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That Krankenkasse letter?
We'll explain it.

Did your Krankenkasse reject a treatment or claim? Here’s what the letter means – and a free appeal letter template you can send. Jump to the template ↓

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Background

What is a Krankenkasse?

A Krankenkasse is a German health insurance provider — either public (gesetzlich) like TK, AOK, or Barmer, or private (privat). They send letters about contribution changes, coverage confirmations, reimbursement decisions, and more. All in German. All important.

Common Letter Types

What's in your envelope?

Beitragsanpassung

Your monthly premium is changing. Check the new amount and the date it takes effect. You may have a special right to switch providers.

Mitgliedsbescheinigung

Proof of membership. Your employer or the Finanzamt may need this. No action required — just file it.

Kostenübernahme

Decision on whether they'll cover a specific treatment or procedure. Check if it's approved or denied.

Mahnschreiben

Payment reminder for unpaid premiums. Take this seriously — unpaid health insurance can restrict your coverage.

Why these letters matter

Health insurance is mandatory in Germany. If you don't understand a letter about your coverage, you might miss a premium increase, lose coverage for a procedure, or accumulate debt without knowing it. These are not letters you can ignore.

Free template

Sample appeal letter: Widerspruch when your Krankenkasse says no

Treatment, therapy or equipment rejected? A rejection is a formal decision (Bescheid) — and you can object. A short written Widerspruch is enough to start.

Sample letter in German — replace everything in [brackets]:
Max Mustermann Musterstraße 1, 10115 Berlin Versichertennummer: A123456789 [Name der Krankenkasse] [Adresse] [Ort], [Datum] Widerspruch gegen Ihren Bescheid vom [Datum] – [z. B. Ablehnung der Kostenübernahme für ...] Sehr geehrte Damen und Herren, hiermit lege ich Widerspruch gegen den oben genannten Bescheid ein. Begründung: [z. B. Die Behandlung ist laut beigefügtem ärztlichen Attest von Dr. ... medizinisch notwendig. Eine Alternative besteht nicht.] Ich bitte um erneute Prüfung und um Übernahme der Kosten. Eine ausführliche Begründung reiche ich gegebenenfalls nach. Mit freundlichen Grüßen Max Mustermann

What to fill in:

⏰ Deadline: 1 month after you received the Bescheid (§ 84 SGG). The Widerspruch itself is free of charge.
✍️ Let xPlainly write yours — from your actual letter →

A sample, not legal advice. For large amounts or court deadlines, talk to a tax advisor, lawyer or advice centre.

FAQ

Common questions

Is there a template to appeal a Krankenkasse rejection?+
Yes – there is a free appeal letter template (Widerspruch) on this page. A rejection is a formal decision (Bescheid): send your Widerspruch in writing within one month of receiving it. xPlainly can also draft one that fits your letter.
What does a Krankenkasse letter mean?+
A Krankenkasse letter is from your German health insurance provider. It could confirm your coverage, adjust your premiums, request missing documents, or notify you about changes to your plan.
Do I need to respond to my Krankenkasse letter?+
It depends. Coverage confirmations are informational. But premium adjustments, missing document requests, or termination notices require action — often within 2-4 weeks.
How can I understand my health insurance letter in English?+
xPlainly scans your Krankenkasse letter and explains it in plain English or 25 other languages, including deadlines and required actions.
Related

Other official letters explained

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