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German Employers Pitch Health Insurance Overhaul With €30–50 Billion in Savings

The leak lands during the run-up to government reform proposals, with funds warning of higher supplementary rates.

Overview

  • An unpublished BDA paper outlines measures the group says could trim statutory health insurance spending by €30–50 billion a year.
  • Key proposal: end contribution-free spousal co-insurance, requiring a minimum monthly payment of about €220 that the BDA estimates would yield €2.8 billion.
  • The plan revives a €10 charge per doctor visit as a “contact fee,” replacing the abolished quarterly practice fee to curb unnecessary appointments.
  • The paper calls for cutting VAT on medicines and medical aids to 7 percent, which it calculates would free roughly €5.3 billion annually.
  • The BDA projects the package could lower average contribution rates by 1.5–2.0 percentage points, while officials caution the ideas are not policy as many funds expect to raise supplementary contributions.