A letter from your Krankenkasse: what it usually means
- Last reviewed: 2026-10
Your statutory health insurer (Krankenkasse) writes about your membership, your contributions and decisions on benefits.
Snap the letter, Raaya explains it and tracks the FristWhat the letter is usually about
Membership confirmation (Mitgliedsbescheinigung)
Proof that you are insured. Keep it; employers, universities and the Ausländerbehörde often ask for it.
Income questionnaire (Einkommensfragebogen)
For voluntary members and the self-employed: your income sets your contribution. Reply by the date, or a maximum contribution may be set.
Contribution notice (Beitragsbescheid)
Sets how much you pay. Check the income used; you can object within one month.
Decision on a benefit
Approves or refuses a treatment, aid or sick pay. You can object within one month; your doctor's statement can help.
Check these first
- Your insurance number
- Deadline
- Which income or period they use
- Whether it is a decision with a legal notice
Official sources
Related guides
- Widerspruch: how to object to a decision (Bescheid)Got a Bescheid you disagree with? How a Widerspruch or Einspruch works in Germany, the usual one-month deadline and what to put in the letter.
- Anmeldung: registering your address in GermanyHow to do your Anmeldung in Germany: the two-week deadline, the landlord confirmation, what to bring to the Bürgeramt and what happens next.
Questions and answers
What does a “Membership confirmation (Mitgliedsbescheinigung)” from the Krankenkasse mean?
Proof that you are insured. Keep it; employers, universities and the Ausländerbehörde often ask for it.
What does a “Income questionnaire (Einkommensfragebogen)” from the Krankenkasse mean?
For voluntary members and the self-employed: your income sets your contribution. Reply by the date, or a maximum contribution may be set.
What does a “Contribution notice (Beitragsbescheid)” from the Krankenkasse mean?
Sets how much you pay. Check the income used; you can object within one month.
What does a “Decision on a benefit” from the Krankenkasse mean?
Approves or refuses a treatment, aid or sick pay. You can object within one month; your doctor's statement can help.
General information, not legal, tax or immigration advice. Rules and fees change; confirm with the official source or get advice for your case before you act.