Apply for family insurance in the statutory health insurance

You can submit the application for family insurance by post and – in the case of many statutory health insurance companies – in person at the office or submit it online.

• Fill out the application form from your statutory health insurance company and submit it to the health insurance company together with the required documents. As a rule, there are different forms, depending on whether it is the initial application or the verification of the requirements.
• The health insurance company will check whether you are entitled to family insurance and inform you of the result.
   

You can apply for family insurance if:

• You have statutory health insurance
• Your family members live in Germany

Your spouse or partner:

• is not self-employed full-time or is not legally insured himself, for example as an employee or pensioner;
• is not covered by private health insurance, for example as an employee, civil servant or retired civil servant;
• is not exempt from compulsory health insurance and
• earns little or no income. The exact income limit is set anew by the legislator every year.

Your children are

• under 18 years of age, or
• under 23 years of age and not yet employed, or
• under 25 years of age and still attending school, studying or completing unpaid school-based vocational training

Children with a disability can remain permanently covered by family insurance if they are unable to provide for their own livelihood as adults.

You can take out family insurance for your grandchildren and stepchildren within the framework of the above-mentioned age limits, provided that they

• live in your household, or
• They mainly provide for their livelihood.
• Foster children living permanently in the same household also belong to the group of children who can be insured for family insurance.

If your spouse or partner is not legally insured, but privately, for example, you may only insure joint children free of charge if

• your partner's salary is below the statutory annual salary limit, or
• Your partner earns less than you.

• Current salary certificate or current income tax assessment of your partner (in copy), if he or she does not have statutory health insurance
• for children aged 23 and over: school or study certificate

In individual cases, further documents such as pension notices or proof of capital assets are required. Please contact your statutory health insurance company for more information.
 

You don't have to pay anything for the application.

There are no deadlines for you.

It usually takes about 1 to 4 business days to process.
For a quick processing and decision, your health insurance company must have the necessary information and, if necessary, the necessary documents complete and meaningful.
The health insurance company decides on applications in a timely manner, whereby the statutory processing deadline is observed in order to protect patients' rights.
Please note that the stated processing time is an average value of all health insurance companies. It may vary in individual cases.
The exact processing time also depends on the complexity of the individual case and can be extended accordingly. The same applies if documents or records are sent by post to you or your health insurance company.
 

- Forms: yes

- Online procedure possible: Many statutory health insurance companies offer an online procedure.

- Written form required: no

- Personal appearance required: no

• Contradiction
• Action before the Social Court

Federal Ministry of Health

25.10.2021

The text was automatically translated based on the German content.