Student Health Insurance in GermanyGKV, PKV and what it costs
Health cover is mandatory to enrol at any German university. Here is how the statutory student rate, free family insurance and private options actually work in 2026.

In Germany, health insurance is compulsory and you cannot enrol at a university without it. Most students use statutory insurance (GKV): free family insurance up to age 25, then the reduced student rate of about 146 EUR per month, generally until the semester you turn 30. Private insurance (PKV) is possible, but the choice is binding for your whole degree.
The key facts
- •Mandatory: proof of cover is required for both your visa and university enrolment
- •Family insurance: free up to age 25 if a parent is in the GKV and your income stays under 565 EUR per month
- •Student rate: 110.38 EUR health plus long-term care, totalling 146.29 EUR per month in 2026
- •PKV exemption: binding for the entire study period, with no return to GKV in between
- •International students: EU students can use the EHIC; non-EU students need German cover
Your options as a student
Which route fits you depends on your age, whether a parent is in the statutory system, and your nationality. Here are the four main paths.
Family insurance (Familienversicherung)
0 EURFree of charge. The income limit in 2026 is 565 EUR per month, or 603 EUR from a mini-job.
Statutory student insurance (studentische GKV)
About 146 EUR per monthThe standard route once family insurance ends. BAföG recipients receive a fixed supplement towards the cost.
Private health insurance (PKV)
Depends on tariff, age and healthThe decision is binding for the whole period of study. You cannot switch back to GKV while you are a student.
Voluntary statutory insurance (freiwillige GKV)
Higher than the student rateIncome-dependent contribution. The usual route for doctoral and mature students who stay in the GKV.
What student health insurance costs in 2026
The statutory student rate is fixed by law and is almost identical across all health funds, because it is tied to the BAföG reference rate. Small differences come from each fund's supplementary contribution.
| Component | Per month | Detail |
|---|---|---|
| Health insurance (Krankenversicherung) | 110.38 EUR | Same student rate across all statutory funds (2026) |
| Long-term care (under 23 or with children) | 30.78 EUR | Reduced Pflegeversicherung rate |
| Long-term care (23 and older, no children) | 35.91 EUR | Includes the childless surcharge |
| Total (23 and older) | 146.29 EUR | Health plus long-term care, per month |
Figures for the 2026 academic year, based on Techniker Krankenkasse and the GKV-Spitzenverband. BAföG recipients who are no longer in family insurance receive a fixed supplement towards these costs.
GKV or PKV: which is better for students?
For most students, statutory insurance is the sensible default. Private insurance can be attractive for some, but it comes with a commitment that is easy to underestimate.
Statutory (GKV)
- + Fixed student rate, no health check
- + BAföG supplement if you qualify
- + Flexible if you change course or situation
- − Standard benefits, with co-payments for some items
- − Voluntary GKV after the limits is noticeably higher
Private (PKV)
- + Can offer broader benefits depending on the tariff
- + Premium not tied to income
- − Binding for the whole study period
- − No return to GKV while you study
- − Pre-existing conditions can raise the premium
Planning to stay in Germany after graduation? Our overview of private health insurance in Germany and the general health insurance guide explain what changes once you start working.
International students: EU vs non-EU
The rules differ by where you come from. In every case, you must show proof of cover to enrol, and for a visa where one is required.
EU / EEA / Switzerland students
Your home-country cover plus the European Health Insurance Card (EHIC) is normally accepted at enrolment.
You still have to show proof of valid cover when you register. For a long stay, German insurance can be the simpler option.
Students from countries with a social-security agreement
Cover from your home country may be recognised. Check with a German statutory fund before you arrive.
If it is not recognised, you take out German student insurance instead.
Non-EU students (no agreement)
You need German statutory student insurance, or substitutive private insurance if you are exempt from GKV.
Proof of cover is required for both your visa application and university enrolment.
Key dates and deadlines
Before you enrol
3-month exemption windowCheck your insurance status. If you want PKV, apply for exemption from GKV.
At enrolment
Required for matriculationSubmit electronic proof of health insurance. Without it you cannot register.
Your 25th birthday
Automatic changeFamily insurance ends. Move to the statutory student rate.
The semester you turn 30
Contribution risesThe reduced student rate ends. Move to voluntary GKV or stay in PKV.
After graduation
Within 3 months of de-registrationEmployment usually means compulsory GKV again; the self-employed can choose.
Compare student health insurance tariffs
Once you know which route fits you, compare current offers from different providers. The comparison is free and non-binding.
Advertising note: we receive a commission from the insurer if a contract is concluded, at no extra cost to you. This does not influence our editorial content.
Frequently asked questions
Is health insurance mandatory for students in Germany?
How much does statutory student health insurance cost in 2026?
Can I stay in my parents’ family insurance as a student?
Should students choose GKV or PKV?
Can I switch from PKV back to GKV during my studies?
What happens after I turn 30?
What do EU and non-EU students need?
Am I insured as a working student (Werkstudent)?
Sources and References
- •
- •
- •
- •
- •
- •