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Health and Nursing Insurance to Face Further Premium Rises as Loans Fall Short

Temporary federal loans after midyear rate hikes fail to cover escalating costs in health and nursing insurance.

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Overview

  • More than fourteen statutory insurers have raised their supplemental contribution rates since April, including six further hikes that took effect on July 1.
  • Government-approved loans of €2.3 billion annually for 2025 and 2026 in health insurance plus €500 million in 2025 and €1.5 billion in 2026 for nursing insurance only provide a short-term buffer.
  • Jens Baas of Techniker Krankenkasse warns that current funding measures will not stabilize contributions and forecasts further surcharges in both health and nursing schemes next year.
  • Members gain a special termination right to switch carriers immediately after any supplemental rate increase without meeting the usual binding period.
  • A McKinsey analysis finds up to 60 health funds at risk of insolvency without systemic reforms such as spending moratoriums and enhanced digitalisation.