Overview

• Fourteen public insurers have applied to raise their supplementary rates at midyear, including six set for July 1 following eight earlier hikes since January.
• For pensioners drawing a standard pension, the hikes could mean up to €255 in additional annual costs under the two-part contribution system.
• A McKinsey “GKV-Check-up 2025” warns that up to 60 statutory health funds could face insolvency without swift financial stabilization measures.
• The Kassenärztliche Bundesvereinigung has proposed a round-table discussion and industry bodies including the GKV-Spitzenverband seek a temporary spending moratorium, increased digitalization and targeted excise levies to shore up finances.
• Nursing care insurance is also under strain, with a projected €3.5 billion deficit in 2026 after running losses in 2024 and early 2025.