25.06.2025

Parental Leave and Health Insurance: What Investors Need to Know

Parental leave is a phase filled with changes, not only in the family sphere but also in the financial one. It is particularly important for investors and private savers to understand the implications for health insurance. This article provides an overview of family insurance without contributions and the role of waiting insurance during parental leave. Discover how to optimize your insurance contributions and what options are available to ensure financial stability.

Family Insurance during Parental Leave: A Guide to Health Insurance for Parents

A family discusses their health insurance options during parental leave.

Family Insurance during Parental Leave: Health Insurance and Parental Leave

During parental leave, many parents find themselves needing to clarify their health insurance status. In Germany, there are different rules for public and private insured persons that must be taken into account.

For parents covered by public health insurance (GKV), there is often the opportunity to enroll in family insurance for free during parental leave. If one parent already has GKV status, the other can be insured for free under certain conditions. This exemption from contributions remains valid as long as the income does not exceed the exemption threshold and no additional income is earned. It is important to note that publicly insured individuals who earn above the compulsory insurance threshold must continue to pay contributions, calculated based on their income and half of the spouse’s income.

The situation is different for privately insured individuals (PKV). Here, there is no possibility for free family insurance. Privately insured parents must continue to pay their contributions even during parental leave. However, there are rare exceptions where the rates offer an exemption from contributions, but these have been seldom offered. Therefore, parents should inform themselves in advance about possible changes, such as reducing risk surcharges or increasing deductibles, to minimize financial burdens.

Another interesting aspect in choosing health insurance during parental leave is the regulation of part-time work. Parental leave can last up to three years, and during this time, it is possible to work up to 32 hours a week without losing insurance coverage. For privately insured individuals, it is also possible to be exempt from the GKV insurance obligation, while publicly insured individuals benefit from contributions exemption if they are not engaged in additional work activities with relevant income.

It is important to remain well-informed to make smart decisions regarding health insurance during parental leave. Particularly for families with several small children, the financial relief offered by GKV options during this challenging phase can be essential.

Smart Insurance Planning: Waiting Insurance during Parental Leave

A family discusses their health insurance options during parental leave.

The decision on how to remain insured during parental leave can pose a challenge for many parents. Especially when previously covered by private health insurance (PKV). In such moments, waiting insurance offers a strategic option.

A waiting insurance guarantees the possibility to return to the conditions of the existing PKV without the need for a new health check. This is particularly advantageous, as the switch from private health insurance to public (GKV) can become inevitable when the income during parental leave falls below the compulsory insurance threshold. But what exactly is waiting insurance and what forms exist?

The large waiting not only maintains the original contractual conditions, but also continues to pay pension reserves, which can lead to lower contributions in old age. On the other hand, the small waiting offers the benefit of free return to PKV, but without considering pension reserves. Both forms allow parents to adapt flexibly to new life situations during parental leave.

For parents who were covered by GKV before parental leave and do not have additional income during the absence, health insurance remains exempt from contributions. In addition, voluntarily publicly insured individuals can, under certain conditions, switch to the free family insurance of the partner.

For PKV insured individuals who cannot or do not want to switch to GKV during parental leave, it is important to check whether special rates are available with tax exemptions in the context of parental leave benefits. These are not always guaranteed, and the financial burden of PKV contributions could pose a challenge.

Finally, the period of parenthood requires comprehensive planning concerning health insurance. The use of waiting insurance can reduce the risks associated with switching between types of insurance. At the same time, it provides a level of financial security that allows parents to enjoy parental leave without worries. Plan ahead to optimize your insurance conditions based on your life circumstances and to take full advantage of parental leave benefits.

Frequently asked questions

For parents covered by public health insurance (GKV), there is often the opportunity to enroll in family insurance for free during parental leave. They remain exempt from contributions as long as their income does not exceed the exemption threshold and if they do not earn additional income. On the other hand, privately insured parents must continue to pay their contributions even during parental leave. However, there can be exceptions where certain rate offers may provide an exemption from contributions.

Waiting insurance guarantees the possibility to return to previously held conditions of the private health insurance (PKV) without the need for a new health check. This is beneficial when a switch from PKV to public insurance (GKV) becomes necessary when the income during parental leave falls below the compulsory insurance threshold.

There are two forms of waiting insurance: large waiting and small waiting. The large waiting not only maintains the original contractual conditions, but also continues to pay pension reserves, which can lead to lower contributions in old age. The small waiting, on the other hand, offers the benefit of free return to PKV, but without considering pension reserves. Both allow parents to adapt flexibly during parental leave.

Yes, parental leave can last up to three years, and during this time it is possible to work up to 32 hours a week without losing insurance coverage. This rule applies for both privately and publicly insured individuals.

For PKV insured individuals who cannot or do not want to switch to GKV during parental leave, it is important to check whether special rates are available with tax exemptions in the context of parental leave benefits. This can help minimize the financial burden of PKV contributions.