All about this insurance: Supplementary health
What does German public health insurance not cover?
Insurance broker / Insurance questions / Supplementary health
In short
Yes, supplementary insurance does pay for a Heilpraktiker, the licensed non-medical practitioner, while public health insurance does not. Good tariffs reimburse 80 to 100 percent up to a budget of about EUR 1,000 to 2,400 in two years and cost adults mostly EUR 10 to 50 a month. It pays off if you regularly use osteopathy, acupuncture or naturopathy.
Guide values from published tariff comparisons and guides on Heilpraktiker cover.
| Example | Typical range |
|---|---|
| Adult, age 43, good naturopathy cover | under EUR 20 a month |
| Adult, tariff with broad benefits | about EUR 15 to 50 a month |
| Simple tariff with 80 percent reimbursement | from about EUR 10 a month |
| Child with similar benefits | about EUR 4 to 6 a month |
As of October 2026.
The premium depends on age, health and budget.
The cost per osteopathy session varies with the practice and length.
Worked example
How a tariff with 80 percent reimbursement and a EUR 20 monthly premium works out.
| Six sessions at EUR 90 each | EUR 540 |
| 80 percent reimbursed | EUR 432 |
| Your own share | EUR 108 |
| Premium per year (12 × EUR 20) | EUR 240 |
You pay EUR 348 in total instead of EUR 540. With only two sessions a year it would be EUR 276 instead of EUR 180, and the tariff does not pay off.
A Heilpraktiker is a state-licensed practitioner of alternative medicine who is not a doctor. The profession exists in this form almost only in Germany, so many newcomers do not know it. Osteopaths often work with this licence too.
Public health insurance (GKV) does not pay for these treatments. A few funds give voluntary subsidies for osteopathy or acupuncture by doctors, usually with a prescription.
Heilpraktiker cover reimburses treatment by Heilpraktiker and often naturopathic treatment by doctors that the public fund does not pay. Typical are osteopathy, acupuncture, homeopathy, Traditional Chinese Medicine and the natural remedies prescribed.
The basis is usually the fee schedule for Heilpraktiker (GebüH) or the Hufeland directory. It lists which methods are recognised and how much is reimbursed per service.
| Service | Typical rule in the tariff |
|---|---|
| Osteopathy | mostly reimbursed, often with its own annual limit |
| Acupuncture | mostly reimbursed |
| Homeopathy and natural remedies | mostly reimbursed if prescribed |
| Glasses or contact lenses | in combined tariffs often EUR 300 to 400 every two years |
| Bill above the fee schedule | you often pay the difference yourself |
Almost every tariff caps payouts with a budget, for example EUR 1,000 a year or EUR 2,400 in two calendar years. Once the budget is used up, you pay the rest.
Many practitioners charge more than the fee schedule. The tariff then only reimburses up to that rate. Ask about the price per session before treatment.
Ongoing or already recommended treatment is not covered. If you are already in treatment, you sign too late.
An osteopathy session usually costs EUR 60 to 120, and one course often has four to five sessions. If you need that every year, a tariff for EUR 15 to 20 a month pays out more than you pay in.
If you only rarely see a Heilpraktiker, pay yourself. The tariff does not protect against large risks, it spreads plannable costs. For expensive cases like dentures, separate dental cover is usually the better choice.
Questions and answers
No. Heilpraktiker treatment is not a public benefit. Some funds give voluntary subsidies for osteopathy or acupuncture by doctors.
For adults usually EUR 10 to 50 a month, depending on age and budget. Children are often covered for EUR 4 to 6.
Usually three months from the start. Some tariffs waive it, but existing complaints are still not covered.
Not always. Many tariffs set an annual limit or require treatment by a Heilpraktiker or doctor. Read the terms carefully.
That depends on the tariff. Many are built around German practitioners and the German fee schedule, so check the terms before you book treatment abroad.
Usually yes, mostly to the end of the insurance year after a minimum term. Check the notice period in your contract.
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