Without getting into too much of the “nuts and bolts” and the intricacies of how the German health care system works, I will try and keep this as simple as possible and as specific as possible as how it relates to one’s VA disability compensation amount.
Health insurance in Germany became mandatory for everyone residing there as of 2007. Everyone must be able to show they are health insured either through the “gesetzlichen Krankenversicherung” (Statutory health insurance – abv. as “GKV”) or a “privat Krankenversicherung” (Private health insurance – abv. as “PKV”), or be able to prove similar coverage through other means such as TRICARE etc… Generally, anyone earning €5.362,- (gross) or less a month (yearly €64.350,- or less) -called “Jahresarbeitsentgeltgrenze”- must be insured through on of the many Statutory health insurances such as the AOK, IKK, BKK, Barmer, TK or the Mobile Krankenkasse etc… Anyone earning more than the above amount can seek health insurance through either a Statutory health insurance on a voluntary basis or a private company.
"Gesetzlichen Krankenversicherung" (GKV):
There are two types of Statutory health insurance: 1) the “Pflichtversicherung” (mandatory) and 2) the “Freiwilligeversicherung” (voluntary);
"Privat Krankenversicherung" (PKV):
If someone has earned income of €5.362,- (gross) a month or more, is self-employed or a Freelancer, a Student, is retired (and not covered by their retirement provider), a Soldier, or a Civil servant, they may elect to be health insured through a private company. However, being insured through a private company is based on one’s health and not on one’s income. For someone receiving VA disability compensation, this will probably not be an option.
O.k. so now we come to how VA disability compensation plays into all of this;
NOTE: If you’re under your Spouse’s Statutory state-runed health insurance as “Familienversichert” and your only income source is VA disability compensation, then you should still be retained as a family member at no additional costs. As stated above VA disability compensation is excluded from consideration due to being considered as income under the “Bundesversorgungsgesetz” or as a "gesetzliche Unfallversicherung." Generally, once a year the state-runed health insurance will send out a questionnaire requiring the family member to report all income sources. VA disability compensation does not need to be reported.
Below is a letter written by a lawyer on behalf of a disabled veteran whose Statutory state-runed health insurance tried to take his VA disability compensation into consideration to determine his monthly “Beitrag”, and the state-runed health insurance’s decision later agreeing that VA disability compensation is considered as compensation under the “Bundesversorgungsgesetz” and is not countable towards the calculation of any monthly premiums.
Also below is a Court case by the LSG Berlin/Brandenburg stating that VA disability compensation is considered as income under the "Bundesversorgungsgesetz (BVG)." They also went to the lengths to reference the "Bundessozialgericht (BSG)" and how they see similar income.
If your "Krankenversicherung" is using your VA disability comepnsation to determine your monthly "Beitrag," then take these three documents to them so they can refigure your monthly amount without your VA disability compensation. If after showing your "Krankenversicherung" these documents and they still refuse to leave your VA disability compensation out of the equation, then you can file an appeal using the format of the letter written by the lawyer.
In addition to the above, if you’re not working or are unable to be insured under your Spouse’s Statutory state-runed health insurance as a family member due to your countable income exceeding the €450,- limit, then they may outright deny health insurance coverage on the basis that you’re already health insured through the VA’s “Foreign Medical Program” and that is “analog” to coverage such as TRICARE. This is also incorrect too! Coverage from the Foreign Medical Program only encompasses service-connected disabilities and is generally not an “anderweitige Absicherung im Krankheitsfall,” and also should be appealed. Below is an appeal to a Statutory state-runed health insurance and can be used as a template.