A simple outline of the health sector in three areas provides an "onion model of health care economics" by Elke Dahlbeck and Josef Hilbert from "Institut Arbeit und Technik (IAT)" at the University of applied sciences Gelsenkirchen: Core area is the ambulatory and inpatient acute care and geriatric care, and health administration. This site uses functional cookies and external scripts to improve your experience. All in all the distribution of physicians or hospitals is good all over Germany, however, you'll find the biggest population of both in the big cities. The biggest public insurers are the Techniker Krankenkasse, Barmer Ersatzkasse, and the diverse regional AOKs. Waiting Your Turn: Wait Times for Health Care in Canada, 2018 finds that the median wait time for medically necessary treatment in Canada this year was 19.8 weeks. Five structural principles characterize the German social health insurance (SHI): It kind of works like a fund where members have to pay according to their ability. You can also check the Gelbe Seiten, which is the German Yellow pages, for a list of German doctors. 7,3% of your gross monthly salary with the limits to be considered (see Public Healthcare Insurance above). Only some people in Germany can exchange their statutory healthcare policy for a private Krankenversicherung (PKV or private policy), although people do have the right to top up their state coverage with private extras if they want to. , Besides the "Statutory Health Insurance" (Gesetzliche Krankenversicherung) covering the vast majority of residents, those with a yearly income above 60,750 Euros (2019), students and civil servants for complementary coverage can opt for private health insurance (about 11% of the population have private health insurance). Most people are on a statutory insurance policy, meaning they pay half and their employer pays the other half. You’re unlikely to have a room to yourself, though, unless your insurance policy specifies as much, as many private policies do. The 'second health market' in Germany is compared to the United States still relatively small, but is growing continuously. Others don't. The German healthcare system prefers to take a wait-and-see approach whenever there are treatment options necessary for a patient. If you've ever been a member of a private insurance fund and you earn more than the said €57,600, you have no choice but to stay private. If you need special treatment, your physician will recommend a hospital, but you are not bound to follow it. both, husband and spouse, need to be insured with public healthcare. Doctors usually speak some decent English so that they can make themselves comprehensible to you. The freedom of choice for a private (or public) health insurer is limited also by your historical contracts. If you’re moving to Germany, one of the first things you’ll have to consider is how you’ll get around. You can often choose out of two options. Just give us a hint via email to firstname.lastname@example.org. The physician can and will always try to attract private patients, too, because a similar catalog has been developed for private services - basically the same, but with higher value. See here to find a ranking of German hospitals. Health economics in Germany can be considered as a collective term for all activities that have anything to do with health in this country. , In a sample of 13 developed countries Germany was seventh in its population weighted usage of medication in 14 classes in 2009 and tenth in 2013. Just ask your doctor in Germany for a Krankheitsbescheinigung (illness confirmation), which you can give to your employer. IdNr. Prerequisites to become a doctor in Germany. Public, private or universal healthcare: Germany has universal healthcare coverage, which means everyone living in Germany must have health insurance. The Arzthelfer may not speak English, so if your German is not particularly good you may want to have a couple of basic phrases handy to explain which date and time you want. After that, the health insurance pays 70% of your salary for up to 78 weeks, Vaccinations, except for vaccinations for foreign travel, Orthodontic treatments, usually up to the age of 18 years, Medically necessary dental fillings and crowns. German healthcare isn’t free, but when you’re covered with health insurance, getting ill shouldn’t be a costly affair. . The education to become a doctor in Germany is still one of the hardest. You should receive a health card in the post once you’re fully signed up. Meals and mealtimes at hospitals conform to what's usual in Germany: breakfast and dinner will be bread, lunch some hot meal. , The turnover of the health sector was about US$368.78 billion (€287.3 billion) in 2010, equivalent to 11.6 percent of gross domestic product (GDP) and about US$4,505 (€3,510) per capita. Expenditure on pharmaceutical drugs is almost half of those for the entire hospital sector. English is quite widely spoken in Germany generally, so you may well find that your doctor can talk to you a little bit in English. Expatica uses technology such as cookies and scripts to personalize content and ads, provide social media features, and analyze our traffic. If you are seeing a doctor in Germany for the first time, you may have to fill out a questionnaire detailing your medical history. Call your own doctor. 2 months to month's end). ", "Duden – Krankenkasse – Rechtschreibung, Bedeutung, Definition, Synonyme", "The Case for Universal Health Care in the United States", "German Health Care System – an Overview – Germany Health Insurance System", "Universal Problems & Universal Healthcare: 6 COUNTRIES — 6 SYSTEMS", World Health Organization Statistical Information System: Core Health Indicators, "International infant mortality rankings: a look behind the numbers", "Überschüsse bei den Krankenkassen – wohin mit dem Geld? Premier Healthcare Germany has access to a high capacity of medical care within their existing network. You can choose private healthcare instead of GKV if you earn over a certain amount (€57,600 in 2017), or if you’re self-employed or a civil servant.  The sickness funds are mandated to provide a unique and broad benefit package and cannot refuse membership or otherwise discriminate on an actuarial basis. Which cookies and scripts are used and how they impact your visit is specified on the left. One of our expertises is arranging patients timely medical care. Key fact to remember: you need to have health insurance the moment you start working as an employee. Hospital fees, outpatient treatment, drugs and basic dental care all have to be covered, and so do costs associated with pregnancy.
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