All about this insurance: Accident insurance
Do I need private accident insurance if I already have health insurance in Germany?
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In short
For most people a hospital daily allowance in accident insurance is not worth it. It only pays after an accident, not when you are ill, and a hospital stay in Germany lasts 7.1 days on average. At EUR 20 a day that is about EUR 140. The same premium does far more as a higher sum insured or as sickness daily benefit.
Documented benefit levels, length of stay and statutory co-payment, plus premium guide values.
| Example | Typical range |
|---|---|
| Usual accident hospital daily allowance | EUR 10 to 50 a day, up to EUR 100 in some policies |
| Average length of hospital stay in 2024 | 7.1 days |
| Statutory co-payment for inpatient treatment | EUR 10 a day, at most 28 days, so EUR 280 a year |
| Payout for 7 days at EUR 20 a day | EUR 140 |
| Extra premium for EUR 20 accident hospital allowance | guide value about EUR 10 to 30 a year |
As of October 2026.
Daily allowance levels from published guides, length of stay from the Federal Statistical Office, co-payment under the statutory rule for publicly insured adults.
The extra premium and the amounts in the worked example are guide values from our quoting practice and vary by policy; we obtain the exact quote for you.
Worked example
A woman aged 40 adds EUR 20 accident hospital daily allowance. Over ten years she has one accident with a week in hospital.
| Extra premium for the allowance, ten years | about EUR 100 to 300 |
| Payout for 7 days in hospital | EUR 140 |
| Statutory co-payment for the same 7 days | EUR 70 |
| Alternative: EUR 20,000 more sum insured, payout at 20 percent disability | EUR 4,000 more |
The allowance covers the co-payment and some side costs, but in many cases does not earn back the premium. The same money protects you far better against permanent harm.
The hospital daily allowance (Krankenhaustagegeld) in German accident insurance pays an agreed amount for every day you spend in hospital as an inpatient after an accident. EUR 10 to 50 a day is common. The money is yours to use as you like; you do not have to prove any costs.
It is often combined with a recovery allowance (Genesungsgeld) paid after discharge, either for a number of days or as a lump sum. Only some policies pay for outpatient surgery, and then usually for a few days.
A hospital stay in Germany lasts 7.1 days on average. At EUR 20 a day an accident with an inpatient stay brings about EUR 140, at EUR 50 about EUR 355. Nice to have, but it does not change your financial position after an accident.
Against that stands a premium you pay every year, including all the years without an accident. And the add-on only pays when an accident is the cause. Most hospital stays are due to illness, and then accident insurance pays nothing.
| Daily allowance | 7 days in hospital | 14 days in hospital | 28 days in hospital |
|---|---|---|---|
| EUR 10 | EUR 70 | EUR 140 | EUR 280 |
| EUR 20 | EUR 140 | EUR 280 | EUR 560 |
| EUR 30 | EUR 210 | EUR 420 | EUR 840 |
| EUR 50 | EUR 350 | EUR 700 | EUR 1,400 |
A hospital allowance does not replace income. Employees in Germany get six weeks of continued pay from the employer and then sickness benefit (Krankengeld) from the health insurer. If you are self-employed, you need real sickness daily benefit (Krankentagegeld) that pays for illness and accidents and is based on your income.
Nor does it improve your treatment. Chief physician care and a two bed room come from supplementary hospital insurance (Krankenhauszusatzversicherung), not from a daily allowance in accident insurance.
If the add-on costs only a few euros a year, it covers the side costs of a hospital stay: the statutory co-payment of EUR 10 a day, travel for your family, phone and TV, childcare at home. For children, who are often accompanied by a parent in hospital, that helps.
People with risky hobbies such as motorcycling, riding or climbing end up in hospital after accidents more often. Then the add-on is more likely to pay off. Just keep the order right: first the sum insured and the limb schedule (Gliedertaxe), then add-ons like this one.
Put the extra premium into a higher sum insured and you protect the case that really gets expensive: permanent disability. Just EUR 20,000 more sum insured brings EUR 4,000 more at 20 percent disability, paid once.
If you want more comfort in hospital, supplementary hospital insurance serves you better; if you want to protect your income, sickness daily benefit does. Both also pay when you are ill.
Questions and answers
No. It only pays if an accident caused the hospital stay. For illness you need separate hospital daily benefit insurance.
If you take it, EUR 10 to 20 a day is usually enough. That covers the statutory co-payment and small side costs.
Only in some policies, and then usually for a few days. Check the terms if it matters to you.
From a privately paid accident policy usually not. It counts as compensation, not as income.
An amount paid after discharge, depending on the policy for a number of days or once. It shares the weakness of the hospital allowance because it also only pays after accidents.
Children, people with risky hobbies and anyone who gets it for very few euros once the sum insured and limb schedule are right.
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Statutory disclosure (German) · Updated
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