Family & health

Residence, family, health and the paperwork of life.

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Health & insurance

Residence, family, health and the paperwork of life.

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Health navigation for Germany

Know the right next step for your health

Urgent help, care access, prevention and cost planning — clearly separated and based on official German sources.

Do you need help now?

Choose by urgency. EziLens does not diagnose.

What do you want to do?

Your planning profile

Your Krankenkasse:
Age:yrsSex:My Krankenkasse has confirmed the formal 1% chronic threshold
Dental booklet: gapless years so far(one stamp per year (under 18: two))yrs

Planning estimate

70

Potential amounts, not a payment promise.

70Dental 60% (+€0)

Only your Krankenkasse can confirm the binding cap and any refund.

💼 Statutory vs private line (Versicherungspflichtgrenze) · 2026 figures

Your gross salary decides whether you may leave statutory insurance (GKV) for private (PKV).

Bonus program — TK

Kassen pay CASH for things you'd do anyway. Tick what you already did this year; the rest is open money. Amounts are typical — confirm in the TK app.

Still claimable this year: €70

Program cap: ~€200/year · ×2 (€400) as Gesundheitsdividende · Submit via the Kasse app/portal — most pay within weeks.

Dental booklet (Bonusheft) — your hidden insurance

Dentures/crowns: the Kasse pays 60% of the standard plan. With 5 gapless yearly stamps → 70%. With 10 → 75%. Miss a year and you fall back for years.

60%70%75%Your current coverage tier: 60%

5 more gapless year(s) → 70%

On a typical €4,000 treatment plan your booklet is already worth €0 extra subsidy. 10-year tier: ONE missed year can be excused with good reason — ask your Kasse in writing.

Free checkups you're entitled to right now

Statutory prevention (G-BA) — 100% covered, most also earn bonus points:

  • Dental check twice a year (stamp + bonus)
  • Health check-up: once 18–34, every 3 years from 35

Co-payment cap — the 2% rule almost nobody uses

Prescriptions, hospital days, therapies: you co-pay max 2% of yearly gross household income — 1% if chronically ill. Everything above MUST be refunded.

Gross household income/month

Diagnosis-code decoder (ICD)

The cryptic code on your sick note (AU) or doctor letter — e.g. J06.9 G. Type it; we translate the code AND the scary little letters. Decoded locally, nothing sent or stored.

Co-payment-free medicines — keep €5–10 per prescription

Many prescribed drugs have an identical-ingredient alternative that is officially CO-PAYMENT-FREE. The GKV list is updated every two weeks.

  • 1. Ask the doctor to prescribe 'zuzahlungsbefreit' or leave aut idem unticked
  • 2. At the pharmacy ask: 'Gibt es das zuzahlungsfrei?' — they must tell you
  • 3. Check the official list before paying (updated every 2 weeks)

Official GKV list (PDF) ↗

GKV publishes this list as PDF only (usage rights) — so we link the always-current original instead of copying it.

Access fast — the 4 numbers that matter

Document: Sick note (eAU) is digital: the doctor sends it to Kasse + employer automatically — but you must still TELL your employer on day one.

‍ Hausarzt — your key to the whole system

  • Without a family doctor you wait longer everywhere — referrals (Überweisung) to specialists come from them
  • Finding one taking patients: call in the morning, search arztsuche.116117.de, or ask your Kasse's patient service
  • First visit: bring eGK card, vaccination booklet, medication list
  • They keep your file — bonus forms, checkup stamps and sick notes all run smoother

Official sources

The rules and next steps link directly to German public institutions.

Content reviewed: July 2026

Privacy: Educational orientation with verified 2025/26 figures (SGB V §62, KZBV Festzuschuss, G-BA prevention, Kassen bonus terms) — not medical or legal advice; bonus amounts vary by Kasse/region.

Official German sourcesLast updated: Reviewed regularlyMethodology