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Private or complementary health insurance?

Both get you into private hospitals. They do it differently, and the right answer depends on your SGK status and which hospitals you would actually use.

If you have SGK and want to be treated at private hospitals, there are two routes. They cost very different amounts and work in genuinely different ways.

How each one works

Complementary healthPrivate health
Requires SGKYes — it does not work without itNo
Hospital networkContracted with SGK and the insurerWider, insurer's own network
Who paysSGK first, policy covers the differenceThe policy carries the cost
Relative costNoticeably lowerHigher
Treatments SGK does not recogniseGenerally not coveredMay be covered

How to choose

Start from the hospitals, not the price. Write down the two or three hospitals you would realistically go to, then check whether they are in the network. A complementary policy that excludes your nearest private hospital is cheap for a reason.

If you do not have SGK — or your employment status is about to change — complementary cover is not an option at all, because it only functions as a top-up.

For foreign nationals there is a third consideration: a residence permit application requires health insurance that meets a particular standard. Not every policy qualifies, so say at the outset that this is what the cover is for.

Questions worth asking before you sign

  • Which hospitals near me are in the network, by name?
  • Is outpatient treatment included, and how many visits per year?
  • What waiting periods apply, and to what?
  • How is my existing medical history being treated — excluded, loaded, or accepted?
  • What happens to the policy if I change job and my SGK status changes?