaccination  
Patient Patient  
krank Sick/ill  
Termin Appointment  

Insurance Terms

Health insurance plays a central role in the German healthcare system, so you'll likely encounter these terms when signing up for coverage or visiting a medical practice.

 

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 You 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 main types of hospitals, and the differences mainly relate to ownership rather than the medical care you receive:

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

All three hospital types treat patients with both public and private insurance. However, private hospitals sometimes offer additional services or upgraded room options.

Understanding the Insurance System

Public Health Insurance (GKV)

Health insurance is mandatory for everyone living in Germany. The system is built around two main options: public insurance and private insurance. The one that applies to you usually depends on your employment status and income level.

Public health insurance covers the majority of residents in Germany and provides comprehensive medical care. It is the standard option for most employees and offers predictable costs tied to income. Its key features include:

  • It's mandatory for employees earning below €77,400 per year (2026 threshold)
  • Contributions are roughly 14.6% of gross salary, plus an additional 1–2% depending on the provider
  • Your employer pays half of the contribution
  • Non-working spouses and children can be covered at no additional cost
  • You receive a health insurance card (Krankenversichertenkarte) used at doctor appointments

Private Health Insurance (PKV)

Private health insurance is available to people who meet certain eligibility requirements, such as higher-earning employees, freelancers, or self-employed professionals. Its main characteristics include: 


  • Premiums are based on age, health status, and coverage level, rather than income
  • Often provides shorter waiting times for specialists
  • May include additional treatment options or upgraded hospital rooms
  • Each family member needs a separate policy
  • Patients usually pay upfront and request reimbursement from the insurer

Choosing Between Public and Private

Deciding between public and private coverage depends on several personal factors. Understanding these can help you choose the option that best fits your situation.

1. Your Employment Status

Your income and job type determine whether private insurance is even available to you.

 

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

Family structure can play an important role in deciding which system works best.

  • Public insurance allows non-working spouses and children to be included without additional cost. Private insurance requires an individual policy for each family member.

3. Your Health Needs

Personal health considerations also influence the decision.

  • Public insurance guarantees acceptance regardless of pre-existing conditions. However, private insurance may offer quicker access to specialists and additional treatment options.
  • If you need further information about how to choose the best health insurance plan for you, check out our full article here.
  • Additional Services
  • Pregnancy and Maternity Care
  • Public health insurance covers all medically necessary pregnancy care. This typically includes:

  •  

    • Prenatal check-ups
    • Childbirth and hospital delivery
    • Postnatal care
    • Midwife services

    Private insurance plans may cover similar services, but some policies include waiting periods or specific conditions for pregnancy-related care.

  • 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

    Germany's healthcare system may seem complex at first, especially if you're adjusting to a new language and unfamiliar procedures. But once you understand the key terms and how the insurance system works, everyday situations become much easier to handle.

  • If you need help understanding the healthcare system or choosing the right plan for you, we're here to help through every step.