All about this insurance: Accident insurance
Do I need private accident insurance if I already have health insurance in Germany?
Insurance broker / Insurance questions / Accident insurance
In short
Often yes, if you live alone in Germany and nobody nearby could help after a fall. What counts in retirement is help at home, such as shopping and cleaning for up to six months, more than a lump sum. At 75, a policy with a EUR 75,000 basic sum costs about EUR 150 to 560 a year. With savings and family close by, you usually do not need one.
Premiums from a published German tariff comparison and a consumer test, plus the statutory household help.
| Example | Typical range |
|---|---|
| Retiree, 75, EUR 75,000 basic sum, no progression or pension, EUR 5,000 on death | about EUR 12.50 to 46.75 a month, around EUR 150 to 560 a year |
| Adult, 35, office job, good basic cover | from about EUR 100 a year |
| Adult, 35, very good cover | from about EUR 188 a year |
| Help-at-home tariff (Assistance) alone, new customer aged 75, consumer test 2019 | from about EUR 51 a year |
| Household help from health insurance after serious illness | up to 4 weeks, with co-payment |
As of October 2026. Your premium depends on age, basic sum and the help services included. Whether help is paid for or only arranged is stated in each tariff's conditions.
Worked example
She falls on the pavement and breaks her hip. After two weeks in hospital she returns home.
| Household help from health insurance | up to 4 weeks, with co-payment |
| Help afterwards without a senior tariff | pay for it or organise it yourself |
| With a senior tariff | shopping, cleaning and lifts to the doctor for up to 6 months |
| Premium for such a tariff | about EUR 150 to 560 a year |
For her the tariff pays off mainly because of help at home. If her daughter lived next door, she would usually not need it.
During your working life, private accident insurance (private Unfallversicherung) mainly protects your income and pays for adapting your home or car. In retirement your pension keeps coming, so an accident does not cost you income.
What changes is daily life. After a broken hip many people cannot shop or clean for weeks. Senior tariffs therefore focus on practical help: meals, shopping, laundry, a lift to the doctor and a home emergency call system (Hausnotruf).
| Your situation | Worth it? | Why |
|---|---|---|
| Living alone, no family nearby | often yes | otherwise nobody helps day to day |
| Couple, both still fit | rather not | you can help each other |
| Children live close and help | usually not | help is already there |
| Large savings | usually not | you can pay for help yourself |
| Already assessed with a care grade (Pflegegrad) | rarely | long-term care insurance already pays |
The policy only pays after an accident. A stroke or a serious illness is usually not covered unless the tariff names it.
If an existing condition contributed to the damage, many policies cut the benefit. This affects older people more often. Good senior tariffs largely waive this cut and treat fractures due to osteoporosis as an accident.
Not every tariff pays for the help. Some only arrange a care service or cleaner, and you pay the bill yourself.
Make sure the costs are covered and the help lasts at least six months.
Your statutory health insurance (gesetzliche Krankenkasse) pays for household help for up to four weeks after a serious illness, especially after a hospital stay, with a co-payment. This applies even without children in the household, as long as you do not have care grade 2 to 5.
For a longer period this is often not enough. That gap is what a senior tariff closes if nobody can step in.
If you still have a policy from your working years, check whether it cuts benefits or raises the premium from a certain age. Good contracts continue without such age rules.
A high accident pension or high progression (a multiplier for severe disability) is of little use in retirement. It is often cheaper to lower the basic sum and add help at home.
Questions and answers
Not in your free time. Statutory cover only applies to certain activities, such as some kinds of voluntary work.
Senior tariffs usually accept new customers up to about 75. After that it becomes difficult.
Yes, a fall is an accident. If an illness caused dizziness first, the tariff may cut or refuse the benefit.
For adapting your home and paying for help, a lump sum is often more practical. An accident pension usually starts only at 50 percent disability.
No. Most care needs arise from illness, not from accidents.
Not too quickly. A new contract costs more at your age and may no longer be available. Review and adjust it first.
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All about this insurance: Accident insurance
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NAMMERT Assekuradeur GmbH, insurance broker licensed under section 34d(1) of the German Trade Regulation Act, broker register no. D-C08Q-TOSD4-37. For boat and yacht insurance we act as underwriting agency, not as broker. Statutory disclosure (German) · Updated
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