Information - Familienversicherung in der gesetzlichen Krankenversicherung; Beantragung - Dienstleistungsportal Bayern

Description

As a member of a statutory health insurance fund, you can insure family members free of charge under certain conditions. You apply for family insurance for your dependents to your statutory health insurance fund.

You can co-insure the following family members:

• Your spouse or registered partner, if he or she has little or no income of his or her own.
• your children up to certain age limits,
• grandchildren and stepchildren living in your household or for whose support you provide, as well as foster children.

If you are insured as parents in different statutory health insurance funds, you can choose where you insure your child or children as a family.

Prerequisites

You can apply for family insurance if

• you have statutory health insurance
• your family members live in Germany

your spouse or civil partner

• is not self-employed on a full-time basis or is not insured by law himself/herself, for example, as an employee or pensioner;
• is not privately insured, for example, as an employee, civil servant or retired civil servant;
• is not exempt from compulsory health insurance and
• has no or only a low income. The exact income limit is set by the legislature each year.

Your children are

• under 18 years of age or
• under 23 years of age and not yet working, or
• Under 25 years old and still attending school, studying or completing unpaid school-based vocational training.

Children with a disability can remain permanently covered by family insurance if they cannot support themselves even as adults.

Your grandchildren as well as your stepchildren can be covered by family insurance within the age limits mentioned above, if they

• live in your household or
• you are mainly responsible for their subsistence.
• Foster children living permanently in a domestic community also belong to the group of children who can be insured as family members.

If your spouse or partner is not covered by statutory insurance but, for example, by private insurance, you may only insure joint children free of charge if

• your partner's salary is below the statutory annual salary limit, or
• your partner earns less than you.

Procedure

You can submit the application for family insurance by mail and - for many statutory health insurance funds - in person at the office or online.

• Fill out the application form of your statutory health insurance company and submit it to the health insurance company together with the required documents. There are usually different forms, depending on whether you are applying for the first time or reviewing the requirements.
• The health insurance company will check whether you are entitled to family insurance and will inform you of the result.
  

Deadlines

There are no deadlines for you.

Processing time

Processing normally takes about 1 to 4 working days.
For rapid processing and decision-making, your health insurance fund must be provided with the necessary information and any required documents in a complete and meaningful manner.
The health insurance company decides on applications promptly, adhering to the statutory processing time limit in order to protect patients' rights.
Please note that the processing time indicated is an average value for all health insurance funds. It may vary in individual cases.
The exact processing time also depends on the complexity of the individual case and may be longer accordingly. The same applies if documents or records are sent to you or your health insurer by mail.

Required documents

• Required Documents
  • aktuelle Entgeltbescheinigung oder aktueller Einkommensteuerbescheid Ihres Partners oder Ihrer Partnerin (in Kopie), wenn dieser oder diese nicht gesetzlich krankenversichert ist
  • bei Kindern ab 23 Jahren: Schul- oder Studienbescheinigung

  Im Einzelfall sind weitere Unterlagen wie Rentenbescheide oder Nachweise über Kapitalvermögen erforderlich. Bitte informieren Sie sich dazu bei Ihrer gesetzlichen Krankenkasse.
   

Forms

• Form, Bavaria-wide: Zum Antrag auf Familienversicherung über den Kassen-Navigator des GKV-Spitzenverbands

  Please note

  This form requires no signature. You can sent it electronically (e.g. by secure email or De-Mail) or as hardcopy to the responsible authority.

Fees

• You do not have to pay anything for the application.

Legal bases

• § 10 Sozialgesetzbuch Fünftes Buch (SGB V)
• § 7 Zweites Gesetz über die Krankenversicherung der Landwirte (KVLG 1989)

Remedy

• Objection
• Action before the social court

Links to more information

• Informationen zur Einkommensgrenze für die Familienversicherung auf der Internetseite des GKV-Spitzenverbands