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Higher barriers to Private Health Insurance in 2026: What Expats need to know

The path to private health insurance in Germany is becoming more challenging. Starting January 1, 2026, the income threshold for switching to private health insurance will rise significantly, making it harder for high earners to make the transition.

What's changing in 2026?

According to a draft regulation from the Federal Ministry of Labor and Social Affairs, several key insurance thresholds will increase substantially in 2026:

  • The mandatory insurance threshold for health insurance will rise by 4.9% to €6,450 per month (€77,400 annually). This is the income level above which employees can choose to switch from public to private health insurance.
  • The contribution assessment ceiling for health and long-term care insurance will increase by 5.4% to €5,812.50 per month (€69,750 annually).
  • For pension and unemployment insurance, the contribution assessment ceiling will climb by 5% to €8,450 per month (€101,400 annually).

What this means for you?

If you're a high earner in Germany, these changes have direct financial implications:

  • Switching to private insurance becomes harder. The higher mandatory insurance threshold means you'll need to earn more to qualify for private health insurance. This affects expats and professionals who were counting on reaching this threshold in the near future.
  • Higher social insurance contributions for top earners. Even if contribution rates remain the same, those earning above the new thresholds will pay more into the system. For employees at the maximum threshold, monthly health insurance contributions alone will approach €1,000 (based on the average contribution rate of 17.1%, including the average additional contribution of 2.5%).

When you add contributions for long-term care, pension, and unemployment insurance, the total monthly burden reaches approximately €2,978 for parents or €3,013 for those without children. The good news for employees is that employers cover half of this increase.

Understanding the numbers

Here's a clear comparison of the key thresholds:

Based on current rates, here's what those at the ceiling will pay:

  • Health Insurance: €993.94 (at 17.1% average rate)
  • Long-term Care Insurance: €209.25 (parents) or €244.13 (childless)
  • Pension Insurance: €1,571.70 (at 18.6%)
  • Unemployment Insurance: €202.80 (at 2.4%)

These calculations assume current contribution rates, which may change. The average additional health insurance contribution has already been exceeded by many public health insurance providers earlier this year, with this trend continuing.

Additionally, Federal Health Minister Nina Warken hasn't ruled out another increase in long-term care insurance contributions in January if additional budget funds aren't secured.

What should you do?

If you're considering switching to private health insurance, these changes make planning even more important. The decision between public and private insurance is complex and depends on many factors beyond just your income, including your age, health status, family situation, and long-term career plans.
You can read more about Private Health Insurance here.

Our advice: Don't rush this decision. The German insurance system offers different advantages depending on your individual circumstances. Private health insurance can offer excellent coverage and cost savings for some people, but it's not the right choice for everyone.

If you're approaching the income threshold or have questions about whether private health insurance makes sense for your situation, we're here to help. We specialize in guiding expats and international professionals through these complex decisions, always with transparent, independent advice in English.