Term

Family Insurance (Familienversicherung)

Expert-reviewed Updated: 2026-08-31 Expert-reviewed: 2026-09-04 (Guido Hesse, Hesse Group Holding AG) Version 0.1.0

Family insurance allows spouses and children of a member of Germany's statutory health insurance to be co-insured without additional contribution, subject to income limits.

Concept

Family insurance is a distinctive feature of Germany’s statutory health insurance under which spouses, registered civil partners, and children of a statutorily insured member can be co-insured without an additional contribution, subject to certain conditions.

Requirements

Family insurance requires in particular that the co-insured family member’s own total income does not exceed the compulsory insurance threshold, that the family member is not engaged in self-employment as a primary occupation, and that the family member is not otherwise already subject to compulsory insurance, exempt from insurance, or released from the insurance obligation for other reasons; for children, general age limits also apply, which can be extended under certain conditions (such as schooling or vocational training).

Relevance for Contributors

Family insurance is a central solidarity feature of statutory health insurance, since it allows a single contributing member to secure full health insurance coverage for the entire family without additional contributions for co-insured family members; if a family member’s income exceeds the threshold, family insurance ceases to apply to that person, and separate insurance becomes necessary.