Switching health fund in Germany: when the new fund starts

Join a new fund in November and it covers you from 1 February 2027; after a rate rise the 12-month lock-in does not apply.

Checked by Radif Partners · Editorial policy · How we calculate

Is your fund raising its rate?
Drawing a pension?

Your new fund starts on

1 January 2027

The twelve-month lock-in is over by the switch date: ordinary termination.

You join the new fund inOctober 2026
Last month with the old fundDecember 2026
New fund from1 January 2027
Months at the higher rate2
Extra cost meanwhile (your share)€19
Step-by-step calculation
  1. Lock-in: at least twelve months from the start of membership (section 175(4), sentence 1).
  2. Notice: to the end of the month after next, counted from the month you declare (sentence 3). The new fund notifies the old one; no separate letter needed (sentence 4).
  3. Increase: declare by the end of the month the higher rate takes effect, even during the lock-in (sentence 6). The higher rate applies until you leave.

Deadlines under section 175(4) SGB V. Your new fund confirms the date in writing. How we calculate

Since 2021 switching statutory health fund (Krankenkasse) in Germany takes one step: you join the new fund, and it notifies the old one electronically, so no separate termination letter is needed (section 175(2) and (4) of Book V of the Social Code, SGB V). The switch takes effect at the end of the month after next, counted from the month in which you join: choose a new fund in November 2026 and you stay with the old one through December and January, then move on 1 February 2027. You must have been a member for at least 12 months by the switch date. If your fund raises its additional rate (Zusatzbeitrag), the lock-in falls away: you can join a new fund until the end of the month in which the higher rate starts, but you pay it until you leave. Employees tell their employer the new fund; pensioners need do nothing, as the funds inform the pension insurance.

Three cases, worked through

Worked out with the calculator above, rules of section 175(4) SGB V
CaseJoin inLast month oldNew fund fromMonths higher
Long-standing member, no riseNovember 2026January 20271 February 20270
Member since August 2026, rise in JanuaryDecember 2026February 20271 March 20272
Member since August 2026, rise in JanuaryJanuary 2027March 20271 April 20273
Member since August 2026, no riseMay 2027July 20271 August 20270

What the calculator checks

It first counts the lock-in: twelve months from the first month of membership, which must have run out by the time the old membership ends. Then it applies the notice period, which is the same however early or late in the month you choose: the month you join, two full months after it, then the new fund. If there is a rate rise, it checks whether you chose no later than the month the rise takes effect; if so the lock-in does not apply, and it shows how many months you still pay the higher rate and what that costs on your gross pay.

What a switch saves a year is shown by the calculator with every fund in your state; which fund charges what, by the full list of additional rates.

Exceptions people miss

An optional tariff (Wahltarif) ties you longer: three years for a deductible, one year for a bonus for unused benefits (section 53(8) SGB V). The special right after a rate rise still applies, with one exception: the optional sick-pay tariff that mainly self-employed members take out. If membership ends by law, for example because you move into family cover or abroad, there is no lock-in. And a company fund (BKK) open only to its own staff can only be chosen while you work there.

Your cover continues without a gap: ongoing treatment, an approved aid or sick pay do not stop, the new fund takes over. The old fund’s health card stays valid until the last day of membership.

What members ask

Do I need to cancel my old health fund?

No. Since 1 January 2021 an application to the new fund is enough; it notifies the old fund electronically, which confirms the end of membership within two weeks (section 175(2) SGB V). You only send a cancellation yourself if you leave statutory insurance altogether, for example to take out private cover.

I only joined my fund this summer. Can I still switch?

Only with the special termination right. Without a rate rise you are locked in for 12 months: someone who joined in August 2026 can choose a new fund in May 2027 at the earliest and is covered by it from 1 August 2027. If the fund raises its rate in January, you may choose until the end of January and leave on 1 April 2027.

Is it worth choosing in December if my fund raises its rate in January?

Yes, by one month. Choose in December 2026 and the new fund starts on 1 March 2027, so you pay the higher rate for 2 months; choose in January and you pay it for 3 months and switch on 1 April 2027. Funds usually decide and publish January increases in December.

What should pensioners know about switching fund?

The new fund also informs the pension insurance, so you apply for nothing there. A change in the additional rate reaches the pension only from the second month after it (section 247, sentence 3 SGB V): a rise on 1 January 2027 is deducted from your pension from March 2027, and a switch takes effect correspondingly later.

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