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Germany Sets 2026 Health Insurance Add-On Benchmark at 2.9% Despite Insurer Warnings

Critics say the savings plan will not stop many funds from lifting their own add-on rates above the nonbinding mark.

Overview

  • Health Minister Nina Warken confirmed the average benchmark for statutory funds at 2.9 percent for 2026, based on the Schätzerkreis calculation and published slightly later than the legal 1 November date.
  • Parliament has passed a savings law targeting roughly €2 billion in cost brakes, largely in hospital spending, intended to ease near-term pressure on contribution rates.
  • The GKV federation, citing Chairman Oliver Blatt, warns that without further measures many insurers will raise rates, pushing the average add-on above three percent next year.
  • The benchmark is only guidance, as each fund sets its own add-on based on its finances; members split the overall 14.6 percent base rate plus the fund’s add-on and gain a special right to switch if their fund increases it.
  • TK chief Jens Baas calls the package too small and questions its effectiveness, arguing that blocked drug price reforms and close ties to the pharmaceutical industry are keeping costs high.