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
The Gliedertaxe is the table in a German accident policy that gives every body part a fixed percentage. Losing it, or losing its function completely, gives the full percentage; partial loss gives a share of it. That percentage (Invaliditätsgrad) times your sum insured is the payout: a thumb is usually 20 percent, so EUR 150,000 pays EUR 30,000. An improved table pays up to 60 percent for the same thumb.
Published premium figures for Germany and the payouts calculated from the table, sum insured EUR 100,000 to EUR 150,000.
| Example | Typical range |
|---|---|
| Adult, cover rated good in the consumer test | from about EUR 100 a year, very good cover from about EUR 188 |
| Child, cover rated good in the consumer test | from about EUR 50 a year, very good cover from about EUR 127 |
| Office job, EUR 100,000 sum insured, 350 percent progression | about EUR 60 to 180 a year |
| Manual trade, EUR 100,000 sum insured, 350 percent progression | about EUR 120 to 260 a year |
| Loss of a thumb, EUR 150,000 sum insured | EUR 30,000 with the standard table, up to EUR 90,000 with an improved one |
| Extra premium for an improved table | about 10 to 25 percent |
Premium figures as of September 2026 from published tests and tariff examples. The payouts are calculated from the percentages shown. The extra premium for an improved table is a guide value from our own quoting practice and varies by insurer; we obtain the exact quote for you.
Worked example
Same accident, same sum insured, only the table differs. This is how wide the gap gets.
| Sum insured in both contracts | EUR 150,000 |
| Standard table, thumb at 20 percent | EUR 30,000 |
| Improved table, thumb at 60 percent | EUR 90,000 |
| Difference at the same sum insured | EUR 60,000 |
| Extra premium for the improved table | about 10 to 25 percent, guide value from our quoting practice |
The second contract pays three times as much. On top of that, 20 percent is below the progression threshold of 26 percent and 60 percent is above it, so progression only applies in the improved contract and widens the gap further.
The Gliedertaxe is the calculating core of every German private accident policy (private Unfallversicherung). It gives each body part and each sense a fixed percentage. If you lose the part, or it can permanently do no work at all, you get the full percentage. If some function remains, you get the matching share: a hand that only works at half strength gives half the hand percentage.
That percentage is your degree of permanent impairment (Invaliditätsgrad), and the degree times your sum insured is the payout. Note one thing that surprises most people arriving from abroad: there is no statutory table. The German insurance association publishes a non-binding recommendation, and every insurer writes its own version into the wording. This is exactly where two offers that look identical on the cover page differ.
| Body part | Standard percentage | Improved table |
|---|---|---|
| Arm at the shoulder | 70 percent | up to 100 percent |
| Arm above the elbow | 65 percent | up to 75 percent |
| Hand at the wrist | 55 percent | up to 100 percent |
| Thumb | 20 percent | up to 60 percent |
| Index finger | 10 percent | up to 30 percent |
| Any other finger | 5 percent | up to 15 percent |
| Leg above mid thigh | 70 percent | up to 100 percent |
| Leg below the knee | 50 percent | up to 100 percent |
| Foot at the ankle | 40 percent | higher in some tariffs |
| Big toe | 5 percent | higher in some tariffs |
| Any other toe | 2 percent | higher in some tariffs |
| One eye | 50 percent | up to 80 percent |
| Both eyes | 100 percent | 100 percent |
| Hearing in one ear | 30 percent | higher in some tariffs |
| Hearing in both ears | 60 percent | higher in some tariffs |
| Sense of smell | 10 percent | higher in some tariffs |
| Sense of taste | 5 percent | higher in some tariffs |
An improved table (verbesserte Gliedertaxe) sets higher percentages than the industry recommendation. Guides mention it in passing and almost never do the arithmetic, although this is where the money sits: with the same sum insured and the same injury, one contract pays several times what the other pays. How much each insurer improves is up to that insurer, nothing about it is standardised.
There is a second effect that is nearly always missed. Progression, the clause that raises the payout for severe cases, usually starts at a degree of 26 percent. An improved table pushes some injuries above that line, and only then does progression add anything. A thumb at 20 percent stays below it; the same thumb at 60 percent is above it.
| Body part | Standard table | Improved table |
|---|---|---|
| Thumb | EUR 30,000 | EUR 90,000 |
| Index finger | EUR 15,000 | EUR 45,000 |
| Hand at the wrist | EUR 82,500 | EUR 150,000 |
| Leg below the knee | EUR 75,000 | EUR 150,000 |
| One eye | EUR 75,000 | EUR 120,000 |
If several body parts are affected, the percentages are added up. The ceiling is 100 percent: an arm at 70 plus hearing in one ear at 30 makes exactly 100, and further injuries add nothing. If everything concerns the same arm or the same leg, the insurer sets one overall degree for that limb instead of adding items.
Body parts that do not appear in the table, such as the back, the head or internal organs, are assessed individually when you claim. The measure is how far your physical or mental capacity is impaired overall, compared with an average person of the same age and sex. If a limb was already impaired before the accident, that earlier impairment (Vorinvalidität) is deducted. And if illness contributed to the lasting damage, the insurer reduces the payout accordingly; good wordings only count this contribution (Mitwirkung) above a high share.
It never asks what you do for a living. A pianist and a bookkeeper get the same percentage for the same finger, even though for one of them the loss ends a career. Your job affects the premium, not the payout. If you want your income protected, you need occupational disability insurance (Berufsunfähigkeitsversicherung); accident insurance does not replace it.
And it only applies to accidents. A slipped disc without an accident, a stroke or cancer trigger nothing, however generous the percentages. Deadlines matter too: the impairment usually has to arise within a set number of months after the accident, be confirmed by a doctor and be claimed within the period named in the wording. Those documents and the claim correspondence are normally in German, and the German wording is what counts.
Questions and answers
Each insurer, in its own wording. The German insurance association only publishes a non-binding recommendation. There is no law setting the percentages.
Percentage from the table times your sum insured. If the degree is above the progression threshold, usually 26 percent, progression is added on top.
You get the matching share. A hand that only works at half strength gives half the hand percentage.
No. A pianist and a bookkeeper get the same percentage for the same finger. Your job only changes the premium.
They are assessed individually, by how far your physical or mental capacity is impaired overall.
Yes. Earlier impairment of the same limb is deducted, and illness that contributed to the lasting damage reduces the payout.
No. If you would have to cut the sum insured to afford it, that is a bad trade: the sum insured works at every degree, the better table only for certain injuries.
Some insurers provide English summaries, many do not. The German wording is the binding one in a claim, so ask us when a clause is unclear.
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