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1Health provider information

2Personal information

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I have read the privacy policy and hereby agree that the personal information I have provided voluntarily may be raised, processed and used in order to provide the specified request.

Are you insured with a statutory health insurance in Germany?*

Statutory health insurance: AOK, TK, etc.
NO statutory health insurance: Mawista, CareConcept, Travel Insurances etc.

Our service can only be used if you are already covered by a German statutory health insurance.

If you have health insurance (e.g. private) contact your employer or the German pension insurance to get your social security number.

You can apply for statutory health insurance here. You will automatically receive your social security number there.

Your Email*

Enter Email Confirm Email

I'm applying for a social security number because...

Statutory health insurance details

Health insurance number*

also called "Krankenversichertennummer"

Name of your statutory health insurance*

If you can't find your public health insurance choose: OTHER

What is the name of your statutory health insurance?*

What is the address of your statutory health insurance?*

Street Address City ZIP / Postal Code

Personal information

Name*

First Last

Address*

if your name is not on the letterbox use Address Line 2 and add: c/o "Name on the letterbox"

Street Address Address Line 2 City ZIP / Postal Code

German pension number

Do you have a German pension number?*

The pension insurance number has 12 characters and a letter in the ninth place. For example: 04 150872 P 08 0

What is your German pension number?*

These next questions are required instead of your pension number.

Nationality*

Gender*

What was your family name / last name at birth?*

What is the place/city and country of your birth?*

Date of birth*

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Pre-filled Letter Social Security Number*

Price:

Payment Method*

American Express

MasterCard

Visa

Maestro

Card Number Expiration Date Security Code Cardholder Name