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Public Krankenkasse

AOK health insurance, explained

Germany's largest public health insurer, with regional branches across the country. Strong on coverage breadth and local service.

Why people choose AOK

Best for: Anyone who values strong regional service and a familiar nationwide name. Strongest fit for families and clients outside metro areas.

  • Founded 1884 (consolidated structure since 1992)

    Established 1884 (consolidated structure since 1992). ≈27 million members across regional AOK branches.

  • Zusatzbeitrag (2026): 2.47% to 3.50% by region

    On top of the 14.6% base rate, every Krankenkasse charges its own Zusatzbeitrag. Each regional AOK sets its own, from 2.47% in Rheinland-Pfalz and Saarland to 3.50% at AOK Nordost. The statutory average is 2.9%, and TK puts what Krankenkassen actually charge at 3.0%.

  • Standard public benefits

    Same statutory benefit catalogue as every public insurer — Krankenkassen mainly differ on service and additional benefits.

  • Switching is easy

    You can switch Krankenkassen with two months' notice. Cancellation is straightforward and benefits continue uninterrupted.

AOK at a glance

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FoundedFounded
MembersMembers
Zusatzbeitrag (2026)Zusatzbeitrag (2026)

Earning above €77,400? You do not have to join AOK at all

The 2026 income threshold is €77,400 gross a year. Above it, and for the self-employed and civil servants at any income, private health insurance is an option: the premium follows your age and the cover you choose instead of your salary, and your employer still pays half. Sixty seconds tell you whether you qualify.

Common questions

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Related guides

Two more pages that come up most often when people are at this stage.

AOK Health Insurance Germany, 2026 Review and Costs