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Germany’s 2023 Microcensus Finds 72,000 Without Health Coverage

The microcensus points to near‑universal coverage under Germany’s insurance mandate.

Overview

  • Fewer than 0.1% of residents lacked both insurance and any entitlement to care in 2023, according to Destatis.
  • A further 198,000 people were not insured but had an entitlement to healthcare, including groups such as asylum seekers and social assistance recipients.
  • Coverage was split between statutory insurers at 89% (about 73.3 million, including 16.8 million family dependents) and private insurers at 11% (about 9.0 million, including nearly 2.4 million family dependents).
  • Those without protection were predominantly men (61%) and mostly outside the labor force (75%), with retirees and students aged 26 and over prominent.
  • Findings come from a four‑year supplementary microcensus module based on self‑reports that exclude homeless persons and certain foreign households, limiting direct comparisons with earlier years.