How Are Public Health Insurance Contributions Calculated?

Author name: Admin Publication date: 2025-06-29 Article category: medicine

How Are Contributions to Statutory Health Insurance (GKV) Calculated in Germany?

Basis: Contribution as a Percentage of Income Contributions are calculated as a percentage of monthly gross income, up to a maximum limit:

  • Beitragsbemessungsgrenze (BBG) = maximum income considered

  • 2025: €5,175 per month or €62,100 per year

  • Income above this limit is not included.

Contribution Rates

Type Total Employee Employer
Basic health insurance 14.6 % 7.3 % 7.3 %
Average additional (Zusatzbeitrag) ~1.6 % 0.8 % 0.8 %
Long-term care insurance 3.4 % (childless: 4 %) Half Half
 

➡️ Total: approx. 15.6–16.2 % of gross income (split equally).

Example Calculation

  • Income: €4,000

  • Rate: 16.2 %

  • Total contribution: €648

  • Employee share: €324

  • Employer share: €324

Special Cases

  • Mini-jobbers: no deductions, employer pays flat contribution

  • Self-employed: pay full contribution themselves (can exceed €800/month)

  • Unemployed (ALG I, Bürgergeld): covered by Jobcenter or Employment Agency

Key German Terms

  • Beitrag = monthly contribution

  • Zusatzbeitrag = additional contribution

  • Beitragspflichtiges Einkommen = income subject to contribution

  • Beitragsbemessungsgrenze (BBG) = maximum income limit

  • Krankenkasse = health insurance fund

 

How Are Contributions to Statutory Health Insurance (GKV) Calculated in Germany?
Basis: Contribution as a Percentage of Income Contributions are calculated as a percentage of monthly gross income, up to a maximum limit:


Beitragsbemessungsgrenze (BBG) = maximum income considered


2025: €5,175 per month or €62,100 per year


Income above this limit is not included.


Contribution Rates





Type
Total
Employee
Employer




Basic health insurance
14.6 %
7.3...

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