After you have filled out and sent the online form, you will receive a printable declaration page/confirmation of coverage (Versicherungsschein) via email, assuming all provided information is complete and valid and you have been approved for coverage. 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.
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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!Place of birth - Please provide further details regarding this information!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.
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 employees 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: Statutory health insurance for employees
Insurable persons: Employees in Germany insured through social security
Entry age: -
Duration: 1 month - unlimited
Benefits*