What does TK public health insurance cover? | Feather Blog (2024)

TK (Techniker Krankenkasse or die Techniker) is the leading and largest provider of public health insurance in Germany, with over 11 million people availing of its coverage plans. It’s part of a vast network of not-for-profit public health funds (Krankenkassen) here, and is widely acknowledged as the prime choice for expats in Germany – for the seventeenth year in a row, TK was voted as Germany’s best public health insurance provider by the readers of Focus Money magazine.

What does this mean for you? Essentially, as someone searching for health insurance, you can trust in the services provided by TK via our insurance experts at Feather. In this blog post, we will talk about what does TK public health insurance cover and how much it would cost. Read on for the finer details.

What does TK public health insurance cover? | Feather Blog (1)

What’s included in TK health insurance’s coverage?

If you happen to be one of 11 million people who opt for coverage with TK, this is a snippet of what’s included:

  • Expert in its field | Coverage is proven to be safe, effective, and reliable. Preventative services, acute care, and full/partial reimbursem*nt for medications are included.
  • Includes pre-existing conditions | TK does not deny coverage for pre-existing conditions, and treatment and medications for disclosed illnesses will be fully covered.
  • Dependents are considered | Children and a non-working spouse can be included under one policy at no additional cost.

As well as the stellar coverage those insured with TK are entitled to, there are other key factors that should be considered:

  • Digital-first | In partnership with Feather, TK caters to ease of use. Customers can sign up instantly and digitally through Feather’s best-in-class digital signup process.
  • Services available in multiple languages | As an insurance provider catering to a network of expats, customers can apply in English, and speak to agents in a host of other languages.
  • App available in English | In plain English, you can use the app to upload sick notes and other health records or submit costs for vaccinations and other such treatments.

Overall, TK caters to peace of mind while providing you with a fully digital service. For information tailored to your individual needs, we encourage you to speak to one of our insurance experts today. Or you can consult our other comprehensive guides in our FAQs or on our blog.

How much does TK health insurance cost?

While you have a wide choice of public health providers to choose from through Feather’s partnerships, there are certain conditions that apply to all providers.

Firstly, there’s a public health insurance cap for monthly contributions. This means that if you earn over €4.987,50 pre-tax per month, your contribution will be based on that amount and no more. And secondly, there’s a standard contribution that you pay from your salary, and it’s broken down into the following sections:

  • Health insurance | At 14.6%, this is the main bulk of the contribution and it’s the same across all public health insurers in Germany.
  • Provider-specific additional contribution | Usually ranging between 1.2% and 1.9% of your salary, this contribution is set by the individual public health insurance provider.
  • Long-term care insurance | A contribution of 3.05% (or 3.4% if you’re older than 23 and don’t have kids) is required for “old-age” savings. This fee is the same across all public health providers, too.

And as is the case with all public health insurance funds (Krankenkassen), your earnings will dictate your overall contributions:

Employee earning over €2,000 per monthAs a salaried person, you and your employer each pay 50% of the contributions. To calculate your contribution online, please use our calculator.
Employee earning between €520 and €2,000 per monthAs a ‘midi-jobber,’ there’s an extra rule that provides financial relief. This consists of your employer taking on a bigger portion of your health insurance contribution.
The employee contribution will be zero at the beginning of the transitional period and will then rise to the regular employee contribution on a sliding scale.
Employee earning up to €520 per monthAs a ‘mini-jobber,’ your contributions depend on your specific situation. If you’re part of somebody else’s family insurance, receive unemployment benefits, or have another full employment contract, you don’t have to worry about the contributions for being a mini-jobber.If none of the above is true, you are probably voluntarily insured, and you can find your contributions below.
Self-employed personAs a self-employed person, you have to pay the contributions yourself, which can amount to 18% of your total income.
You can calculate your contribution using our online calculator.
Students under 30 years of ageAs a student under 30 years of age, you pay a fixed, reduced price that’s not tied to your income, but rather your status as a student.
For any differences in provider-specific contributions (as outlined above, please use our resourceful calculator.
Voluntarily insuredIf you don’t fall into any of the above categories but still qualify for voluntary public insurance, your contributions are tied to your income.
As of January 2023, the minimum contribution is €206,53. For more information, please consult our FAQ.

For a prospective price on monthly TK contributions, please use our intuitive tool here.

Does TK health insurance cover prescription medicine?

Yes, TK covers up to 90% of the cost of medication prescribed by your doctors or other medical professionals. The remaining 10% for each prescription per package should be covered by you. This fee is a minimum of €5 and up to a maximum of €10.

Please note that TK will not cover the cost of over-the-counter medications.

Does TK health insurance cover dental treatments such as teeth cleaning?

Yes, up to a point. A topic that inspires confusion in those covered by public health insurance, there are some things to note here. As part of the Krankenkassen, TK will cover plaque removal (Zahnsteinentfernung) once a year as part of preventive coverage.

However, intensive cleaning – which includes teeth-polishing and a fluoride treatment – does not come under the preventative care code. This is where a supplemental dental insurance policy can come into play. For more information on this topic, please consult our most recent guide.

Does TK health insurance cover dental treatments such as fillings?

Yes, but TK insurance Public usually covers “amalgam” fillings that are mercury-based and don’t match the color of your teeth. Dental insurance on the other hand, always covers high quality, color matching fillings from materials like composite or ceramics.

That’s why it’s recommended to add a supplemental dental insurance policy to your existing TK plan. For more information on this topic, please consult our most recent guide.

Does TK health insurance cover physiotherapy?

Yes, TK insurance covers physiotherapy up to the value of 90% after an accident. With this, you will need to pay the remaining costs (usually up to 10%) out of pocket. The amount of sessions prescribed by your doctor is generally limited to a handful of sessions – any further treatment should be discussed with medical professionals and paid for out of pocket.

Does TK health insurance cover dermatologic treatments?

Skin-cancer screening, also known as skin-screening, is available to people aged 20-34 every 24 months from a dermatologist or specialist in skin and sexually transmitted diseases. Please note that there are different agreements depending on what federal state you live in.

From the age of 35, you’re entitled to a skin-screening every second year by general practitioners, specialists in skin and venereal diseases, dermatologists, internists, and general practitioners who have taken part in the appropriate training courses.

Securing insurance with Feather

All about you, for you. Insurance is one of the most personal choices you can make and at Feather, we present plans with coverage that fit your lifestyle. We know that making your way through the necessary information can be daunting, so we’ve created tools to simplify this process:

We do the work

This intuitive tool will help you find your recommendation for a monthly price and provider today.

It’s free

Our partnerships with public health insurance-providers mean you can avail of our services without charge.

100% digital

The entire process is paper-free and conducted online. This means it’s simpler, quicker, and perfect for those new to Germany who may not have found their permanent base yet.

English-first

As expats, we’ve all been there so we know how daunting it can be to go through the insurance process in German. That’s why it’s carried out entirely in English.

Insurance involves more than health

At Feather, we take the holistic approach to insurance as we know it doesn’t begin and end with health coverage. Life happens and while you’re living it, we want to make sure you have total peace of mind. For that reason, we also provide additional Dental coverage, Personal Liability plans, Household Contents insurance, and more.

How can we help you today? To talk to someone now, simply send us a message or book a call with one of our insurance experts at a time that works best for you.

Still making up your mind? If so, you can read more from Feather on our blog or in our FAQ section.

What does TK public health insurance cover? | Feather Blog (2024)

FAQs

What does TK public health insurance cover? | Feather Blog? ›

Yes, TK covers up to 90% of the cost of medication prescribed by your doctors or other medical professionals. The remaining 10% for each prescription per package should be covered by you. This fee is a minimum of €5 and up to a maximum of €10. Please note that TK will not cover the cost of over-the-counter medications.

How to use TK health insurance? ›

The TK eHealth card acts as proof of your insurance cover when you visit a doctor. With this card you can use medical services in Germany and abroad. All you have to do is present the handy chip card when you receive medical treatment from doctors, in hospitals or by approved therapists - it couldn't be simpler!

Does TK cover the root canal? ›

We will pay for root canal treatment in cases where the tooth is considered to be worth preserving and this is the most suitable type of treatment. We will also cover the costs of root tip resection for teeth at the front and sides.

Is a dermatologist covered by TK? ›

Yes, TK covers the costs up to the maximum non-statutory benefit for patients aged 20 years and over.

Is therapy covered by TK insurance in Germany? ›

TK Insurance covers various medical treatments and consultations with healthcare professionals, including general practitioners, specialists, and therapists.

What all is covered in TK health insurance? ›

We cover skin cancer screening for TK insurees aged just 20 and upwards – earlier than required by law. You can get your skin checked every 2 years by a der- matologist participating in this TK agreement. You can get hom*oeopathic treatment from any SHI accredited doctor in Germany who offers this service.

How to get reimbursed from TK? ›

Simply upload the invoice to our password-protected area "Meine TK" ["My TK"] or to the TK-App. You will find further information at tk.de, search code 2030122. We will reimburse the costs as soon as the amount you have collected allows this.

Does TK cover outside Germany? ›

You will need private travel medical insurance in virtually every country outside Europe because TK is unable to cover any medical expenses incurred there. However, private cover is also recommended when travelling to other European countries.

Does TK cover periodontics? ›

We will check whether we can cover the costs before your treatment begins. For this, your dentist is required to draw up a treatment plan and send it to us. Once we have approved this plan, the contractually agreed costs will be billed to us directly via the TK eHealth card.

What qualifies as root canal? ›

Root canal is a treatment to repair and save a badly damaged or infected tooth instead of removing it. The term "root canal" comes from cleaning of the canals inside a tooth's root.

Does TK insurance cover orthodontics? ›

Yes. Our cooperation partner Envivas Krankenversicherung AG offers a plan known as ZahnFlex. This includes a plan especially for children which covers orthodontic treatment costs of up to 1,000 EUR a year.

Is a root canal covered by insurance in Germany? ›

Root canal treatment costs between 200 € and 1000 € per tooth. The public insurer covers the cost only if the tooth can be saved. However, you must still pay part of the costs out of your own pocket. Public health insurance doesn't cover the costs of dental implants.

Is homeopathy covered in TK in Germany? ›

Homeopathy and alternative medicine

TK will happily refer members to homeopathic practitioners in their region, and will cover the first 60 minutes of consultations.

Does TK cover the eye? ›

We can subsidise glasses if the visual defect in one eye is more than six dioptres, if you have a visual defect of more than four dioptres due to astigmatism, or if you are severely visually impaired, i.e. you have no more than 30 per cent vision in your better eye despite wearing glasses or contact lenses.

What is not covered by health insurance in Germany? ›

For example, public health insurance does not cover needs such as dental implants, glasses or contact lenses or private rooms in hospitals, but a private insurance policy might cover several or all of these.

What does my health insurance cover in Germany? ›

German health insurance generally covers visits to doctors as well as basic dental care, surgery, outpatient appointments, and essential or non-cosmetic in-hospital treatments.

How do I switch to TK health insurance? ›

What do I need to do to become a member of TK? Becoming a member of TK couldn't be simpler! All you need to do is complete the online application form. If you are already a member of another health insurance fund, we will inform them about your switch to TK.

Can I use my TK insurance in Turkey? ›

Thanks to the European Health Insurance Card (EHIC), your TK eHealth card provides you insurance cover throughout Europe . Which means you should always take your card with you when you travel.

How do I activate my TK? ›

Submit your activation request on your Expatrio portal
  1. In order to activate your Public Insurance (TK) you must login to the Expatrio Portal and select 'Health Insurance'. ...
  2. Once the activation page has opened, click NEXT to proceed.
  3. On the next page, you will have to provide your German address and your phone number.

Can I use my health savings account to pay for health insurance? ›

By using untaxed dollars in a Health Savings Account (HSA) to pay for deductibles, copayments, coinsurance, and some other expenses, you may be able to lower your overall health care costs. HSA funds generally may not be used to pay premiums.

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