DAK Gesundheit

Join DAK Gesundheit online - quick and convenient

Here you can join DAK Gesundheit quickly and conveniently. Just fill out the online form. Your data is transmitted encrypted and used only for processing your request.

Yes, I want to join DAK Gesundheit.

Title

Ms

Mr

Diverse

First Name

Last Name

Street

House Number

ZIP Code

City

Telephone

Email Address

Date of Birth

Place of Birth

Country of Birth

Birth Name (if different)

Nationality

Occupational Group

Name of University

Start of studies

Unemployment benefit

Reason for Joining

Joining Date

Employed as of

The start of employment is your insurance start date.

Currently insured at

Please bear in mind that changing from private health insurance to statutory health insurance is no longer possible after reaching the age of 55.

Currently insured at

Please bear in mind you have to provide your (possibly future) address in Germany!

Country in which you were insured

Name of your insurance company abroad

Type of your insurance abroad

Statutory

Private

Do you want to insure family members?

yes

no

Employer information

Name

Street

House Number

ZIP Code

City

Is this your first employment in Germany?

yes

no

How would you like to get your documents?

Send me the documents via post

I would like to download the documents

I want to sign electronically immediately

I have read the privacy statement and agree to it. I agree to being contacted by DAK Gesundheit. I can revoke this consent any time.

Your data is transmitted securely.