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Germany Removes General Statutory Coverage for COVID Booster

Authorities said broad population immunity with falling hospitalisations justified shifting the COVID booster to self-pay for most insured people while targeted annual boosters remain for the elderly and high‑risk groups.

Overview

  • The Gemeinsamer Bundesausschuss adopted updated STIKO guidance at the end of October and the COVID booster is no longer generally covered by statutory health insurance for most people.
  • Health agencies, citing the Robert Koch Institute's finding that over 95 percent of adults have immunity and that COVID hospitalisations and deaths have declined, framed the change as a public‑health recalibration.
  • People aged 75 and older, those with elevated medical risk and certain other groups remain recommended for and effectively covered for an annual booster under the new rule.
  • Most insured people now face an out‑of‑pocket cost of roughly €100 for a booster, prompting clinicians to assess vaccine need case by case and raising concerns about financial and access effects for some patients.
  • Regional influenza surveillance in Mecklenburg‑Vorpommern shows the season starting slowly at about last year’s level, health officials recalled the 2025/26 season with roughly 12,000 cases and 25 deaths and urged urgent flu vaccination for older adults, pregnant people and those with pre‑existing conditions.