Beihilfe Insurance for Expat Civil Servants
You're a Beamter in Germany and English is your working language? Compare Beihilfe-compliant private health insurance (PKV) in English — free, takes 2 minutes.
Quick reality check before you read on
Beihilfe is a benefit for German civil servants (Beamte) and their dependants. Most expats in Germany are not Beamte. Section 7 of the Bundesbeamtengesetz (BBG) requires German citizenship for most posts; EU, EEA and Swiss citizens can fill some roles, naturalised Germans qualify normally.
Working at a university, Max-Planck or Fraunhofer on a TVöD or TV-L contract? You are an Angestellter, not a Beamter. Beihilfe does not apply — check our expat health insurance guide instead.
How Beihilfe actually works
Beihilfe is a state subsidy that covers part of your medical costs. The rest you pay through a private health insurance top-up called Restkostenversicherung. Together they replace public health insurance (GKV) for most Beamte.
| Your situation | Beihilfe share | Restkosten share |
|---|---|---|
| Single Beamter | 50% | 50% |
| Beamter + eligible spouse | 70% | 30% |
| Pensioner (Versorgungsempfänger) | 70% | 30% |
| Per eligible child | 80% | 20% |
Source: §46 BBhV (federal level). Bundesländer run their own Beihilfeverordnung; check your state's BVA page for differences.
What this looks like in practice
Imagine a hospital bill of €4,000. Your Dienstherr reimburses 50% through Beihilfe (€2,000). Your private top-up insurer pays the other €2,000. You pay nothing out of pocket — assuming the tariff covers what you used.
The catch: every Allgemeine Versicherungsbedingung (AVB) is different. Hospital class, dental cover, alternative medicine and waiting periods vary widely between insurers.
Which expats actually qualify?
Likely yes
- Naturalised Germans appointed as Beamte
- EU/EEA/Swiss citizens in eligible posts (§7 Abs. 1 Nr. 2 BBG)
- Foreign-born spouses of a Beamter (Beihilfe spouse rule)
- Children of a Beamter living in Germany
- Some federal civil servants under specific exceptions
Usually no
- Non-EU expats without German citizenship
- Researchers on TVöD/TV-L contracts (Angestellte)
- Most Max-Planck and Fraunhofer staff
- International school teachers on private contracts
- Self-employed expats
If you are not sure, your appointment letter (Ernennungsurkunde) is the document that confirms your status. No Ernennungsurkunde — no Beamten status, no Beihilfe.
English-language service: what to expect
Most German PKV insurers are still German-first. A handful run a real English service:
- Ottonova — app, customer service and policy documents fully in English; offers a Beihilfe-Tarif.
- Debeka, AXA, Allianz, DKV — classic Beihilfe specialists; English support quality varies. Ask for an English advisor before signing.
- HUK-Coburg, Hanse Merkur, R+V — Beihilfe-tariffs available; expect mostly German correspondence.
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Costs in 2026: what the public sources say
We don't publish "average" numbers we cannot back up. Here is what independent sources currently report for Beihilfe-Restkostenversicherung in 2026:
- Verbraucherzentrale publishes ranges around €150–450/month depending on age, Bundesland and chosen tariff.
- Finanztip highlights how the spread widens for older entrants and tariffs with full dental cover.
- The Bundesgesundheitsministerium explains the public/private split if you want the official version.
Your real number depends on age at entry, hospital class, dental cover, dependants and Bundesland. Scroll back up to the widget to see live tariffs — that is more useful than any average.
Need money for the move or a deposit?
Many new Beamte juggle Kaution, moving costs and the first PKV premium at once. Compare expat-friendly loans:
Compare loans for foreigners in GermanyWhat to compare in a Beihilfe-Tarif
Language of service
Language of service
Restkosten coverage
Restkosten coverage
Cover abroad
Cover abroad
Frequently asked questions
Frequently Asked Questions
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