Incoming Insurance for New Arrivals in Germany
Short-term private health insurance designed for expats, visa applicants, and anyone arriving in Germany before they can enroll in the regular system.
What Is Incoming Insurance?
Incoming insurance (Einreiseversicherung) is a type of short-term private health insurance specifically designed for people arriving in Germany. It bridges the gap between your arrival date and enrollment in the regular German health insurance system (GKV or PKV).
Unlike standard German health insurance, incoming insurance does not require a German address, bank account, or employment contract to purchase. You can often buy it online before you even board your flight.
Who Needs Incoming Insurance?
Several groups of people benefit from incoming insurance during their first weeks or months in Germany.
Coverage: What You Get and What You Don't
Typically Covered
- Outpatient doctor visits and specialist referrals
- Emergency hospital treatment and surgery
- Basic dental care (pain relief and simple fillings)
- Prescription medications
- Diagnostic imaging (X-rays, MRI when medically necessary)
- Ambulance and emergency transport
Typically NOT Covered
- Pre-existing conditions and chronic disease management
- Pregnancy, prenatal care, and childbirth
- Mental health therapy and psychiatric treatment
- Preventive care and routine check-ups (often excluded)
- Dental crowns, bridges, and orthodontics
- Vision correction (glasses, contact lenses, LASIK)
- Coverage limits typically capped at €30,000–€300,000
How Long Can You Use It?
Incoming insurance is always temporary. It is not a substitute for long-term health insurance in Germany.
1 month
Most policies start at 1 month
6-18 months
Standard coverage periods
Up to 5 years
Some providers offer extended plans
Popular Incoming Insurance Providers
These providers specialize in coverage for expats and new arrivals to Germany.
Care Concept
Most popular among expatsDR-WALTER
Strong visa acceptancePROVISIT
Budget-friendly optionsMawista
Comprehensive coverage tiersFeather
English-first digital platformTransitioning to Long-Term Insurance
Incoming insurance is a bridge, not a destination. As soon as you have employment, a freelancer registration, or a confirmed residence status, you should begin the process of enrolling in GKV (public) or PKV (private) insurance.
Employees: Your employer will typically enroll you in GKV automatically. If you earn above the JAEG threshold of €77,400/year, you can opt out and choose PKV instead.
Freelancers: You can choose either GKV (voluntary membership) or PKV from day one. There is no income threshold for freelancers to access PKV.
Students: You must enroll in the student GKV rate (about €110/month) or opt out for PKV within the first 3 months of your studies.
Visa Requirements and Immigration
The Auslaenderbehorde (immigration office) requires proof of health insurance for most visa applications and residence permit renewals. Here is what you need to know:
- Request a Versicherungsbestaetigung (coverage confirmation letter) from your provider
- The letter must state coverage dates, scope, and that it meets German visa requirements
- Some consulates require coverage to begin from your entry date, not your registration date
- Short-term incoming insurance is accepted for initial visa applications and renewals
- For permanent residence permits, you typically need long-term GKV or PKV coverage
Frequently Asked Questions
Common questions about incoming insurance for new arrivals in Germany.
Yes, most incoming insurance policies are accepted by the Auslaenderbehorde (immigration office) for visa applications and residence permit renewals. However, you should always request a confirmation letter (Versicherungsbestaetigung) from your provider that explicitly states the coverage meets German visa requirements. Some consulates have specific requirements, so check with your local German embassy before purchasing.
Most providers allow extensions up to their maximum coverage period, which is typically 18 months to 5 years depending on the provider. You usually need to request the extension before your current policy expires. Some providers require a new application for extensions beyond 12 months, and premiums may increase for longer coverage periods.
Incoming insurance covers emergency and essential medical treatment, including hospital stays. However, coverage limits apply — typically between 30,000 and 300,000 euros depending on your plan. Pre-existing conditions are generally excluded. If you develop a new condition while covered, treatment is covered up to your policy limits, but the condition may affect your future PKV application during medical underwriting.
Not exactly. Travel insurance is designed for short trips (usually up to 90 days) and covers emergency medical evacuation and repatriation. Incoming insurance is specifically designed for people moving to Germany and provides broader coverage for a longer period. While both are short-term private insurance, incoming insurance is more comprehensive and more likely to be accepted for visa purposes.
Yes. If you are eligible for PKV (as a freelancer, high-earning employee, or civil servant), you can transition directly from incoming insurance to PKV. There is no requirement to join GKV first. However, the medical underwriting process for PKV may take 2-4 weeks, so plan your transition timing carefully to avoid a coverage gap.
Not Sure Which Insurance Type Is Right for You?
Compare incoming insurance, GKV, and PKV side by side to find the best fit for your situation, budget, and visa requirements.