What does travel health insurance within the EU cover?

Health insurance while traveling within the European Union (EU)
This is a highly important topic—especially if you live in Germany and plan a holiday or business trip to another European country. Here is a comprehensive guide explaining what this insurance covers, its types, and when you need additional insurance:

First: What is the legal basis for coverage within the EU?
Anyone insured under Germany’s statutory health insurance (GKV) has the right to receive necessary medical treatment while traveling in EU countries via:

  • the European Health Insurance Card (EHIC)
    It is part of the regular insurance card issued by your Krankenkasse.

What does the EHIC cover while traveling?
It covers only medically necessary, urgent treatment during the trip, including:

Covered Not covered
Visiting a GP or emergency services Cosmetic or elective treatment
Hospital admission in an emergency Full costs of private treatment
Prescriptions for urgent medication Repatriation home (medical air evacuation)
Care due to a sudden accident Costs outside the public healthcare system

You are treated like a local resident in terms of costs, meaning you:

  • pay the same share locals pay

  • may have to pay upfront and claim reimbursement from your insurer later

Do I need additional travel health insurance (Reisekrankenversicherung)?
Yes, it is always recommended because the EHIC does not cover:

  • repatriation in case of illness or death (Rücktransport)

  • treatment in private hospitals/clinics outside the public system

  • full costs of treatment in countries outside the EU

  • extra services such as a single room or a private doctor

The cost of additional insurance starts from €10/year, offered by:

  • TK, AOK, DAK (as add-on insurance)

  • companies such as HanseMerkur, Allianz, Debeka

Does it include countries outside the EU?
No. The EHIC does not cover countries such as Turkey, Ukraine, Egypt, or Switzerland (except under special agreements).
In that case, you need fully international travel health insurance.

Important steps before traveling:

  • Check that your EHIC is valid (expiry date)

  • Carry copies of your insurance card and your Krankenkasse contact details

  • Buy private travel health insurance if you:

    • will travel outside Europe

    • have a chronic condition

    • want full coverage including repatriation

Summary:

Situation Is the EHIC enough? Additional insurance recommended?
Short holiday in France Yes Recommended
Business trip in Italy Yes Recommended
Vacation in Turkey No Very necessary
Long stay or private treatment No Necessary

The website’s writers and editors aim to provide accurate information through extensive research and multiple sources. However, errors or unconfirmed information may occur. Please treat the information in the articles as initial reference and always consult the competent authorities for confirmed details.


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