You will find help regarding the necessary details you are asked to provide by clicking on the You will find further information required for completing the application by clicking on ? next to the respective fields. next to the respective fields.
Enabling JavaScript is required for the application form to work. Below you get specific instructions on enabling JavaScript in your browser. If your browser isn't listed, please consult its help resources. Internet Explorer 6.0+ Click the Tools menu. Select Internet Options. Click the Security tab. Click the Custom Level button. Scroll down until you see the 'Scripting' section. Select the 'Enable' radio button for 'Active Scripting.' Click the OK button. If you see a confirmation window, click the Yes button. Firefox 3.6+ Click the Tools menu. Select Options. Click the Content tab. Select the 'Enable JavaScript' checkbox. Click the OK button.
Street - Please provide further details regarding this information!Zip code - Please provide further details regarding this information!City - Please provide further details regarding this information!Country - Please provide further details regarding this information!Date of birth (Year) - Please select an option.Date of birth (Month) - Please select an option.Date of birth (Day) - Please select an option.gender - Please select an option.Last name - Please provide further details regarding this information!First name - Please provide further details regarding this information!Please enter the name of the college or university here: - Please provide further details regarding this information!Place of birth - Please provide further details regarding this information!Birth name - Please provide further details regarding this information!Country of birth - Please provide further details regarding this information!I have children (including stepchildren, adopted children and foster children) - Please select an option.I am coming from a (non-contractual) foreign country to begin my studies in Germany - Please select an option.Nationality - Please select an option. Step 1: Applying for statutory health insurance with DAK-Gesundheit Yes, I would like to become a member of the statutory health insurance for students at DAK-Gesundheit.In order to be able to finalize your policy, we require further information!
This person cannot be insured under this plan! Please contact our Sales department at +49 228 97735-44.
If the policyholder’s name is not on the mailbox, please enter the recipient's name in the field, c/o.
Please enter only checking accounts from the SEPA area, because we can only carry out direct debit transactions in these countries.In the case of the SEPA direct debit method, the premiums due will be collected shortly before the start of coverage to which the premiums relate. A few days before we will send you a pre-notification. If you choose for payment at once, the entire insurance premium will be collected at the beginning of the period of coverage.
The premium will be debited on the 1. of the current month. Please make sure the premium requested is covered by the funds in your account on that date! The premium has to be paid for the entire semester, even during school breaks, trips home or vacations. If the premium is not paid, the university/college will deny registration or refuse to accept you back -> exmatriculation!
The insurance premium will be debited monthly from the checking account provided.
In order for us to be able to debit the amount payable directly from the account provided, we need the first and last names of the account holder as well as a SEPA direct debit mandate. This mandate will be securely saved within our system as a PDF file, together with your payment details. A copy of your mandate as a PDF document has been sent to the email address you specified. Please provide the following information of the account holder:
As part of the SEPA changeover enacted by the EU, you must state your BIC instead of your bank code and your IBAN instead of the account number. These can be found, depending on the bank, on your debit card or on your bank account statement. If you are not able to find the BIC and IBAN, you can contact us at +49 228 97735-44, +49 228 97735-11 or +49 228 97735-33.In order for us to be able to debit the amount payable directly from the account provided, we need a SEPA direct debit mandate. This mandate will be securely saved within our system as a PDF file together with your payment details. A copy of your mandate as a PDF document has been sent to the email address you specified.
Please enter only German and Austrian current accounts, as the SEPA Direct Debit Scheme is only valid for the SEPA area. In the SEPA direct debit procedure, we collect the current contribution from the specified checking account on the 1st of each current month. If your application is received after the start of your membership, the fee due will be debited within the following 7 days. Please ensure that you have sufficient funds to avoid unnecessary chargeback fees and to ensure that your insurance coverage begins on time.
Tipp for qq-user:To be sure that you receive all documents, please fill in another (not qq-)e-mail in the field for the second e-mail
The fields marked with an * asterisk are not required to take out a policy, but the information provided makes it easier for us to contact you. You will not receive any unsolicited advertising material via email, and we will not forward your information on to any third parties.
Yes, I would like to become a member of the statutory health insurance for students at DAK-Gesundheit.
By clicking on the adjacent box, you declare that you have acknowledged and agreed to the following conditions. Likewise, by clicking on this box you confirm that you have taken note of the following documents, saved them and/or printed them out:
If you are a member of DAK-Gesundheit and have selected the optional plan, you can apply for the additional insurance DAK Fit & Travel without an additional contribution. It includes, among other things:
If you have any questions about the DAK-Gesundheit optional plan, please contact DAK-Gesundheit customer consulting at040-32532555
In order to be able to book the supplementary insurance DAK Fit & Travel without an additional contribution, you need to do the following:
In order to participate in DAK Fit & Travel, I select the deductible plan of DAK-Gesundheit and will apply for participation in the supplementary insurance plan EJ of HanseMerkur. With this in mind, I request the direct transfer of the premium of 120 euros per year to HanseMerkur. I am aware that I can also select DAK Fit & Travel as a cash premium.
Yes, I agree that DAK-Gesundheit may use the billing data for medical services rendered as far as necessary and exclusively within the framework of the legal basis for the implementation and calculation of my deductible.
I have taken note of, saved and printed out the following important information: Important information about DAK Fit & Travel.
For members of DAK we offer the additional insurance DAK Fit & Travelwith no increase in the membership fee rate . You only pay your membership fee for statutory health insurance. It includes, among other things:
Note: There are no age limits and no monthly income limit for selecting this plan. The maximum amount of the deductible is 180 EUR annually in the case of inpatient rehabilitation and preventive measures including travel expenses, the maximum premium is 120 EUR per year.
Note: By applying for coverage, you consent to the processing of your personal data. The processing of your personal data from this declaration of participation is carried out for the participation in the optional plan and thus for the fulfillment of our legal responsibilities according to § 284 para. 1 sentence 1 No. 4 and para. 3 SGB V in conjunction with § 53 SGB V and § 28 statutes of DAK-Gesundheit. You can object to the processing of your data at any time without providing any reasons, either by sending an informal letter (to: DAK-Gesundheit, Postzentrum, 22788 Hamburg), an e-mail (dsgvo@dak.de) or a phone call (Tel: 040 325 325 770). If you should not agree to the processing of your data, you unfortunately will not be able to participate in the optional plan. Recipients of your data may include service providers commissioned by us or other third parties within the framework of certain legal obligations and notification powers. Further information on data privacy, in particular on your rights thereof, can be found at www.dak.de/dsgvo. If you have any questions, please contact DAK-Gesundheit, Postzentrum, 22788 Hamburg or service@dak.de. You can reach our data protection officer at datenschutz@dak.de
Your additional plan,DAK Fit & Travel, is reserved.
Please click on "continue" to submit the information to us:
Type of insurance: Public health insurance for students
Insurable persons: students in Germany
Entry age: -
Contribution EUR 124.40 / month
Duration: - Age: 29 years / semester: 15
Benefits*
*For a complete list of benefits see the general insurance conditions (GTI).
