how much does a doctor visit cost in germany

Visiting a Doctor In Germany [2024 Guide]

by Live in Germany Team | Health Care in Germany

Last Update: Feb 24, 2024 @ 11:14 am

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Top 6 Things to Know When Visiting a Doctor in Germany

Whether you are an expat living in Germany or have a permit particularly for medical needs, the health care system of Germany is very different as compared to other countries. But if planned carefully, you can end up having a positive experience.

Patients Can Expect High Quality Care

If you have done thorough research before visiting a doctor in Germany, it can allow you to receive a low-stress and worry-free experience.

Quality Medical Treatment is Priority

Hospitals in Germany are focused on offering the best possible care to their patients rather than providing a luxurious experience. Due to this, the privacy and comfort level is not something patients are easy with.

German Doctors are Honest

Due to strict laws, patients can be assured at all times when visiting a doctor in Germany. They will be treated honestly and with transparency. Similarly, doctors share the truth with their patients. In case a family wants to keep the severity of illness secret from their patient, a German doctor will never keep it hidden and tell the patient the truth.

German Doctors Ask a Lot of Questions

To ensure best treatment, German doctors require a whole lot of information from their patients. They inquire in detail about the medical history of the patient.

German Doctors Provide Patients with Detailed Information

Doctors in Germany are legally bound to brief patients about their health or treatment. Before going through a treatment, a consent form is signed by the patient and they also get the chance to inquire about treatment if needed.

German Hospitals are All About Efficiency

The country has always been famous for doing stuff in an efficient manner. The prime objective of German hospitals is to ensure that patients are getting effective and on-time treatment.

Who Can Access Doctors in Germany?

Visiting a doctor in Germany is not possible without having health insurance. For Germans, it is illegal to remain uninsured. Due to this, doctors ask for payment in advance in case a patient is uninsured.

How To Find a Doctor in Germany

The process of choosing a doctor for yourself is quite hectic due to language barrier. This decision is both difficult and important but it's not that tricky. You can simply go search yellow pages ( Gelbe Seiten ). You will find a list of doctors according to their specialties. Friends or colleagues can also be asked to help you out. There are many websites as well who have listed multiple doctors depending upon their location and specialty. One of those websites in English language is www.med-kolleg.de .

At the doctor, you might need some for question asking. For this, you can take along a supportive friend who is fluent in German. An English-German dictionary can also help you out in this scenario.

There are a variety of doctors in the health care system of Germany. It is recommended to get yourself a general practitioner (Allgemeinarzt). Nothing to worry about if you are a non-German speaker. You can simply head on to google and search for “Allgemeinarzt Englisch + your city”.

There are multiple health platforms present online which can help you out as well. Doctena and Zava   are one of those platforms that connect patients with doctors.

English Speaking Doctors

Surprisingly, in major cities, you will find most of the doctors that are able to speak basic English. You can also consult with your English-speaking friends or make use of online forums. The Irish embassy has created a list of English-speaking doctors. Similarly, the US consulate has also processed a list featuring doctors in Berlin, Frankfurt and other major cities.

You can also take assistance from Die Techniker’s online search tool to search a good English-speaking doctor.

For small towns and rural areas, it is not guaranteed that you’ll find an English-speaking doctor. Therefore, it is recommended you take along a translator for an appointment.

Registering with a Doctor in Germany

What to expect when visiting a doctor in germany.

You will first have to show your health insurance card Krankenversicherungskarte when you are visiting a doctor in Germany. For first timers, they will have to fill up some paperwork as well. There are waiting times too, depending on type of practitioner, time of visit and doctor’s count. You can contact before coming to know the expected time of waiting. The receptionist usually takes you to the consultation room. For routine checkup, doctors examine and explain if something’s wrong. In Germany, doctors are rather direct and avoid wasting patients' time by making conversations. It is advised to prepare yourself with questions if you have any.

Making An Appointment

Before visiting a doctor, you will have to make an appointment. This can be done over telephone and also by going in person. The person you will come across is the Arzthelfer or doctor's assistant. They might not ask you many questions about why you are visiting a doctor. Normally for an appointment, you have to request a day and time. If the purpose of the visit is extraordinary, you will have to specify the reason. Or else, you can share your medical history later.

Below are some useful phrases that can help you in appointment:

• Ich möchte einen Termin machen : This means “I would like to make an appointment
• Es ist dringend. Haben Sie keinen früheren Termin? It is urgent. Don't you have an earlier appointment?

Office Hours

In Germany, doctors are commonly part of hospital staff and also keep private practice. Due to which, office hours ( Sprechstunden) are limited. The doctors who are doing private practice, normally have office hours of 8am to 1pm and 3pm to 6pm. Wednesdays are an exception since most of the doctors are closed that day.

Outside Office Hours

In case you require urgent medical assistance, there are always doctors available who are working during weekends and holidays. You can get help after-hours from these doctors.

Medical Specialists in Germany

Specialist care is available for all residents of Germany. Patients can either call directly to practice or they can go online to make an appointment. At times, you may require a referral to visit a specialist. Waiting lists do vary in this category. It depends on the urgency and availability. So you might be able to visit a specialist within a space of one week or you might have to wait for months.

Finding a Specialist in Germany

Private doctors and specialists in germany.

In the health care system of Germany, there are many private doctors. Some of these doctors only see patients who are insured privately. Because of that, patients having public insurance are unable to see these doctors. Similarly, expats select private doctors as they have short waiting times. They also provide multiple options in medicines that are usually covered under private insurance.

The search tool of the Federal Association of Private Doctors ( Privatärztlicher Bundesverband – PBV ) can be accessed for finding private doctors.

Rehabilitation centers and private hospitals are also present in Germany. But this will be quite confusing as private hospitals and clinics do see patients with public insurance. The best way is to reach out to the facility directly for inquiry.

🔶   Related Topic :   Private vs Public Health Insurance

Cost of Visiting Doctors and Specialists in Germany

Doctor visits in Germany are covered by health insurance. This includes annual checkups and pediatric examinations. Urgent medical care is also part of your health insurance. For an uninsured visitor, they would be required to pay in advance for treatment.

Though, there are some services in healthcare that are not covered under health insurance. This includes a hearing test, HPV test and toxoplasmosis test (required during pregnancy).

Doctors Prescriptions

Visiting a Dentist in Germany

When you visit a dentist, there are a few things you need to know. It doesn't matter if you have private insurance or public insurance, not all the dental treatments are covered in your insurance.  For those Dental treatments, you need extra Dental insurance (Zahn Zusatzversicherung)

We have written a detailed article on Dental insurance in Germany. 

Link to the Topic Best Dental insurance in Germany

Medical Tests in Germany

In Germany, medical testing is different from other countries. In the US for instance, a blood check for anemia is a standard for infants. But in Germany, it is not recommended until there are potential concerns regarding anemia.

This is how it works in Germany. If the doctor requires, they can do several medical tests such as blood tests, urine sampling, ultrasound. If a patient wants further testing, they might have to self-advocate. In this case, insurance won’t be fully covered.

What is a ‘Gesundheitskarte’ and how to get it

The health insurance card in Germany is called Gesundheitskarte . It is a document that confirms you have health insurance. You should always carry it with you. When you visit a doctor or go to a hospital, they always ask to see your health insurance card.

What is Paid Sick Leave in Germany?

For those who acquire public health insurance, their company will pay them a six-week full salary. Sick pay can be obtained only if your doctor has confirmed your illness i.e., Krankenbescheinigung . You must also keep in contact with your company during the time you are sick. After the period of six weeks, sick pay will be provided to you.

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How Much Does Medical Treatment Cost in Germany?

Healthcare is free in Germany, but only if you have health insurance accepted in the country. If you don’t have suitable coverage, be prepared to pay medical bills from your pocket. Do you need to see a doctor while visiting Germany? What is the medical treatment cost in Germany?

You must compensate for his time, analyses, and medical prescriptions by visiting a doctor. In Germany, the official price list – GOÄ- strictly regulated prices. It states the maximum and minimum rates for a particular treatment. Some typical costs are:

• Consultation: 30 – 60 EUR
• Treatment: 100 EUR
• Analysis and tests: 20 – 100 EUR
• Medicine prescription: 20 – 30 EUR

German health care is one of the best in the world. In Germany, everyone has health insurance, which covers all patient medical expenses. If you aren’t living in Germany, you often must reimburse these costs yourself.

Read this article to learn all the major costs you can expect when visiting a doctor in Germany.

If you are particularly looking for the cost of dental care in Germany , read this post .

How much will you pay to visit a doctor in Germany?

Are you planning to visit a doctor in Germany? Whether it’s a regular cold, dental cleaning, or some serious treatment, it’s good to know how much you will pay in the end.

Generally, insurance companies pay for all medical treatments of patients in Germany. But if you don’t have valid insurance for Germany, be ready to pay bills on your own. Taking out one of the cheapest health insurance for Germany will save you a significant amount of money.

Treatments in hospitals and private practices in Germany are never free. Someone will always have to pay, either the health insurance company or the patient.

Since foreigners in Germany often aren’t covered by comprehensive health insurance, they usually have to pay for medical expenses. However, if you have German health insurance, the company pays for many services in full.

A more detailed answer on how high the medical bill is will depend on which treatment you need, how acute the case is, and whether you need hospitalization in the hospital.

First of all, having a health insurance plan in Germany, either private or public, is mandatory by law. There are penalties for not having insurance or adequate coverage if you live in Germany.

Tourists will usually be required to have travel health insurance when applying for their German visa.

Visiting a doctor in Germany

So you decided to visit a doctor in Germany; whether symptoms you have, it’s always better to head to the General Practitioner (Hausarzt). They can diagnose and treat pretty much everything. In case of uncertainty, he will send you to a specialist.

With simple issues and general sickness, you should head to the private doctor’s practice (praxis), not the hospital. Practices are private mini-clinics managed by self-employed doctors.

The rates for medical services are regulated by law, so a doctor can’t charge a patient more or less than in the official price list. Generally, consultation by specialists is usually more expensive than by general doctors.

You should calculate about 30 – 60 EUR for a simple consultation when visiting a doctor in Germany without health insurance. Expect further costs for:

• Medication prescriptions
• Physician letters
• Issuance of certificates (for work, school)

To learn about the cost of various dental treatments, read this article .

Cost of Dental Care in Germany: Guide 2023

Don’t forget that you will need to buy medicine at your own expense in addition to the treatment costs. German doctors must prescribe the most inexpensive medicaments instead of overpriced brands.

Thanks to the German honest, reliable, and straightforward nature, they also don’t prescribe unnecessary tests, drugs, or medical manipulations.

Germany doesn’t raise foreigners’ treatment fees. However, German medical costs can mount up quickly. The fees listed are for one normal doctor appointment. Each extra service costs more.

Prepare to pay for special treatment, inpatient care, or surgery. Average inpatient cost is 4,000 EUR; intensive care costs 1,400 EUR per day and 11,000 EUR on average.

That’s why you always need health insurance when coming to Germany, whether it’s a short visit as a tourist, an exchange semester, or work. Everyone can get affordable coverage that will pay for all treatments they need.

Check out Feather and Ottonova . They provide affordable insurance plans for visitors in Germany.

Expat insurance is one of them, made particularly for someone short-term in Germany. Public health insurance is best if you plan to stay for a long time and earn a small salary.

Higher earners and freelancers should opt for private insurance. Students can choose between public and private insurance.

If you are coming from abroad to Germany to undergo medical treatment or surgery, you can contact the hospital/clinic or agency for detailed pricing information.

In fact, medical tourists have an immense significance for the German economy: the country receives 1.2 billion EUR each year.

Overall, the price of a single diagnostic or treatment procedure in Germany is higher than in most developing countries.

If you are looking for treatment or surgery on a budget and still high quality, check private clinics in Thailand, Malaysia, India, or UAE.

Are you visiting a dentist in Germany ? Learn about dental care in Germany and whether your insurance will cover it.

Is Dental Care Free in Germany?

How does German healthcare work?

The government supports German health care. Most treatments, surgeries, and medicaments are free of charge for the patients if they have appropriate insurance and pay monthly contributions.

The health care fund is one of the biggest in Germany (11.6% of GDP), due to the increased need, especially in long-term care. The main reason for this is the rapidly aging German population.

The government regulates all treatment costs and general pricing in medicine, namely the Federal Ministry of Health and the Federal Medical Association.

Cost of health insurance in Germany

The cost of health insurance coverage can range from 60 EUR to 1,500 EUR per month, depending on your circumstances and the insurance company. Let’s take a look at the costs in more detail.

Healthcare insurance is mandatory by law in Germany, so you must calculate how much it will cost you when you are moving abroad .

Most people, even international students, could register for private insurance , and many are eligible for a public insurance plan.

Read more about healthcare costs in Germany here .

Is Healthcare Free in Germany?

Public insurance in Germany

Statutory or public insurance is the most common in Germany. Around 80% of the German population has statutory insurance, which public insurance companies provide. Read more about public insurance in Germany.

There are 105 public health insurance providers in Germany.

Public health insurance starts from 105 EUR and usually won’t cost you more than 600 EUR monthly. The standard way of calculation is 7.3% of your gross monthly salary. You can choose private health insurance, which isn’t based on income.

All people in Germany pay a different amount for statutory (public) health insurance:

• Employees – 14.6% of the gross monthly income, 7.3% paid by the employer, and another half by the worker.
• Families of the employees – free
• Students – around 105 EUR per month
• Pensioners – between 109,50 EUR and 126 EUR per month
• Freelancers and self-employed – 14,6% of gross monthly income

Overall, employees with average salaries tend to pay around 400 EUR per month.

If you don’t fit in these categories, you can sign up for private health insurance at 72 EUR per month.

Cheapest Private and Public Health Insurance in Germany

Private insurance in Germany

Private patients are charged for treatments according to the official price list GOÄ (read above) in the same way as patients with public health insurance.

The cost of private health insurance isn’t regulated in the same way as that of public healthcare and can, therefore, vary hugely in price.

Younger people with good health and no chronic illness will pay significantly less than older patients with some diseases.

It’s logical; private insurance will need to compensate more often and larger amounts of money to the older person.

Thus, private health insurance is the best option for adults in good health, with higher income and no kids. Additionally, high-income young people will undoubtedly save money by choosing private over public.

A young, healthy person can pay as little as 75 EUR monthly for private insurance coverage. Public insurance will deduct according to the salary, so the more you earn, the more you pay.

Some private plans can also be cheaper for international students than public insurance. They can be affordable at 50 EUR, while public insurance starts at 105 EUR. The cheapest private coverage is provided for Feather – only 72 EUR per month.

In my first year in Austria, I paid as little as 35 EUR for my private insurance . The health care system in both countries is very similar.

Some private plans might not cover everything, so you need to pay attention when signing a contract, but I haven’t spent any euros this year from my pocket.

As you can see,   the cost of healthcare insurance in Germany ranges widely depending on whether you have private or public coverage.

Read this article dedicated to the cost of private insurance in Germany.

Private Health Insurance in Germany Costs: How Much To Expect?

If you want to save money on health care, choose the cheapest insurance provider . You will find them in this article.

In the end, public and private health insurance will cover almost 100% of the expenses you encounter when using medical services in Germany. You usually won’t pay any additional money except your monthly coverage rate.

Learn about dental care in Germany.

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Visiting a doctor in Germany: 7 things to know

Table of Contents

One of the most significant healthcare systems in the world is recognized to exist in Germany. But when you’re not from the nation, there are some cultural differences that might be difficult to adjust to. Here are some points to consider while visiting a doctor in Germany .

While visiting a doctor, you might have to pay

• If a patient is asked to pay money during a doctor’s appointment, they can be a little confused. If they are used to a healthcare system i.e., free at the point of contact, like the NHS in the UK .
• However, the reality is that not everything in Germany will be covered by your health insurance know how to get it . There are certain additions that are optional and can mean having to take a financial hit.
• For example , many gynecologists may offer to perform a pelvic ultrasound examination as an extra during a Pap smear test. If your insurance does not cover it, they will let you know at the appointment that there will be an additional fee , and it will be up to you to decide if you want to pay it.

Aware of different types of prescriptions

• The fact that there are numerous categories of medications is another thing to be aware of. People with statutory health insurance are often given the prescriptions (Rezepts) that are issued on pink slips . When picking up prescription medications at the pharmacy, people must pay a lower payment, often between €5 to €10 .
• In Germany, patients with private insurance are more likely to be handed a prescription slip that is blue in color . Prior to receiving reimbursement from their insurance provider, private clients must pay the entire cost of their medications. If your public health insurance does not cover the procedure, you may also be handed a blue slip .
• The doctor’s recommended course of therapy is listed on green slips . In the meanwhile, the doctor only issues yellow prescriptions that are only good for seven days and are for specific regulated medications.

Waiting area etiquette

Germans might not have a reputation for being very amiable. However, there are a few surprising locations that are warmly friendly. The waiting area at the doctor’s office is one of those locations. Yes, it might be rather unexpected for visitors when they are welcomed with a quick “ Guten Morgen!” or “hallo! ” in the waiting area. In the waiting area, patients are expected to say hello and farewell politely.

You may face a stern receptionist or doctor

• You’ll probably hear from a group of international residents about how the bedside manner is “ different ” when they visit a doctor in Germany or another German-speaking nation. This is due to the fact that some medical professionals, including receptionists, can be scary to foreigners because of their straight and harsh manner while dealing with patients.
• If you have to remove part of your clothing for an inspection, it can also be a little strange. You won’t likely be asked to strip behind a curtain or given a robe or towel. In Germany, everything is in the open. Though rest assured that nothing about this is personal. Simply said, it’s a new approach .

The best course of action when dealing with a cranky doctor is to either accept it or find another one.

Be willing to wait

• The majority of Hausarzt (GP) offices in Germany accept walk-in patients during Sprechstunden (consultation hours) . This implies that you may just drop by for a two- or three-hour period . It is also first come, first served at certain hours.
• The benefit of this approach is that, as long as you have time to wait, it is feasible to visit a doctor, for instance, on a Wednesday morning without an appointment. But the drop-in strategy might take a lot of time if you’re pressed for time or have a tight timetable . It can need a brief wait of a few minutes or as much as an hour , depending on when you come.
• To obtain a spot towards the front of the line, it is preferable to come just as the doors open. Additionally, you can schedule a Termin . However, even with a reservation, you can expect to wait at least 15 minutes .

Usually, a specialist is recommended to you

In order to be referred to a specialist physician in Germany if you have public health insurance , you often need to see a general practitioner first. There are some situations when you can schedule an appointment without a recommendation, such as with gynecologists and ophthalmologists . You can schedule appointments with experts more readily if you have private insurance .

Visit or call a doctor for a sick note

• A sick note, also known as an Arbeitsunfähigkeitsbescheinigung or Krankschreibung , is required to be sent to your employer if you are off from work for more than three days . Check your contract or contact HR if your manager seems to be requiring this sick notice sooner.
• In most cases, getting this document requires a visit to your doctor. However, during the pandemic, patients have been able to acquire a sick note over the phone from their GP for moderate respiratory diseases, including Covid-19 in Germany .

German health insurance is quite generous. Additionally, there is typically little to no waiting for elective surgery or diagnostic procedure s like MRIs . The majority of Germans take it for granted, although it has one of the greatest healthcare systems in the world. The fundamental considerations to bear in mind while visiting a doctor in Germany are the ones recently discussed.

Anmeldung in Germany- Everything you need to know

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Travelers Guide to Healthcare in Germany

• March 13, 2021
• Lauren Stuttaford

After Russia, Germany is the second most populous country in Europe and the most populous member state of the European Union. Its Western European terrain boasts forests, rivers, mountain ranges, and North Sea beaches, all of which serve as a testament to its more than 2,000-year-old history.

Germany is a federation comprising 16 constituent states, known as Länder, each with its own constitution and a high degree of internal autonomy. The cultural and linguistic differences among these states are unique, with dialects often so divergent that people across state borders have difficulty communicating with each other.

If you are planning a trip to Germany, this healthcare guide will provide you with all the essential information needed to ensure your safety and knowledge during your stay.

• Healthcare Basics
• Cost of Healthcare in Germany

Available Payment Methods

• Seeing a Specialist
• Drugstores and Pharmacies
• Hospitals and Clinics in Germany
• Emergency and After-Hours Healthcare
• Tips for Tourists

Healthcare In Germany – The Basics

Germany boasts one of the world’s best (and oldest) healthcare systems. There’s a dual public-private system that’s been in place for nearly two centuries, which has undergone significant advancements. The system operates on statutory contributions guaranteeing free healthcare for all. However, individuals also have the option to purchase private health insurance (Private Krankenversicherung or PKV) to supplement or replace state coverage (Gesetzliche Krankenkasse or GKV). The Federal Ministry of Health in Germany is tasked with the development of health policies and overseen by the Joint Federal Committee. Whether you’re a resident or a visitor, understanding this healthcare system can help keep you informed and safe during your stay.

Public Healthcare

Healthcare in Germany is accessible to all residents through public health insurance – this system covers 90% of residents. While non-residents require private insurance coverage to receive medical care. Visitors to Germany usually have to pay for treatment and then claim reimbursement at a later stage.

EHIC Holders:

Temporary visitors from the EU, EEA, or Switzerland can use their EHIC card to access emergency medical treatment in Germany. However, legal residents must have German health insurance. The EHIC is part of the health insurance card for all residents in Germany, allowing them to benefit from emergency medical treatment and care when temporarily elsewhere in the EEA. If you need medical care during a temporary stay in Germany, presenting your EHIC to the healthcare provider indicates that you have statutory health insurance and that your native country’s insurer will cover the costs. If you do not have an EHIC card, you can request a Provisional Replacement Certificate (PRC) from your healthcare insurance provider. The EHIC can be used to claim reimbursement for costs incurred in the same way as German nationals. You will not have to pay if the treatment is free for locals. If you have to pay for treatment, you can request reimbursement from the national institution or your health insurer. The EHIC is only valid in practices operating under the state health insurance system, identifiable by a sign that says: Kassenarzt or Alle Kassen. It is valid for up to 6 months, after which visitors planning to stay longer must explore private health insurance schemes. Self-employed artists and publicists can also receive health protection in public health insurance similar to employees through the Künstlersozialkasse (KSK) or Artists’ Social Insurance Act.

Private Healthcare

Private Krankenversicherung (PKV) provides more extensive medical coverage in Germany than GKV. People who are self-employed, part-time employees, freelance professionals, artists, government employees, or those who earn more than EUR 64,350 annually can choose to take out private health insurance. Premiums for private health insurance vary depending on the level of coverage and the insurance provider. In some cases, private insurance may be more cost-effective than public health insurance since GKV contributions depend on income, resulting in higher earners paying more. The PKV maintains a list of private German health insurance companies.

Cost of Health Care In Germany

Germany ranks among the top healthcare spenders in Europe, allocating 11.1% of its annual GDP to healthcare expenditure. Only Switzerland and France outspend Germany in terms of GDP percentage, with German healthcare costs averaging over EUR 4,000 per resident each year.

Most of these costs are covered by contributions from both public and private insurance plans. Additionally, individuals are required to pay a fee of approximately EUR 10-15 for their first medical consultation each quarter. Those who do not require medical attention during this period are exempt from this fee, and those with private health insurance can reclaim these expenses.

Patients enrolled in public health insurance or GKV typically pay modest co-payments for medication and hospitalization, with all other expenses fully covered by their insurance provider. In contrast, PKV is based on reimbursements, which often involve excess payments on either an annual or per-service basis.

In Germany, a bank transfer is the most common payment method, however, bank cards and cash are widely accepted throughout the country.

Doctors And Specialists In Germany

Doctors in Germany are referred to as “Ärzte,” and a “Hausarzt” is equivalent to a GP or primary care physician. In the German healthcare system, patients have the freedom to choose their own doctor. While most doctors have at least basic knowledge of English, some only treat private patients, which means patients with public insurance must pay for their treatment. Typically, practice hours for doctors are from 8 am-1 pm and 3 pm-6 pm, Monday to Friday. Many practices are closed on Wednesday afternoons, and only a few are open on Saturdays. Emergency services are available on Sundays.

Seeing A Specialist

Referrals are not mandatory in Germany, and patients can directly visit a specialist without seeing a family doctor first. However, some restrictions apply. Referrals are not required for emergency treatment, dentistry, pediatrics, gynecology, and ophthalmology.

For certain specialists, a referral from a family doctor is typically required. These include experts in laboratory medicine, microbiology, nuclear medicine, pathology, radiology, radiotherapy, and infection epidemiology. In addition, referrals are necessary for special diagnostic procedures and treatments that require significant technical or medical effort and involve high risks.

Private health insurance (PKV) policyholders have the freedom to choose any doctor they want without needing a referral. However, this may impact reimbursement by the insurance provider as treatment necessity is a prerequisite for coverage. Medical practices in Germany generally operate from 8 am-1 pm and from 3 pm-6 pm on weekdays, with few offices open on Wednesdays and weekends.

Drugstores And Pharmacies

Apotheke (or pharmacies) in Germany can be identified by a prominent red-letter A. These establishments typically operate from 9 am to 6 pm on weekdays, and from 9 am to 12 pm on Saturdays.

It’s worth noting that drugstores, known as Drogerien, such as DM and Müller, should not be confused with pharmacies. These retailers do not sell medication, but rather a variety of consumer items and toiletries.

Should you require medication, you can take a prescription from your general practitioner to any pharmacy. However, if your prescription is on a pink slip of paper, this is an indication that you’ll need to pay a non-refundable flat rate – approximately EUR 5-10. In the case of minor ailments like cold and flu, you’ll need to pay the full amount for the medications.

Those with private insurance will be issued their prescription on a blue slip of paper, requiring them to pay the full amount upfront at the pharmacy and then seek reimbursement from their insurer.

It’s important to note that medication packaging may not always include dosage instructions, so it’s crucial to consult with your doctor or pharmacists for guidance and record the details for future reference. While pharmacists may also offer dosage information, their English proficiency may be limited.

Here is information about local on-call pharmacies.

Hospitals In Germany

In Germany, Krankenhäuser is the term used for hospitals, which can be categorized into three main types:

• Öffentliche Krankenhäuser – public hospitals.
• Frei gemeinnützige Krankenhäuser – voluntary non-profit hospitals.
• Privatkrankenhäuser – private hospitals.

Compared to other countries, hospitals in Germany have a reputation for excellence. However, only a doctor can approve hospitalization for non-emergency cases.

When referred to a specialist in a hospital, your GP will play a significant role. If you plan to stay as an inpatient, be mindful that hospitals have limited space allocated to patients covered by public or private insurance. Therefore, it’s crucial to bring your EHIC/German health insurance card when you visit.

Hospital bills for those covered by GKV are sent directly to the insurer. On the other hand, patients with PKV must pay all bills upfront and claim reimbursement later.

It’s important to note that hospital stays in Germany are structured, with specific visiting hours and strict rules on mobile phone usage and smoking. Additionally, many doctors and nurses in hospitals may not speak English fluently, so be prepared to communicate using German or bring a translator.

Health Centers & Clinics In Germany

Outpatient care in Germany is generally offered by doctors and specialists in individual or joint practices. There are also medical centers, both public and private, where healthcare professionals like GPs, medical specialists, physiotherapists, psychotherapists, and nurses provide their services.

Emergency And After-Hours Healthcare

If you require urgent medical attention in Germany, you should visit the A&E or ER, known as Notaufnahme. In Germany, emergency services are covered by both state and private health insurance.

In the event that you require ambulance transportation, dial 112 , (a pan-European number for free). The fire brigade ambulance service, called Rettungswagen, is also able to transport you to a hospital nearby.

For emergency medical assistance, dial 19 242 to reach emergency doctors. To access non-emergency doctors on call, dial 116 117.

Patients can also contact their local practices for information on their out-of-hours service.

Telehealth In Germany

In Germany, telehealth is a rapidly evolving field and is allowed with certain restrictions, though there are no limitations on specific medical fields. However, telehealth applications and technologies must be approved, and platforms like Zoom or Skype consultations are generally not allowed. Medical apps may apply for “fast track” market entry. Doctors in Germany are permitted to advertise telemedicine services and can use telehealth practices in all cases they find appropriate, whether for existing or new patients. Currently, e-prescriptions are allowed as part of several pilot projects.

German health insurance for foreigners

In Germany, healthcare insurance is mandatory for all residents, including foreigners. There are two main options: statutory health insurance (GKV) and private health insurance (PKV). Statutory insurance is typically for those with lower incomes, while private insurance offers more flexibility but can be costly. EU citizens can transfer coverage using the EHIC or EHID, while non-EU citizens may need private insurance initially. Healthcare insurance in Germany provides access to quality care, including doctor visits, hospitalization, medications, and preventive services. It’s important to understand the specific coverage and consider supplementary insurance if needed. Seeking advice from experts can help navigate the healthcare system and find the right insurance for your needs.

Tips For Tourists In Germany

Germany offers visitors a wealth of attractions. From its captivating history and culture to its scenic natural landscapes like the Black Forest , making it an ideal destination for an extended stay.

The German way of life revolves around the belief that regulations and policies serve as a guide to regulate everyday activities. Promptness is highly valued, and tardiness is frowned upon as Germans are known for their excellent watchmaking skills. Additionally, it’s advisable to be mindful of your vocal volume.

In Germany, healthcare is subject to stringent anti-corruption and transparency laws.

Travel Health Insurance for Germany

When traveling to Germany, it’s crucial to have travel health insurance that provides coverage for unexpected medical expenses. This insurance typically includes emergency medical treatment, hospitalization, and medication costs. It may also offer benefits like emergency evacuation or repatriation. Remember to carefully review the policy details, including coverage limits and exclusions. Non-EU citizens should note that the European Health Insurance Card (EHIC) might not be valid, so obtaining comprehensive travel health insurance is vital. With proper coverage in place, you can explore Germany knowing you’re protected in case of any medical emergencies.

If you are a tourist in Germany and would like to speak to a medical professional connected to an international network of doctors, you can make an appointment on the Air Doctor app right now and have an in-person or virtual consultation within minutes.

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Jenny Cohen Derfler

Air dr ceo & co-founder.

Jenny is the CEO and one of the Co-Founders at Air Doctor. She spent more than 20 years at Intel, most recently as general manager of its manufacturing facility in Israel and before that in various engineering and manufacturing roles in Silicon Valley. Air Doctor is her second startup having previously founded electric vehicle company ElectRoad.

7 Facts | How to see a Doctor in Germany

• Living in Germany , Settling in Germany
• July 11, 2023

If you’re reading this article, I hope it’s out of curiosity rather than due to illness. However, if you find yourself unwell, let me extend my wishes for a speedy recovery: Gute Besserung! 🙂

In this blog post, we’ll explore what it’s like to visit a doctor and navigate the process of seeking medical care in Germany. We’ll cover topics such as making doctor’s appointments and, of particular interest, finding English-speaking doctors in the country.

# 1 How do I find a GP (general doctor) in Germany?

The German healthcare system has a wide range of doctors available to meet your medical needs. When searching for a doctor in your area, it is recommended to find a general practitioner, “Allgemeinarzt” or “Hausarzt” in German.

If you are not fluent in German, there are many general practitioners who speak English. You can easily find them by conducting a simple Google search using the keywords “Allgemeinarzt Englisch + your city.”

When you feel unwell, your chosen general practitioner will be your primary point of contact. It is important to promptly report any illness to your doctor, especially if it prevents you from going to work. In such cases, the doctor will provide you with a “Krankheitsbescheinigung” or illness confirmation, which verifies your condition. This document is typically required for work-related absences.

Once you receive the illness confirmation from your doctor, it is important to submit it to your employer. Different employers in Germany may have varying requirements regarding when to provide a doctor’s note during your sick leave. Some employers may request the note right at the beginning, while others may only require it from the third day of illness.

To ensure compliance with your employer’s policy, it is advisable to clarify their specific requirements. Regardless of the specific timing, it is crucial to notify your employer when you are unable to work due to illness. Instead of sending an email or a text message, making a personal phone call to inform them is recommended. Taking this proactive approach demonstrates your professionalism and helps you stay on the safe side.

Do I need a referral to see a medical specialist in Germany?

When you fall ill in Germany, the first step is to visit a general practitioner. They will assess your condition and provide a diagnosis. If the issue is severe or beyond the scope of their expertise, they will refer you to a specialist. It is important to note that without a referral, you cannot directly see a specialist.

Obtaining a referral from your GP is generally required to consult a specialist. Additionally, women in Germany typically visit a gynecologist twice a year for regular check-ups. For this, a referral is not necessary. It’s important to be aware that contraception pills are usually not covered by health insurance for individuals above 18 years of age, and the cost of a three-month supply ranges from 20 to 30 Euros.

Moreover, if you are a member of public health insurance in Germany, you are expected to visit a dentist at least once a year. Neglecting regular dental check-ups may result in insurance coverage not extending to dental expenses. Therefore, it is crucial to prioritize regular dental visits.

Though it may not be the most enjoyable experience, maintaining regular health check-ups and following proper healthcare protocols will ultimately yield positive results for your well-being.

# 2 How to find English-speaking doctors in Germany?

Finding English-speaking doctors in Germany is generally quite feasible. In most parts of the country, you can easily locate doctors and specialists who speak English. To begin your search, using search engines like Google or seeking recommendations in expat groups on social media platforms such as Facebook can be helpful.

Moreover, if you are a member of BARMER or TK , two prominent German public health insurance providers, you can contact their service hotlines. Both insurance companies offer English-language services and can provide guidance in finding an English-speaking doctor. They may even assist you in making the appointment, streamlining the process for you.

Another convenient option is to contact your health insurance provider directly. They can help you locate an English-speaking doctor and may even arrange an appointment on your behalf. This straightforward approach ensures a hassle-free experience.

If you reside in Berlin, you can benefit from a dedicated website called doctorberlin.de. This platform specifically caters to individuals seeking doctors in Berlin who can communicate in English, French, Arabic, and various other languages. It simplifies the process of finding a suitable healthcare professional in the city.

With these resources and options at your disposal, you can easily connect with English-speaking doctors in Germany, ensuring effective communication and quality healthcare.

# 2 What is a ‘Gesundheitskarte’, and how to get it?

The Gesundheitskarte, also known as the German health insurance card, is a vital document that confirms your health insurance coverage. It contains personal and health-related information that is securely stored.

It is essential to carry your Gesundheitskarte with you at all times. You will be asked to present your German health insurance card whenever you visit a hospital or see a doctor in Germany. If you happen to forget or misplace it, you can contact your health insurance provider and request them to send coverage confirmation to your doctor. However, it is generally discouraged, and you will still need to provide the physical card for scanning at the doctor’s office afterward.

Your health insurance provider will issue you a health insurance card upon enrollment. It is mandatory for residents in Germany to have health insurance , with approximately 85% of Germans being covered by public health insurance and the remaining individuals opting for private insurance.

# 3 Sick leave in Germany: medium and long-term absence

If you are a German public health insurance system member, your employer will typically provide full salary coverage for up to six weeks during your illness. To be eligible for “sick pay,” you must obtain a confirmation from your healthcare provider stating that you are ill (Krankenbescheinigung). It is also important to maintain communication with your employer while you are sick.

It is recommended to inform your employer about the estimated duration of your absence, allowing them to make necessary arrangements for a temporary replacement if needed. In Germany, it is considered common courtesy to personally call your employer when you are ill rather than sending a text or email. You can send the doctor’s illness confirmation via letter or fax or simply bring it to the office once you have recovered and returned to work.

After six weeks of illness, you may be eligible for sick pay. The government scheme, known as Krankengeld (“public sick pay”), provides a percentage of your income for a maximum duration of 78 weeks.

Are you self-employed? Keep in mind that the process may differ in your case, and sick pay is only available if you have private sick-pay health insurance.

# 4 Do I need to schedule an appointment to see a doctor?

In general, yes, appointments are required, especially when visiting specialists. It’s important to note that wait times for specialist appointments can range from a couple of weeks to a few months. Therefore, it’s advisable to schedule appointments well in advance.

However, in the case of emergencies or if you require a sick leave certificate for your employer, you can visit your general practitioner (Allgemeinarzt) without an appointment during their regular visiting hours, or “Sprechstunde”. Simply contact the front desk and inquire if it’s possible to visit on the same day.

To avoid lengthy waiting times, it’s recommended to call as early as possible in the morning and arrive a little early for your appointment. This way, you can minimize any potential delays and ensure a more efficient visit to your doctor in Germany.

# 6 Will my German private health insurance cover my doctor’s visit?

If you have private health insurance in Germany, the reimbursement process works as follows. After your visit to the doctor, you will receive an invoice for the treatment. Typically, this invoice is issued a few days or weeks after the treatment. It is your responsibility to make the initial payment for this bill.

It’s essential to keep a copy of the invoice for your records. You should then send the original invoice to your private health insurance provider for reimbursement. The reimbursement process usually takes one to three weeks, depending on the terms of your health insurance agreement. Reviewing your contract to understand the coverage provided by your specific plan is important.

When it comes to medication and prescriptions in Germany, you are responsible for paying for them initially. After receiving the prescription from your doctor, you can take it to the pharmacy. Inform the pharmacy that you require a copy of the medication and a receipt for your private health insurance. You will need to make the payment for the medication at the pharmacy.

To claim reimbursement for the medication expenses, send your health insurance provider a copy of the prescription and the payment receipt. They will guide you on the process for reimbursement according to the terms of your private health insurance agreement.

You can expect to receive the reimbursement directly into your German bank account within a few weeks. If you haven’t opened a German bank account yet, it’s recommended to do so in order to facilitate the reimbursement process. Opening a German bank account online is a convenient way to manage your finances while living in Germany.

# 7 Do I need to pay for medicine and treatments with public health insurance?

If you are a member of public health insurance in Germany, such as TK or BARMER, the process of accessing healthcare becomes relatively straightforward.

Once you are insured, you will receive a Gesundheitskarte (German health card). It is crucial to carry this card with you at all times. When you visit a doctor, you will need to present your health card to the receptionist. This card contains your personal and health information, ensuring a seamless registration process.

Public health insurance in Germany typically covers most necessary medical treatments and prescribed medications. However, it is advisable to check the specifics of your health insurance policy to understand the extent of coverage. While many treatments and services are included, certain treatments, such as homeopathic or dental treatments, may have limitations or require additional coverage.

It is worth exploring the details of your health insurance coverage, as you may be pleasantly surprised by the benefits. For example, some health insurance plans provide coverage for complimentary services, such as prescribed free massages for individuals experiencing back pain.

By staying informed about your health insurance coverage and utilizing the services available to you, you can make the most of your public health insurance in Germany and access the necessary healthcare resources when needed.

Does German Health insurance cover vaccinations?

German health insurance typically covers a wide range of vaccinations, including routine and travel vaccinations. Coverage may vary by insurance provider and policy, so checking with your provider for specific details is important. Consult your general practitioner or a vaccination center for expert advice and administration of vaccines. Mandatory vaccinations are required by law in Germany. Stay informed and comply with vaccination requirements to protect public health.

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Germany - health.

Treatment in hospitals and private practices of physicians is never free. Someone will always have to pay – and as foreigners are usually not covered by social security health insurance (which is compulsory for the majority German citizens) this will usually be the patient. (If he has private insurance coverage, he can claim reimbursement afterwards.)

• Firstly, if the physician is employed by the hospital, and the hospital has granted him the right to treat and invoice private patients – a privilege which is usually given to senior consultants or department chairmen only (for these, it is simply part of the salary deal).
• Secondly, the “Belegärzte”, physicians in private practice who have a contract with a hospital that they may treat inpatients there, will write a separate bill for their efforts. In both cases, these bills will come on top of the hospital bill.
• And if more than one physician was involved in the treatment process (e.g. cardiologist, surgeon, radiologist), each of these will present his separate bill for his activities.

By Just Landed

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Further reading

• Do I need health insurance to enter Germany?: EU entry regulations
• Health insurance for expats in Germany: What should you look for when selecting your insurance provider?
• German hospitals: An overview of the hospital system in Germany
• Insurance abroad: The European Health insurance card
• Surgery: Endoprosthetic Surgery Treatment in Germany
• Statutory health insurance: New regulations in 2005

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Do you have any comments, updates or questions on this topic? Ask them here:

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• Treatment in Germany

Treatment in Germany — advantages, clinics and prices

About treatment in germany, best clinics in germany.

Types of treatment in German clinics and number of patients

Three main advantages of treatment in germany, high level of professionalism and qualification of doctors, clinical equipment and advanced treatment technologies in germany, comfortable inpatient rehabilitation in germany, clinics in germany, types of german clinics — state, private, charitable, best german clinics for international patients in 2023, top-20 clinics of germany, treatment process of international patients in germany, why patients choose germany, advanced level of german healthcare system ✓.

• German Institute for Standardisation (DIN).
• Collaboration for Quality and Transparency in Healthcare (KTQ-GmBH).
• Telemedicine for a Mobile Society (TEMOS).

Robotic Surgery ✓

Availability of innovative technologies ✓, original medications ✓, main medical problems to be treated in germany, treatment of oncology, cardiology and cardiac surgery, neurosurgery, orthopedics and sports rehabilitation, costs for treatment in germany — price list of medical services.

• Diagnostics
• Orthopedics

Haven't found your diagnosis?

Pricing factors for treatment in germany.

• The patient's diagnosis, anamnesis, the desired effect is surgery or drug treatment.
• Length of stay in the clinic and type of ward. The average cost of staying in a 1-bed ward is from 96.00 euros per day.
• The region where the clinic is located. Local legislative acts that allow clinics to set their own prices for diagnostics, treatment, rehabilitation
• Clinic rating, its annual marketing expenses, investments in research activities and equipment. Usually prices in university clinics are higher by 5-25%, but this cost is offset by higher quality of treatment, especially when it comes to complex and rare diseases that require the latest research or ultra-modern robotic equipment to be treated.
• The professor's rating, their scientific activity and demand as a specialist affect the cost of treatment. If you choose conventional medical care (without the involvement of a professor and his team), the price of treatment will be 15-40% lower.
• The cost of treatment in Germany is strongly influenced by the presence of international departments in the clinic. They organize treatment for patients from abroad. If clinics outsource this activity to partners (e.g. UNICLINICSⓇ), the price of treatment will be significantly lower, up to 50% of the base cost.
• There are at least 15 more factors that affect the prices of treatment in Germany. These subtleties depend on each individual case and require the involvement of medical auditors to analyse the cost and all services included in the preliminary invoice. Contact us for a consultation so that we can determine the exact price in your case.

The German government regulates prices for treatment

How much money do i need to take with me, do you want us to send you the price list for treatment in germany via e-mail, best doctors in germany, travelling and accommodation during treatment in germany, how to reach a german clinic — by car or by bus, accommodation during treatment in germany, patient reviews about treatment in germany.

• Henry Bormann was treated at University Hospital Erlangen "... At every stage of treatment in Germany, I was given great attention to all emerging issues, they were interested in how the treatment process was going, consulted on all medical issues. Thank you very much for choosing the clinic and the doctors who performed the operation. The surgery went smoothly thanks to the team led by Prof. Matthias Beckmann. The Erlangen University Hospital is full of professionals, thank you!"
• Marina Babinova underwent examination at University Hospital Charité, Berlin "... With UNICLINICS's assistance, I was enrolled at the Charite University Hospital Berlin for an examination, to Professor Jens Blomer himself. heredity. All my complaints and facts were recorded on a dictaphone. After an examination was carried out, including the mammary glands, tests and ultrasound were taken. I was impressed with the doctor's appointment, compared to Ukrainian clinics there is a difference..."
• Vetlitskaya Alena bet cancer at University Hospital Erlangen "... Subsequently, I met with the same Rainer Fitkau, who is so helpful and treats uniclinics.com doctors. I told the professor about my fears about amputation. In response, he answered me with a smile that my legs were completely preserved. I was amazed when, after the treatment, at the last PET-CT diagnostics, they said that there was no cancer and I was healthy!

About Germany — best quality of treatment in Europe

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Healthcare in Germany: An In-Depth Guide for Expats

Germany is renowned for its high-quality healthcare system, which consistently ranks among the best in the world. For expats moving to Germany, understanding the healthcare system is crucial to ensure access to reliable medical care. This comprehensive guide will provide expats with an in-depth understanding of healthcare in Germany.

In Germany, there are two main types of healthcare systems: public and private. The public system, known as “gesetzliche Krankenversicherung” (GKV), is mandatory for most residents with a certain income level. It provides basic healthcare coverage and is funded through payroll taxes and contributions from both employers and employees. The private system, known as “private Krankenversicherung” (PKV), is an alternative for higher-income individuals or those who are self-employed.

While the GKV offers comprehensive coverage, the PKV provides more personalized healthcare services, including access to top-tier doctors and shorter waiting times. However, PKV plans tend to be more expensive than the GKV.

It is mandatory for residents in Germany to have health insurance coverage, whether it is through the public or private system. This requirement applies to both German citizens and expats residing in the country.

For those eligible for GKV, coverage can be obtained by either joining the public system or through an employer-sponsored plan. Self-employed individuals and higher-income earners may opt for private insurance. It is essential to have health insurance to avoid potential penalties and to ensure access to healthcare services.

Germany boasts an extensive network of healthcare providers, including hospitals, clinics, and private practices, providing world-class medical services. To access healthcare, expats can either visit general practitioners (Hausarzt) or specialists (Facharzt) depending on their medical needs.

When seeking medical care in Germany, it is important to understand that most healthcare providers only speak German. Expats who do not speak the language fluently should consider finding English-speaking doctors or bring along a translator when attending appointments.

Prior to visiting a specialist, it is necessary to obtain a referral (Überweisung) from a general practitioner. This referral ensures that treatment costs are covered by the health insurance provider.

In the event of a medical emergency in Germany, the number to call is 112. This number connects individuals to emergency services, including ambulance transportation. Emergency departments in German hospitals are equipped to handle a wide range of medical emergencies.

To obtain prescription medications in Germany, a doctor’s prescription is generally required. Medications can be purchased at pharmacies, known as “Apotheke,” and are often partially covered by health insurance plans. However, co-payments or out-of-pocket expenses may apply.

It is crucial to note that some over-the-counter medications available in other countries may require a prescription in Germany. Expats should consult with their doctor or pharmacist to ensure they have the necessary prescriptions for their medications.

Germany offers comprehensive maternity and family care, including prenatal and postnatal healthcare services. Expectant mothers have access to high-quality medical care throughout their pregnancy and can choose between giving birth in a hospital (Krankenhaus) or a birth center (Geburtshaus).

Parental leave is also an essential aspect of family care in Germany. New parents, including both mothers and fathers, are entitled to generous parental leave benefits, allowing them to take time off work to care for their newborns.

Understanding the healthcare system in Germany is vital for expats wanting to ensure access to quality medical care during their stay. Whether enrolling in the public or private system, having adequate health insurance coverage is mandatory. Expats should familiarize themselves with the necessary procedures and requirements to access healthcare services, including obtaining referrals and finding English-speaking doctors. With its first-class healthcare infrastructure, Germany provides expats with peace of mind when it comes to their healthcare needs.

For more information on healthcare in Germany, it is advisable to consult official government sources or seek guidance from healthcare professionals.

Do you have questions about Germany? then contact us by using our Contact Me page. Checkout more posts by us on our Blog .

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Hospitalization: How much does it cost?

Rarely has such attention been devoted to hospital occupancy levels as in the last year. Many people are justifiably concerned about shortages of beds. But how much does a hospital stay actually cost? In this article, we’ll look at how much patients have to contribute towards the total costs.

Table of contents 

Private or Public? What's best for you?

Which system is right for you? All you need to know about the German health insurance system.

What to expect from a German hospital

To put your mind at ease, there is no need to worry about the standard of care. Germany is among the biggest spenders on healthcare in the EU and is usually ranked highly in global healthcare statistics.

What hospitals can I go to?

There are three types of hospitals in Germany:

• public hospitals (öffentliche Krankenhäuser) – run by federal or local authorities;
• charitable hospitals (frei gemeinnützige Krankenhäuser) – run by churches or the German Red Cross, and
• private hospitals (Privatkrankenhäuser) – run by private companies.

All types of hospital have an emergency unit (Notaufnahme). If your condition is life-threatening, you will be taken to the nearest available hospital.

If you are referred by your GP, you will need to be referred to a hospital covered by your insurance. ottonova customers can contact us to discuss any preferences they have for their hospitalization via the ottonova Concierge service.<

What forms of hospital treatments are available in Germany?

There are two ways to get a hospital treatment: inpatient and outpatient treatment. So, what's the difference between them?

the key difference lies in the duration and intensity of care. Inpatient treatment involves overnight stays in a hospital or healthcare facility and is typically reserved for more severe or acute conditions. Outpatient treatment , on the other hand, allows patients to receive care without staying overnight, and it is suitable for less severe conditions or follow-up care. The choice between inpatient and outpatient treatment depends on the nature and severity of the medical condition.

The difference between outpatient and inpatient hospital treatment in a nutshell:

Inpatient Treatment:

• Definition: Inpatient treatment, also known as hospitalization or residential treatment, involves patients staying overnight or for an extended period within a healthcare facility.
• Setting: Patients are admitted to the hospital and receive care in a dedicated unit or ward. This setting is more intensive and is appropriate for individuals with severe or acute medical conditions that require constant monitoring and care.
• Examples: Surgeries, serious illnesses, childbirth, mental health crises, and other conditions that demand continuous medical attention and support.

Outpatient Treatment:

• Definition: Outpatient treatment allows patients to receive care without staying overnight in a hospital. Instead, they visit a healthcare facility for scheduled appointments and then return home.
• Setting: Outpatient services can be provided in hospitals, clinics, or specialized treatment centers. This setting is suitable for less severe medical conditions or for follow-up care after an inpatient stay.
• Examples: Routine check-ups, diagnostic procedures, minor surgeries, physical therapy, and other medical services where overnight hospitalization is not required.

How long will I have to stay in hospital?

First and foremost, that depends on your condition. You will be discharged when you are fit and well enough to care for yourself.

However, German hospitals tend to take a cautious approach, keeping inpatients for longer than hospitals in the UK or US. New mothers, for example, can expect to spend up to 6 days in hospital following a birth with no complications, compared to just 1 or 2 days in the United States.

Straight talk: How much does inpatient hospitalization cost?  

Exactly how much a stay in hospital costs depends on what health insurance you have, how long you stay in hospital, and whether you access optional benefits. As with many aspects of the German healthcare system, this depends on whether you have public or private health insurance.  

Public health insurance & hospital costs:

People with public health insurance do not pay directly for their hospital care, as the costs are covered by their insurance. However, they must make a co-payment of around €10 per day in hospital. 

These co-payments have a maximum limit of €280 per year, but are not charged for pre-admission or post-discharge treatment.

When are you exempt from the €10 co-payment?

• it is not you but your underage child who needs to be hospitalized;
• you have had an accident and your accident insurance will cover the costs;
• you receive treatment on an outpatient, pre-admission, or post-discharge basis, or as a day patient, and therefore do not stay in hospital overnight;
• you are hospitalized to give birth;
• you work for the German Armed Forces and the Federal War Victims Relief Act (BVG) applies, or you receive psychiatric care and go home each day after treatment.

Private patients do not pay anything as only publicly insured people are required to make co-payments.  

How long will I incur the €10 daily co-payments?

For a maximum of 28 days. If you stay in hospital for longer, you won’t incur further costs.  

Private health insurance & hospital costs:

By contrast, private insurance providers do not require any additional contribution from the policyholder. People with private health insurance pay hospital fees upfront before applying to their insurance provider for reimbursement or agree with your insurance company a direct payment between hospital and insurance.

As is so often the case, however, the devil is frequently in the details. You need to consider how much a hospital bed will cost if you expect exceptional comfort or hope to undergo special medical treatment.  

How much does an overnight hospital stay cost for self-payers?

Everyone resident in Germany is required to have health insurance. However, it is quite possible that a publicly insured person with an unusual condition might choose to undergo treatment at a specific private hospital as a self-payer. In addition to room costs of €150–200 per day, they will have to cover the full cost of their treatment. The latter element in particular can be very expensive.  

Hospital treatment: When do insurers cover the costs?

Whether it’s due to a birth, a appendicitis or for knee surgery, the costs of treatment during hospitalization are counted as “general hospital services”. What treatments are reimbursed depends, once again, on the specifics of your health insurance.  

Public health insurance: 

• Public health insurance providers cover all medically necessary treatments that a hospital can provide in the course of your inpatient stay. All treatments must be economically justifiable.
• The patient can choose to undergo treatment in any hospital of their choice that accepts publicly insured patients. Public health insurers do not cover treatment in private hospitals. 
• In most cases, public health insurance does not cover novel or alternative medicines. As a result, patients must cover the costs of such treatments and therapies themselves.  

Public health insurance with supplementary hospitalization insurance: 

Supplementary insurance policies can also cover specialist treatments. For example, supplementary policies sometimes allow policyholders to access to new and alternative therapies, use innovative prostheses, and order additional lab tests. However, it is important that all services are listed in the medical fee schedule for private doctors.  

Private health insurance: 

• Private health insurers also are renowned for being significantly more receptive to innovative treatments. It is therefore entirely possible that private health insurance might cover a hospital treatments or therapy that has not yet been included in the benefits catalog for public health insurance. 
• In addition, as a private patient, you also have access to hospitals that deal exclusively with private insurance providers.
• Unlike public health insurance, private health insurances reimburses chief-physician treatments and double or single rooms depending on the chosen tariff.

How does the reimbursement process work for hospital bills with private health insurance?

No worries about upfront costs! Even though the reimbursement process in private health insurance is normally that you have to pay medical bills directly and get reimbursed from your private health insurance afterwards. This process differs with a hospital bill. Especially when it's an expensive inpatient treatment.

Privately insured patients normally do not have to pay in advance. Instead, hospital bills are settled directly with the patient’s insurance provider.

Therefore, you have to sign a assignment agreement with the hospital so they have the right to get in contact with your insurance and settle the payment for the treatment, and optional benefits (e.g. chief-physician treatment, single or double room).

Your insurance card stores valuable information about you and your insurance coverage. That simplifies the payment directly with the private health insurance for hospitals.

You always have a chance to clarify everything with the ottonova Concierge team via chat or call before admission.

Inpatient hospitalization costs: Who pays for a private or double room?

If you’re staying on a large ward, you never know who you’ll have to share it with. It might be an old man who snores all night, or a woman who spends the entire day chatting loudly on the phone. However, some people choose to minimize this risk by opting for a semi-private (double) or private (single) room. But how much does that cost?

Public health insurance:

In most cases, public health insurance only covers hospitalization on wards, often with several other patients. Public insurance providers only cover the costs of private rooms in rare cases, such as when a patient is in obvious need of peace and quiet. So, if you consider a semi-private or private room essential, you will have to pay for it. The exact costs depend on which hospital you choose and what amenities the room has. You could be looking at around €150 per day, or perhaps as much as €200 per day for rooms with extras such as a balcony or telephone.

Public health insurance with supplementary hospitalization insurance:

Supplementary insurance can cover the costs of a private or double room depending on the chosen tariff and health care provider.

Private health insurance:

Depending on the tariff you choose, you will usually benefit from a double or private room when you have to go to the hospital.

What others costs can occur during a stay in hospital?

You can determine the costs of a hospital stay yourself, to an extent. Depending in the hospital, you might be able to access various optional services.

These might include:

• Use of a television or radio
• iPad rental
• Landline telephone for a flat-rate charge
• Headphones rental

How much these services cost and whether they are actually available depend on the hospital you choose.

Optional benefits: When is treatment by a chief physician included?

Chief physicians often have a wealth of experience and extensive qualifications in their field. This is why some patients prefer to be treated by a chief physician, particularly when it comes to serious illnesses or complex operations. That said, it isn’t as simple as saying that chief physicians are always more skilled surgeons, as many also have numerous management responsibilities. Nevertheless, some people just feel more comfortable being treated by a chief physician.

Public health insurance only covers treatment by a chief physician in exceptional circumstances. Outside of these cases, publicly insured people have to pay for treatment by a chief physician themselves. Hospitals can charge a maximum of 3.5 times the basic costs of a treatment if a chief physician administers it. It’s important to note that you are liable for all chief physician costs. So, if complications occur during an operation and another chief physician is called to assist, you will have to pay for their services, too.

Treatment by chief physicians can be included in supplementary cover.

Most private policies also include chief physician treatment as well as a double or single hospital room.

Hospitalization costs in a nutshell

The cost of a hospital stay depends on numerous factors. Both publicly and privately insured people can receive high-quality inpatient treatment. However, if you value better service and innovative treatment options, private health insurance could be the better option for you – and people with public health insurance should consider taking out supplementary hospitalization insurance.

5 top tips for staying in a German hospital

• Take your own slippers and gown! Most hospitals will not supply them.
• Germans tend to be less concerned with privacy than Americans or Brits. Publicly insured people in particular can find themselves sharing rooms with numerous other patients.
• Visiting hours are usually quite long, from 2pm to 8pm – though this can vary.
• Children are generally discouraged from visiting, especially if they disturb other patients.
• Leaving a small token of appreciation for the nurses is customary, particularly after an extended stay in hospital. A card or a basket of fruit always goes down well!

Marie-Theres is online editor for health and insurance topics at ottonova. She designs the editorial plan, researches and writes mainly about (e-)health and innovation that make life better.

Our ottonova team of experts has over 40 years of experience in private health insurance and answers questions about it every day. What are old-age provisions and for whom does private health insurance make sense? What is the actuarial interest rate and which tariff is right for you? They know!

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Changing private health insurance in Germany

Do you want to change your tariff or your private health insurance provider? Check out our guide for changing private health insurance for all relevant information!

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In Germany, the private health insurance income threshold for employees working in Germany is set by the Federal Ministry of Labour and Social Affairs (BMAS).

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If you live in Germany and work remotely for a foreign employer, please contact us.

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Infographic: average cost of medical consultations across 10 countries

Do you know how much medical consultations abroad cost? Depending on the country, prices can sometimes vary by a factor of three or more. Check out our infographic showing the average costs of GP or specialist consultations in 10 countries! Top 3 most expensive countries for healthcare are the United Kingdom, the United States and Canada.

Are you about to settle in the USA, Switzerland or Thailand? To get ready for expatriation, you might want to learn about the costs of medical consultations in your host country. In this infographic, APRIL International reveals the average cost of a GP or specialist consultation in 10 countries which attract many new expats each year.

To make sure you get effective health coverage abroad, choose an  expat insurance solution  that fits your situation and your needs. You will also have access to specific services such as direct payment of hospital charges for hospitalisations of more than 24h or third-party payment in some countries.

Download the infographic here .

Is the healthcare system in your (future) country of expatriation efficient? According to the WHO, the average life expectancy worldwide has risen sharply over the last twenty years, which suggests that the quality of care is also increasing...

Asia is one of the world's most culturally diverse and economically advanced regions. It is considered to be the fastest-growing region for expatriates from all backgrounds, from young professionals choosing to build their careers to senior executives...

Expatriates are often worried about undergoing a medical procedure abroad. It can raise questions about how hygienic are the medical facilities, are the hospital staff experience and capable, how much does medical treatment cost, and so on. If you live in or...

For expats planning to travel or move to Thailand, understanding the healthcare system—the quality of care available, coverage options, and the process for accessing care—is crucial...

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• Short visit to private Doctor (15 minutes)

The price of Short visit to private Doctor (15 minutes) in Berlin is €52

Short visit to private doctor (15 minutes) in other cities.

• In Riyadh the price is 13% cheaper than in Berlin
• In Brussels the price is 29% cheaper than in Berlin
• In Barcelona, Spain the price is 14% more expensive than in Berlin
• In Milan the price is 90% more expensive than in Berlin
• In Montreal the price is 141% more expensive than in Berlin
• In Lille the price is 52% cheaper than in Berlin
• In São Paulo the price is about the same as in Berlin
• In Suva the price is 76% cheaper than in Berlin

Other prices in Berlin (Germany)

• The price of 2 tickets to the theater (best available seats) in Berlin is €139
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• The price of 500 gr (1 lb.) of boneless chicken breast in Berlin is €6
• The price of 12 eggs, large in Berlin is €4.29

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• Cost of living in Paris is 32% cheaper than in New York City
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• Cost of living in Mexico City is 31% more expensive than in Bogotá
• Cost of living in Madrid is 26% cheaper than in Paris
• Cost of living in Rio de Janeiro is 28% cheaper than in Buenos Aires
• Cost of living in Amsterdam is 877% more expensive than in Enugu
• Cost of living in London is 110% more expensive than in Madrid
• Cost of living in Antalya is 21% cheaper than in Istanbul
• Cost of living in New York City is 7% more expensive than in London

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Ozempic maker defends high U.S. price: It's 'helping' reduce the cost of obesity

The CEO of Novo Nordisk defended the high cost of Ozempic and Wegovy in the U.S., saying the blockbuster drugs are ultimately saving taxpayers money on obesity-related costs.

“If you look at just the cost of obesity in the U.S., it’s a disease that costs Americans more than $400 billion a year ,” Lars Fruergaard Jørgensen said in an interview on “NBC Nightly News.” “And we are actually providing products that’s actually helping take that cost burden off.”

Jørgensen, who spoke to NBC News before the company's "quiet period" ahead of its last earnings report, called accusations that the company is operating as a drug cartel “unfounded.”

Jørgensen is scheduled to testify about the U.S. pricing of the drugmaker’s hugely popular diabetes and weight loss drugs at a highly anticipated Senate committee hearing next month.

Sen. Bernie Sanders, I-Vt., chair of the Health, Education, Labor and Pensions Committee, told NBC News in June that he plans to ask Jørgensen why Novo Nordisk charges up to 10 to 15 times more for Ozempic and Wegovy in the U.S. than it does in other countries. It charges around $1,300 a month for Wegovy in the U.S., according to a HELP Committee report, while the drug can be purchased for $186 a month in Denmark, $137 in Germany and $92 in the United Kingdom.

“It is clear that Novo Nordisk is ripping off the American people,” Sanders said.

The cost of obesity-related care in the U.S. is substantial.

A report published last year from KFF , a nonprofit group that researches health policy issues, found that in 2021, people with employer-based health insurance who were overweight or had obesity had an average of $12,588 in total annual health costs, more than double the $4,699 in health spending for those who weren’t overweight or didn’t have obesity. People who are overweight or have obesity also face higher out-of-pocket costs: an average of $1,487, compared with $698 for those without those conditions.

Still, Stacie Dusetzina, a health policy professor at Vanderbilt University in Nashville, Tennessee, said that at Ozempic’s and Wegovy’s current prices, the savings that could be gained from reducing the burden of obesity-related care aren’t enough to make up for the large increase in spending on the drugs.

“For many people, these drugs might be a very good option for improving their health, but it is unlikely that they will reduce total spending,” Dusetzina said. “In general, the price of these drugs would need to come down a lot in order to have a chance for them to produce overall savings in health care spending.”

A complex health care system

Jørgensen said he “volunteered” to speak with the committee about the cost of Ozempic and Wegovy at the hearing next month. His announcement to do so came three days after Sanders threatened to hold a vote to subpoena Novo Nordisk’s president, Doug Langa.

Jørgensen said he plans to talk about the “complexities of the U.S. health care system, which is a system we take part in but we cannot change.”

“That takes policy change,” he said, blaming insurance companies and pharmacy benefit managers, or PBMs, for the high out-of-pocket costs patients pay for the drugs.

PBMs work with insurers to negotiate rebates, or discounted prices, from the drug companies in exchange for including the drugs in their coverage. But as PBMs consolidate and hold more influence over what drugs are covered, experts say, they may be inflating drug costs.

In July, the Federal Trade Commission published an interim report about how PBMs are driving up costs for patients.

“I do acknowledge that some patients have poor insurance,” Jørgensen said. “And if you have poor insurance, it can be difficult to afford your medicines. And for those we have patient support programs where we try to help them out.”

Jørgensen also said the U.S. needs to have a “discussion around what’s the value of these medicines” for patients.

Cynthia Cox, a vice president at KFF and the director of its program on the Affordable Care Act, said that while the drugs can prevent and reduce a number of obesity-related diseases, they remain expensive and that it’s unclear how long people will need to stay on them to maintain weight loss and improved health.

“​​The widespread use of these drugs for weight loss is still relatively new, so I’m not sure there is enough long-term data to fully weigh the costs and benefits,” Cox said.

Berkeley Lovelace Jr. is a health and medical reporter for NBC News. He covers the Food and Drug Administration, with a special focus on Covid vaccines, prescription drug pricing and health care. He previously covered the biotech and pharmaceutical industry with CNBC.

Meagan Fitzgerald is a correspondent for NBC News.

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Study Medicine in Germany

Many international students are currently studying medicine in Germany, and you can join them!

However, you probably have many questions about how to apply, the costs involved, and what your future could look like. This guide has all the information you need to know on how to pursue a medical degree in Germany.

Why Should I Study Medicine in Germany?

When it comes to studying medicine, you have a world of options. So, why should you consider Germany? Well, it all depends on your goals.

• High-Quality Education. If you’re a motivated student looking for a unique and challenging education system, Germany is your ideal choice. German medical schools are renowned for their commitment to quality teaching, consistently ranking among the best.
• Global Recognition. Are you seeking a globally recognized medical degree that can give you a competitive edge in the job market? Germany’s degrees are highly regarded worldwide, opening doors to opportunities worldwide.
• Financial Stability. Dreaming of a financially stable career that’s emotionally fulfilling as you help others? Medicine offers just that, and a degree from Germany can pave the way. For example, the average gross salary for physicians and surgeons is €235,844 per year, which is equivalent to an hourly rate of €113. They also receive an average bonus of €22,122, according to Salary Expert.
• Top-Ranked Universities. Germany has a long academic tradition, and its medical schools are a big part of it. They offer a variety of medical programs to suit different preferences. In fact, Germany has 49 universities listed in the latest QS World University Rankings for 2024.
• State-of-the-Art Facilities. Medical practice is important, and German schools provide modern, well-equipped laboratories that give you the practical skills needed to succeed in the medical field.
• Diverse Student Community. With over 350,000 international students , Germany is full of different cultures. You’ll have the chance to interact with people from around the world during your studies.
• Promising Future. Medical professionals are always in demand, and a German medical degree holds significant value in the job market.

How Many Years Does it Take to Study Medicine in Germany?

It takes about six years and three months of full-time study to complete a medical degree in Germany. The program is divided into different stages, each with its own exams.

• Pre-Clinical Stage (Vorklinik): In the first two years, you’ll learn the basics of medicine, including subjects like anatomy, biochemistry, and physiology. At the end of this stage, you’ll take an exam, both written and oral, to assess your progress.
• Clinical Science Stage: For the next three years, you’ll expand your medical knowledge and gain practical skills through lectures, labs, seminars, and internships. At the end of this stage, you’ll have a written exam to test your understanding.
• Final Clinical Year: This is your last year as a medical student. You’ll face the final State Examination, which is crucial for your medical career. Passing this exam is a must to get your medical license. It’s an oral and practical test assessing your medical knowledge.

How Much Does It Cost to Study Medicine in Germany?

Most university degrees became tuition-free for international students in 2014 in Germany, but studying medicine is an exception.

The cost of a medical degree depends on your nationality and whether you attend a public or private university. EU students pay minimal administration fees, usually up to €300. Non-EU students, however, have to pay for their medical education, but the fees are relatively low compared to other countries. Tuition fees typically range from €1,500 to €3,500 per year.

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Private universities charge higher international tuition fees than public ones. Also, some medical schools in the state of Baden-Württemberg have reintroduced tuition fees for international students, making it more expensive to study there compared to other parts of Germany.

What Are the Admission Requirements for Studying in Germany?

Once you’ve found the medical program and university you like in Germany, you need to find out the entry requirements.

These requirements can vary from one university to another.

Here’s a list of documents and qualifications you’ll generally need to apply for a medical degree in Germany as an international student:

• Recognized Academic Qualifications: Your previous academic qualifications must meet the standards set by German medical schools. You can check with your university, the German Academic Exchange Service (DAAD), or the Standing Conference of Ministers to see if your qualifications are accepted. If not, you may need to take a one-year preparatory course.
• Certified Grade Certificates: Good grades are a must for getting into competitive German medical schools. Higher grades in subjects related to medicine, such as biology and chemistry, improve your chances.
• German Language Proficiency: Most medical programs in Germany are taught in German, so you’ll need to prove your German language skills. The required level varies by university, but many ask for a C1 certificate. If you need to attend a preparatory course (Studiencolleg) first, a B1 German certificate may be accepted.
• Exam Scores: Some medical schools require you to take specific examination tests to assess your suitability for the program you’re applying to.

Best Medical Universities in Germany

German medical universities are highly regarded , ranking among the top 50 in global university rankings for Medicine. These schools have competitive admission standards, and while international students can apply, there are limited programs taught in English.

Here are some of the best medical universities in Germany and their tuition fees:

*General university semester fees.

What About Job Prospects and Salary?

Becoming a doctor is a well-paying career worldwide. If you earn a medical degree in Germany, you’ll have excellent job prospects and a high income.

Germany is in need of more doctors due to its rapidly aging population. Despite an increase in the total number of doctors, there is still a shortage. This need becomes even more pressing, with around 20% of doctors expected to retire soon.

Here are some job roles in medicine and their average salary:

*Source: Salary Expert

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Kamala Harris’s Record on Immigration

The vice president’s role in border policy has come under intense scrutiny as the election nears..

This transcript was created using speech recognition software. While it has been reviewed by human transcribers, it may contain errors. Please review the episode audio before quoting from this transcript and email [email protected] with any questions.

From “The New York Times,” I’m Sabrina Tavernise, and this is “The Daily.”

As Vice President Kamala Harris moves into the final stretch of her campaign, one of the biggest issues for voters and for Republicans attacking her is the surge of migrants across the southern border over the past four years and her role in it. Today I talked to my colleague Zolan Kanno-Youngs about her record.

It’s Thursday, September 5.

So, Zolan, we’re gearing up for the presidential debate next week, and one of the biggest issues for voters is immigration. This is something that you and I have talked about a lot on the show, and we’ve talked about how there has been this real spike in border crossings over the past few years, record numbers, and Republicans are trying to pin those on Harris.

So, because we know Republicans and Trump are going to keep attacking her on this issue, we wanted to come to you, our expert, and ask you what exactly her record has been on immigration and what we know about how she might approach that issue if she is elected.

Right, so we do know that Republicans at this point are aggressively trying to attach Vice President Kamala Harris to the border crisis that existed for much of the Biden administration. And we also know that a lot of voters, including supporters of the Democratic Party, are trying to figure out and learn more about the vice president on a variety of issues. This is one of them.

And while her role in the federal government was limited when it came to this issue, just by looking at the vice president’s career dating back to early 2000s, when she was a prosecutor in California, we can start to get signs and indications of this leader’s approach overall to the border and immigration.

OK, so let’s dig into that. Let’s go back to those early days of hers in California. What was her job?

So, Harris was elected district attorney of San Francisco in 2003. This was the start of her career as an elected official. And even then, part of her work was dedicated to immigration.

I think most would describe San Francisco as a liberal city. And when it came to immigration, it was also known as a sanctuary city. So that basically means that it was a city that didn’t want its local law enforcement to pursue immigration enforcement.

This leads to an interesting situation with Harris because at the time, she actually locked heads with the board of supervisors over how to carry out that sanctuary city policy. Harris, as well as the then-mayor of San Francisco, Gavin Newsom at the time, supported turning over juvenile undocumented immigrants if they were charged with committing a crime. They would be turned over to immigration enforcement.

Interesting So essentially insisting that they be turned over to federal agents who would presumably deport them, which is a pretty hard line for a Democrat.

Yeah, at the time in 2009, “The New York Times” reported that it resulted in roughly 100 undocumented immigrants, younger undocumented immigrants, getting turned over to federal law enforcement, and you’re exactly right, for potential or even likely deportation. Now, this got a lot of backlash from immigration advocates, also from the local board of supervisors at the time, because those undocumented immigrants didn’t need to have a conviction in order to be turned over to ICE.

So there were accusations that actually, those undocumented immigrants were not being given their full due process under law. But at the time, Harris said that this was necessary to maintain cooperation with federal law enforcement and that a sanctuary city status didn’t exactly mean that you would issue sort of blanket protection for undocumented immigrants that had committed crimes. That being said, her position and her approach was nuanced. She also worked within the law to also assist undocumented immigrants.

So how did she do that? Tell me about that.

Well, I mean, one way is she went after her employers who she accused of abusing undocumented immigrants by not paying them adequate wages. She also supported issuing these sort of specialized visas for undocumented victims of violent crimes. And she denounced proposed federal legislation that would have criminalized assisting undocumented immigrants. So you are seeing somebody willing to pursue enforcement, but you’re also seeing somebody that’s willing to work within the law to provide some humanitarian relief to undocumented immigrants as well.

So in other words, there are lots of sticks here. She’s part of law enforcement. But when it comes to her approach to immigrants, there are carrots as well.

I think that’s right. And that’s the approach that she would try to own when she became the top law enforcement officer in the state, the attorney general of California — a border state, a state with some of the most undocumented immigrants in the country, no longer just DA of sort of liberal San Francisco. But now, a large part of her responsibility was also how to approach immigration.

So, starting from about 2011, when she’s starting her career as attorney general, you saw Harris really start to focus is on the border and some of the criminal gangs and cartel organizations that she would say were facilitating the illegal crossings at the border and exploiting migrants at the time, analyzing different data trends and crimes committed by some of these transnational gangs and cartels. At one point, she led a delegation of other attorneys general to Mexico to learn more about cartels. So already, you see somebody leaning into a law enforcement approach to tackle this issue.

OK, so that’s her California era. Then, of course, she’s elected to the US Senate, which happens in 2016, which is the same year that former President Trump wins the presidency. He, of course, kind of redefines the issue of immigration by coming up with policies that are pretty far to the right. How does she respond to that in her seat as senator?

Sure. Let’s just describe this moment that Harris is coming to Washington, and the Trump administration in those early days, they were issuing a flurry of executive actions to change the way our immigration system worked. One of the more known examples were these travel bans that he issued, including travel bans against Muslim majority countries.

And I talked to some of the people who worked with Harris when she was a senator at the time, and they were saying, look. It was almost as soon as she got in, there was a need to now respond to some of these policies, utilize her connections in the legal world, to pro-immigration advocates that she made connections with back in California, to work with them on opposing some of these policies. And then also publicly, she became someone that was sort of known, particularly in congressional testimonies of Trump administration officials, as somebody who would almost cross-examine some of his top immigration advisors.

So this was, of course, a period when the language we heard from Democrats became pretty limited to combating Trump in all of his border policies, which, of course, brings us to the primary campaign in 2019 and Harris’s run for president.

Yeah, I mean, look. Democrats during the Trump era were on the defensive. And in that time period, so many Democrats, including Harris, spent so much time investigating, criticizing, calling to question the Trump administration’s approach to immigration. That sort of grew to define the overall rhetoric from Democrats on immigration, essentially not being Trump.

And that carried over as well to the presidential elections when it came to the different campaign platforms for each candidate. Democrats at that time in 2019 and going into the 2020 election, most of the time, they spent their time basically saying how they would roll back Trump era policies or not do what he did. But there was a question about what they would do. And in some cases, they moved even further to the left than we’ve seen Democrats historically go on the border and immigration.

I will also immediately put in place a meaningful process for reviewing the cases for asylum. I will release children from cages. I will get rid of the private detention centers, and I will ensure —

You see Harris criticizing a sweeping border policy known as Title 42 that essentially turned migrants away without giving most of them the opportunity to ask for protection in the US. You see her even at one point expressed support for decriminalizing border crossings.

Let me just be very clear. We have to have a secure border, but I am in favor of saying that we’re not going to treat people who are undocumented across the border as criminals. That’s correct.

You see her saying that ICE might need to be overhauled as well.

Listen, I think there’s no question that we’ve got to critically reexamine ICE and its role and the way that it is being administered and the work it is doing. And we need to probably think about starting from scratch.

Right, she took on these very pro-immigration stances as a primary candidate.

Right, but as we know, Harris’s presidential campaign didn’t last too long. She dropped out pretty early on, and she would later be picked as Biden’s running mate. And after coming into office, President Biden took a more hard line approach at the border than Democrats and modern history have taken, and his vice president went right along with him.

We’ll be right back.

OK, so Harris becomes vice president and kind of takes up the party line of the Biden administration on immigration. We know she had some role related to immigration in her job as vice president. What did she actually do?

Yeah, so the vice president had a pretty specific role when it comes to this issue. For one, I think it’s worth saying that it wasn’t like the vice president is the one who is deciding or shaping, even, the specific way to handle asylum seekers at the US-Mexico border. She’s not dictating border policy, like, at the actual US-Mexico border.

That’s the Homeland Security secretary. That’s not going to be the vice president’s role. What her role was essentially addressing the poverty and the corruption in what’s known as the Northern Triangle of Central America.

We’re talking about Guatemala, El Salvador, and Honduras, and these countries for years had made up many, at times the majority, of migrants who were crossing the border into the United States. So her team describes this as addressing the root causes of migration, the sort of societal, systemic factors of poverty and violence that were pushing people to get up and take that dangerous journey to the United States.

OK, so she’s tasked with this root causes mission. How does she tackle that?

So there’s kind of a two part strategy to this role. You know, one is that she’s tasked with bolstering Democratic institutions in this region. So what does that mean?

That’s pressing leaders to ensure a free and fair election, making sure that those who are fairly elected actually make it to office, which was the case in Guatemala. And then the second is she’s effectively a chief fundraiser. A huge part of her role was essentially getting together all of these business leaders that in the past might have been hesitant to invest in this region and using the office of the vice presidency to encourage them to invest in this region with the ultimate goal of creating jobs and training programs that could help some of the families that at that time were considering traveling north to the United States.

So, OK, did it actually work to bring down immigration levels?

Yeah, the short answer is we really won’t know for years. When I’ve talked to business leaders that worked on this initiative, they told me and were clear eyed that this was going to take as long as maybe a decade, definitely not within one presidential term, to see its full results. And that speaks to just how daunting of a task this is.

I mean, I went on that first trip in 2021 with Harris to Guatemala. And actually, before she arrived, I got there before her and went to this rural village in Huehuetenango in northern Guatemala, where there were plenty of families that had relatives that had made that trek to the United States. And I asked them, was this initiative, the vice president’s involvement, encourage you to stay home?

And they explain that their families for generations had traveled to the US and found a way to support their families. That’s sort of a generational cycle that you’re going up against here if you’re Kamala Harris. So it was quite a daunting task.

But it also was at a time of sort of a global migration trend, a shift in global migration, where we had more migrants coming from different parts of South America as far as Africa and China. Meanwhile, this strategy remained focused on the Northern Triangle. So there was also some criticism that it was slow to adapt in a way.

So basically, Harris did a fine job of the task she was asked to do. But it’s just that that task was never going to be all that meaningful to the overall problem of too many migrants trying to cross into the United States.

Yeah, on its own, Harris’s task was not going to be the sort of primary policy response to the soaring number, the record, number of illegal crossings that we saw in the short term. But that being said, Harris was still a part of this administration. She was still the number two, Biden’s number two when there were unaccompanied children and teenagers crossing in mass, encountering squalid border detention facilities in 2021, and rising all the way towards this past year, where in December of 2023, remember, we were getting 10,000 crossings a day —

— at one point. The border and the administration’s handling of immigration became a top concern for voters. And you saw the Biden White House also respond to that pendulum shift, even working with a group of conservative Republicans in the Senate to draft a Senate Bill that would severely restrict asylum at the Southwest border.

And we know, of course, the fate of that legislation. It dies. It’s torpedoed by former President Trump.

Yep, former President Trump did not want the White House to get this election year victory, which is how many saw it. So Trump torpedoes it. And then we see the White House take action on their own and issue this executive order that is still in place today that did many of the things that that Senate Bill would do, namely restricting asylum, restricting the ability for migrants to claim asylum, to get protection, to stay in the United States.

And look, you know? Since that executive order was signed, we’ve seen border crossings plummet. I mean, that could be for a variety of reasons. But without a doubt, since President Biden, since the Biden White House, issued this executive order, you’ve seen border crossings plummet.

OK, so Harris inherits all of this once she becomes the nominee. But since that time, she really hasn’t laid out a policy plan on the issue or given us a lot of detail about how she’s thinking about it. Are we to assume that her campaign approach is just basically what he said? You know, like, agreeing wholesale with Biden’s policy?

Yeah, you’re totally right. We have not seen Harris at this point issues sort of a comprehensive policy platform on immigration. But make no mistake, the few times this has come up, the emphasis has been on border security. It has been on sort of describing herself as the one person in the election that actually has investigated transnational criminal organizations, cartel organizations. It’s been talking about her time as a prosecutor.

On the border, the choice is simple. Kamala Harris supports increasing the number of border patrol agents.

Democrats even issued an advertisement for Harris —

Donald Trump blocked a bill to increase the number of Border Patrol agents.

— in which they talked about that Senate bill that Trump torpedoed. So, you know, you’re not seeing her talk about it all the time. But the few times that she does talk about it, there’s a similar sort of emphasis on what we were hearing from President Biden.

So, Zolan, stepping back from everything you’ve told me, Harris doesn’t really have the kind of record on this issue that would show us any kind of strong stance on immigration and border policy. She just doesn’t have it. Just like a lot of things, she’s kind of hard to pin down.

And at the end of the day, her campaign policy is basically Biden’s policy. That’s what you’re saying. And that’s the policy Republicans, of course, are attacking. So I guess I’m wondering, what do you think she would actually do if she wins? Would a Harris White House just be Biden 2.0 on immigration?

It’s tough to say for many of the reasons you just described. Harris has never been somebody that sort of fits easily into a bucket. She’s somebody that her aides have said when it comes to each policy, and I think including immigration, wants to lean into the nuance and also wants to be pragmatic and not worry about being described as pro-immigration or pro enforcement or what have you. I guess, though, the question is whether or not even that approach by Kamala Harris is one that’s meeting Americans where they are on this issue.

I mean, make no mistake about it. This is still a primary vulnerability for Democrats. After consecutive years of overseeing a record level of border crossings, we know this is something that Republicans will continue to attack her and Democrats in general on.

What we do, though, is that going into election day, in a potential Harris administration, she would be the person now faced with these questions. Throughout the Biden era, Harris has almost been shielded in a way by her limited role. When the administration was faced with these tough questions about border crossings or about the way forward was just for the overall immigration system, including the legal immigration system, Kamala Harris was able to say, I have a very sort of specific lane, a very specific piece of this overall puzzle.

Well, now the entire puzzle is going to be yours if you’re president. And all of those questions about the border, how you’re deciding who gets in and who stays out, and also just what the future is for this country when it comes to immigration, if she were to win, she’s going to be the person that’s going to be making those decisions.

She can no longer say, that’s not my job.

That’s right. She will no longer be able to say that this assignment, this issue, is not her job.

Zolan, thank you.

Thank you. Appreciate it.

Here’s what else you should know today. On Wednesday, Attorney General Merrick Garland announced that the Justice Department was beginning a broad effort to curb what it said was Russia’s attempt to influence the 2024 election. Garland announced the indictment of two Russian employees of RT, the state-owned Russian broadcaster, for secretly paying a company in Tennessee to spread English language videos which support the goals of the Russian government. He also said that American authorities were seizing web domains that US officials said the Kremlin uses to spread disinformation.

And a 14-year-old student opened fire at his high school in suburban Atlanta on Wednesday, killing two students and two teachers before surrendering to school resource officers. Officials said that the suspect would be prosecuted as an adult. He has been on the radar of law enforcement officials for more than a a year in connection with threats of a school shooting posted online.

Today’s episode was produced by Nina Feldman, Clare Toeniskoetter, and Mujigae zadi. It was edited by MJ Davis Lin with help from Paige Cowett, contains original music by Elisheba Ittoop and Pat McCusker, and was engineered by Chris Wood. Our theme music is by Jim Brunberg and Ben Landsverk of Wonderly. Special thanks to Hamid Ali Aziz.

That’s it for “The Daily.” I’m Sabrina Tavernise. See you tomorrow.

• September 10, 2024   •   21:15 Judge Delays Trump Sentencing Until After Election
• September 9, 2024   •   25:33 The Harris Honeymoon Is Over
• September 6, 2024   •   33:29 The First Post-Affirmative Action Class Enters College
• September 5, 2024   •   23:33 Kamala Harris’s Record on Immigration
• September 4, 2024   •   27:13 The Battle to Control the World’s Most Powerful Technology
• September 3, 2024   •   29:30 The Push to Ban Phones in School
• August 30, 2024   •   36:39 What Phil Donahue Meant to Me
• August 29, 2024   •   26:43 Why Tipping Is Everywhere
• August 28, 2024   •   28:30 The War That Won’t End
• August 27, 2024   •   31:28 The First Major Cyberattack of the 2024 Election
• August 26, 2024   •   39:30 Trump vs. Harris on the Economy
• August 23, 2024   •   37:44 At the Democratic Convention, a Historic Nomination

Hosted by Sabrina Tavernise

Featuring Zolan Kanno-Youngs

Produced by Nina Feldman Clare Toeniskoetter and Mooj Zadie

Edited by M.J. Davis Lin

With Paige Cowett

Original music by Elisheba Ittoop and Pat McCusker

Engineered by Chris Wood

Listen and follow ‘The Daily’ Apple Podcasts | Spotify | Amazon Music | YouTube | iHeartRadio

As Vice President Kamala Harris moves into the final stretch of her campaign, one of the biggest issues both for voters and for Republicans attacking her is the surge of migrants crossing the southern border over the past four years.

Zolan Kanno-Youngs, who covers the White House for The Times, discusses Ms. Harris’s record on border policy.

On today’s episode

Zolan Kanno-Youngs , a White House correspondent for The New York Times.

Background reading

As Republicans attack Ms. Harris on immigration, here’s what her record shows .

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Special thanks to Hamed Aleaziz .

The Daily is made by Rachel Quester, Lynsea Garrison, Clare Toeniskoetter, Paige Cowett, Michael Simon Johnson, Brad Fisher, Chris Wood, Jessica Cheung, Stella Tan, Alexandra Leigh Young, Lisa Chow, Eric Krupke, Marc Georges, Luke Vander Ploeg, M.J. Davis Lin, Dan Powell, Sydney Harper, Michael Benoist, Liz O. Baylen, Asthaa Chaturvedi, Rachelle Bonja, Diana Nguyen, Marion Lozano, Corey Schreppel, Rob Szypko, Elisheba Ittoop, Mooj Zadie, Patricia Willens, Rowan Niemisto, Jody Becker, Rikki Novetsky, Nina Feldman, Will Reid, Carlos Prieto, Ben Calhoun, Susan Lee, Lexie Diao, Mary Wilson, Alex Stern, Sophia Lanman, Shannon Lin, Diane Wong, Devon Taylor, Alyssa Moxley, Olivia Natt, Daniel Ramirez and Brendan Klinkenberg.

Our theme music is by Jim Brunberg and Ben Landsverk of Wonderly. Special thanks to Sam Dolnick, Paula Szuchman, Lisa Tobin, Larissa Anderson, Julia Simon, Sofia Milan, Mahima Chablani, Elizabeth Davis-Moorer, Jeffrey Miranda, Maddy Masiello, Isabella Anderson, Nina Lassam and Nick Pitman.

Zolan Kanno-Youngs is a White House correspondent, covering President Biden and his administration. More about Zolan Kanno-Youngs

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