From the start of 2024, additional contributions for statutory health insurance will rise by 0.1 percent in Germany, Health Minister Karl Lauterbach (SPD) revealed this week.
The move will bring these contributions up to their highest rate ever of 1.7 percent.
Currently, mandatory health insurance contributions are set at 14.6 percent and additional contributions (which are set by the health insurer) can be up to 1.6 percent.
Not every insurer chooses to charge the maximum additional contribution set by the state. For example, Techniker Krankenkasse currently charges 1.2 percent, while Barmer charges 1.5 percent.
This means that not everyone will statutory health insurance will see an increase in costs next year, but some insurers are likely to opt for the additional income.
For most people in employment, this would mean an extra 0.05 percent of their wages would go to their health insurance - amounting to 5 cents per €100 earned - with the other 0.05 percent covered by their employers.
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Freelancers, who tend to cover both the employer and employee half of the contributions, would see an extra 10 cents per €100 go towards their health insurance.
Statutory insurance funds are obliged to notify their customers in advance of any fee increases, with customers then given a 'Sonderkündigungsrecht', or special right of termination.
Financial deficit
The announced increase in additional contributions comes after months of debate over how to fill the financial black hole in Germany's healthcare system.
In the aftermath of the Covid pandemic, Health Minister Lauterbach has been struggling to find ways to keep Germany's healthcare system afloat in the face of limited staff and yawning deficits.
This year, the statutory insurance funds (GKV) are facing a historic deficit of €17 billion, with care insurance funds also battling a €4.5 shortfall.
Back in June, Lauterbach announced that price rises were "inevitable" since Finance Minister Christian Linder (FDP) had refused to raise government subsidies for healthcare this year or next.
The Social Democrat and former doctor had previously rolled out a financial stabilisation package that included an increase in additional contributions, €14.5 billion of treasury funding and enforcing pharmaceutical discounts on medicines.
He has repeated ruled out cuts in healthcare services.
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"Last year's Financial Stabilisation Act has had an effect," he said. "Health insurance contributions will hardly increase at all. This strengthens confidence in the social security systems."
The move is expected to fill at least €1.6 billion of next year's €3.2 million spending gap.
However, the increase was slammed by Steffen Kampeter, CEO the Confederation of German Employers' Associations (BDA).
"Work should be more attractive and fun in net terms," he told the newspaper. "The rising social security contributions are spoiling this joy."
Without a reform of the health-and care-insurance system, acceptance of the social security systems would dwindle, Kampeter said.
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