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Neuschwanstein Castle in Bavaria, Germany

🇩🇪 Europe

Health insurance for Americans living in Germany

Germany requires proof of health coverage for nearly every long-stay visa, which makes getting the right plan one of the first things Americans moving there have to sort out.

What expats in Germany should plan for

  • Health insurance is mandatory and checked at the visa and residency stage.
  • Residents choose between the public (statutory) system and private coverage.
  • Newcomers often start on private international coverage before settling into a local plan.
  • A long-term plan satisfies the requirement and covers travel home and around Europe.

The health system in Germany

Germany's system is comprehensive but proof of coverage is non-negotiable for the visa. A long-term plan meets the requirement and pays providers directly.

Just visiting Germany on a trip? See short-term travel medical coverage for Germany.

Recommended for living abroad

Long-term

Long-Term

Real health insurance for living abroad.

Expats, remote workers, and retirees living outside the US for six months or longer.

  • Comprehensive health coverage, not just emergency travel care
  • Renewable year after year while you live abroad
  • Access to a vetted international provider network
  • Direct pay at in-network providers, so you are not fronting the cost
Get a Long-Term quote
A valley in the Bavarian Alps, Germany

Build a life in Germany. Keep health coverage that follows you there.

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The difference that matters

Your doctor gets paid directly. You do not front the bill.

BCBS Global Solutions has a direct-pay provider network in 190 countries. At an in-network hospital or clinic, the plan settles the bill directly. You are not handing over a credit card for a large medical charge and waiting months for a refund.

That is the gap most travel insurance leaves open. Plans like World Nomads, SafetyWing, and Allianz usually work on reimbursement. You pay upfront, file a claim, and hope it comes back. For a real emergency abroad, that difference is the whole point.

BCBS Global, in network

$0 out of pocket

Plan pays the provider directly at the point of care.

Typical reimbursement plan

Pay first, claim later

You cover the bill, then wait weeks or months for a refund.

Living somewhere else?

See all expat and nomad coverage →

Not sure which plan fits?

Book a free 15-minute Insurance Sanity Check. It is a second opinion on the coverage you have or the trip you are planning, not a sales pitch. Most people do not realize what their credit card or current policy leaves out.

Book your free Sanity Check

Free guide

Which BCBS Global plan fits you?

Get the plain-English plan picker. It walks you through Single-Trip, Multi-Trip, Long-Term, and student coverage in two minutes, so you buy the right plan the first time.

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