Have a question? Just ask usmarijke@elterngeldhelp.com
Ask us a question

Health Insurance During Elternzeit & Elterngeld

Elterngeld Help·Reviewed 17 August 2026

Key takeaways

  • Compulsorily insured GKV members are usually contribution-free without other contributory income.
  • Voluntary GKV and private insurance can continue to require contributions.
  • A child's free family insurance depends on the parents' insurance and income situation; it is not automatic in every family.

Public health insurance (Gesetzliche)

If you were compulsorily insured in the GKV, membership generally continues during Elterngeld or Elternzeit. Without other contributory income, this is usually contribution-free. Income from part-time work can create contributions, and enrolled students normally continue paying the student contribution.

Voluntarily insured members normally continue paying contributions unless, for example, the conditions for contribution-free family insurance are met.

Private health insurance

Private insurance normally continues with the full contractual premium. If the employer previously paid a subsidy, the insured person generally also bears that share during unpaid Elternzeit. Contractual relief varies, so check the actual tariff rather than assuming a special parental-leave rate.

Insurance for your baby

With public insurance: Your child is automatically covered under family insurance (Familienversicherung) at no extra cost.

With private insurance: You need to add your child to a policy. Some couples where one has public and one has private can put the child on the public plan, consult with your insurers.

Self-employed and voluntary insured

If you're self-employed with voluntary public insurance:

  • Your minimum contribution may be reduced during Elternzeit
  • You still need to pay something (it's not free)
  • Contact your insurance provider about the 'ermäßigte Beitragssatz'

Next steps

  • Learn about Elterngeld types · Types
  • Calculate your Elterngeld · Calculator

Frequently asked questions

What happens to my health insurance during Elterngeld?

Statutory mandatory insured: contribution-free during Elternzeit without income. Voluntarily insured: minimum contribution applies, but family insurance with partner often possible. Privately insured: premiums continue. Elterngeld itself is contribution-free in all cases (no contributions deducted from it).

Can my baby be insured through me?

In statutory health insurance (GKV), your baby is automatically covered contribution-free through family insurance. With private insurance (PKV), you must insure your baby separately (approx. €100-200/month). Mixed couples (one GKV, one PKV): complicated rules depending on income – get advice!

Explore more topics

Ready to check your eligibility?

Our free guide walks you through everything step by step.

Start free guide →