All about this insurance: Supplementary health
What does German public health insurance not cover?
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In short
For most people glasses insurance in Germany is not worth it. It usually costs EUR 5 to 15 a month and pays about EUR 100 to 400 every one to three years, often barely more than you pay in. Public health insurance only helps adults above 6 dioptres. It can make sense as part of an outpatient tariff you already use.
Premiums and payouts from published overviews of glasses and outpatient tariffs in Germany.
| Example | Typical range |
|---|---|
| Simple glasses module | from about EUR 3 a month |
| Typical outpatient tariff with glasses cover | about EUR 5 to 15 a month |
| Strong outpatient tariff | about EUR 20 to 35 a month |
| Payout for glasses | about EUR 100 to 400 every one to three years |
| Glasses budgets of individual tariffs | about EUR 150 to 400 over two years |
Guide values, October 2026, from published tariff overviews.
Premium and budget depend on tariff and age; we obtain the exact quote for you.
The worked example is a guide value from our quoting practice.
Worked example
Here is the maths if you buy a EUR 300 pair every two years and choose a tariff at EUR 10 a month.
| Six pairs at EUR 300 | EUR 1,800 |
| Premiums, 12 years × EUR 120 | EUR 1,440 |
| Payout with a EUR 300 budget every two years | at most EUR 1,800 |
| Payout at 80 percent of the bill | EUR 1,440 |
At best EUR 360 is left after twelve years, about EUR 2.50 a month. At 80 percent reimbursement premiums and payouts cancel out exactly. If you buy new glasses less often, you lose money.
If you are in statutory health insurance (GKV), you get money for glasses as an adult only in exceptional cases: short or long sight of more than 6 dioptres, astigmatism of more than 4 dioptres or a severe visual impairment. Children and teenagers up to 18 get a subsidy for the lenses.
Even then the fund pays only a fixed amount (Festbetrag) for simple lenses. The frame, anti-reflective coating or thinner lenses are on you. If you come from a country where public insurance covers glasses, this is a common surprise.
| Case | Public insurance pays | What you pay |
|---|---|---|
| Adults, normal short or long sight | nothing | the whole pair |
| Adults, more than 6 dioptres | fixed amount for lenses | frame and extras |
| Children and teenagers up to 18 | fixed amount for lenses | frame and extras |
| Severe visual impairment | fixed amount for lenses | frame and extras |
In Germany glasses cover is usually one module of an outpatient supplementary tariff (ambulante Zusatzversicherung). It pays a fixed budget, often EUR 150 to 375 over two years, sometimes only 80 percent of the bill.
At EUR 10 a month you pay in EUR 240 over two years. You get back at most the budget, and only if you actually buy new glasses. The tariff is priced so the company does not lose money on average, so little is left over for you.
If the glasses module sits inside an outpatient tariff you use anyway for alternative practitioners (Heilpraktiker), check-ups or eye tests, the glasses part costs you little extra.
Some tariffs pay early when your eyesight changes by more than 0.5 dioptres. With fast-changing values, for example in children, that can help.
Many opticians sell their own insurance with a new pair. It mainly covers breakage, loss or theft of that pair, sometimes new lenses if your prescription changes.
These policies vary a lot. Check the excess, the term and whether you can only claim at the same shop. For an inexpensive pair the extra cost rarely pays off.
Questions and answers
Usually EUR 5 to 15, simple tariffs from about EUR 3. Strong outpatient tariffs with glasses cover cost EUR 20 to 35.
For adults only above 6 dioptres, above 4 dioptres of astigmatism or with severe visual impairment. Children and teenagers up to 18 get a subsidy for the lenses. The frame is never covered.
Rarely. Varifocals can cost EUR 1,200, but budgets are usually EUR 150 to 400 over two years. You still pay most of it yourself.
In many tariffs yes, within the same budget as glasses. Check before signing if you wear lenses.
Yes, some tariffs pay straight away. A three-month waiting period is common, though.
Yes, supplementary tariffs are open to people in public health insurance. You will usually answer a few health questions, including about your eyesight.
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All about this insurance: Supplementary health
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Statutory disclosure (German) · Updated
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