Health and Long-Term Care Insurance While Receiving Benefits

We’re here to help ensure that your health and long-term care insurance benefits are paid out reliably and reach you directly.

Information on the Payor Registration Process

The SÄV is required to forward information regarding pension benefits to the applicable health insurance provider. The provider will determine whether contributions to health and long-term care insurance must be deducted from the pension benefits. For this reason, you will receive a form to identify the health insurance provider along with your application materials. The same procedure applies to the payment of contributions to long-term care insurance. The basis for this is the contribution rate established by law for all long-term care insurance funds.

If you are insured through a statutory health insurance plan, a distinction must be made between voluntary health insurance and mandatory health insurance for retirees (KVdR). The health insurance provider determines which category you fall into based on your eligibility
under insurance law. Members with statutory health insurance are required by law to participate in the payer reporting procedure.

If you have private health insurance, the Saxon Medical Pension Fund will not deduct your premiums as part of the payroll reporting process. You are responsible for making these premium payments yourself.

Frequently Asked Questions About Health and Long-Term Care Insurance

Can I switch to the statutory health insurance scheme when my pension starts?

To do this, you will need to contact your current health insurance provider to find out the conditions under which you can switch to the statutory health insurance scheme.

How much are the health insurance and long-term care insurance contributions deducted from my pension?

Questions regarding the obligation to pay contributions and the amount of health insurance and long-term care insurance contributions to be paid should generally be directed to the relevant health insurance fund, as the Sächsische Ärzteversorgung merely collects contributions from insured persons. The amount varies depending on the health insurance fund and the applicable supplementary contribution. Similarly, the long-term care insurance contribution depends on parental status and the year of birth.

I receive a pension from the DRV and a retirement allowance from the SÄV. Am I eligible for the health and long-term care insurance subsidy from the DRV?

To find out the answer to this question, please contact the German Pension Insurance (DRV), the body responsible for your pension. Provided you have met the 90 per cent rule, you can join the Pensioners’ Health Insurance Scheme (KVdR) and thus receive a health insurance subsidy from the DRV.

Why does the SÄV not provide a contribution towards health and long-term care insurance?

In general, the statutes of the Sächsische Ärzteversorgung do not provide for any contribution towards health and long-term care insurance – for either state or privately insured pensioners – as this contribution is reserved solely for pensions paid by the German Pension Insurance Fund. The Saxon Medical Pension Fund and the statutory pension insurance scheme are separate systems, and the contribution is a benefit provided by the German Pension Insurance Fund for its own pensioners. The subsidy is funded entirely from tax revenue and, as the Sächsische Ärzteversorgung operates independently of federal subsidies, no subsidy can be granted.