Health insurance in the FIRE withdrawal phase
TaxesWhen you leave employment, your mandatory membership in statutory health insurance (GKV) ends. You either become voluntarily insured in the statutory system or switch to private health insurance (PKV). As a voluntarily insured GKV member without earned income, you have no entitlement to sick pay (§44 SGB V) and therefore pay the reduced contribution rate on your investment income – in 2026 that is 14.0% health insurance (reduced, §243 SGB V) + the fund-specific additional contribution (average 2.9%, range approx. 1.6–3.4%) + 4.2% long-term care insurance ≈ 21.1% (childless, 23 and older).
For voluntarily insured members (§240 SGB V), contributions are assessed on the full gain share of your withdrawals – the partial exemption under §20 InvStG applies only for tax purposes and is not recognized by health-insurance contribution law. Other income such as mini-job wages or rent is added. There is a minimum contribution and a contribution assessment ceiling (€69,750/year, as of 2026) as the upper limit.