How do I get health cover when I move to Austria?
In Austria, you do not choose your fund: health insurance follows from your activity. An employee is insured automatically, generally with the ÖGK (Österreichische Gesundheitskasse), a self-employed person with the SVS (Sozialversicherungsanstalt der Selbständigen), and you receive an e-card (health card) which carries your European Health Insurance Card on the back. Without an activity, you need insurance (S1 from your country, private insurance or ÖGK voluntary insurance at €565.25 per month in 2026), because it also conditions your right of residence.
- Costs
- Employees: 3.87% of gross salary for health insurance, withheld by the employer (2026); ÖGK voluntary insurance: €565.25 per month in 2026 (reduction possible)
- Timeframes
- Voluntary insurance: in principle a 6-month waiting period for care, unless previously insured
Steps
- If you are an employee: your employer registers you with social security; you are insured automatically from the start of the job. You receive your number, then your e-card (see AT-NIF-TOUS-001).
- If you are self-employed: compulsory insurance depends on your status (for example, traders who are members of the Chamber of Commerce fall under the GSVG law, managed by the SVS). Check your affiliation with the SVS.
- If you are retired and your pension comes from another EU country: ask the body that pays your pension for the S1 form, then register it with the Austrian health insurance.
- If you have neither a job nor an S1: you must prove full health insurance to obtain your Anmeldebescheinigung (see AT-SEJOUR-TOUS-001). One of the options is voluntary insurance (Selbstversicherung) with the ÖGK, if you are resident in Austria and not insured anywhere.
- Take your European Health Insurance Card (EHIC) for the temporary stay before you move: it covers care that becomes necessary during a temporary stay, in the public system (Your Europe), but not a lasting move.
Documents
- Employee: passport or identity card for your employer; photo for the e-card if you have no Austrian document.
- Retired person: S1 form issued by the country that pays your pension.
- Voluntary insurance: application to be sent to the ÖGK (ÖGK form).
- EHIC from your country for a temporary stay before you move.
Costs and timelines
- Employees: health insurance costs 7.65% of gross salary in 2026, of which 3.87% is withheld from your pay and 3.78% paid by the employer, on a salary of up to €6,930 per month (2026 ceiling). With pension (10.25%), unemployment (up to 2.95% depending on salary) and small contributions, your total employee share is around 18%.
- Very part-time work: below €551.10 per month in 2026 (geringfügige Beschäftigung), voluntary health and pension insurance is recommended.
- ÖGK voluntary insurance: €565.25 per month in 2026; a reduction can be requested if your financial situation is difficult (it applies from the first contribution if you request it at the same time as the insurance).
- e-card: insured employees pay an annual Service-Entgelt (service fee), collected every year in November via the employer: €25 for 2026 and €26.85 for 2027 (ÖGK); very part-time jobs are exempt.
- Waiting period: with voluntary insurance, care (doctor, medicines, hospital) is in principle only covered after 6 months, unless you were insured or co-insured in Austria (ASVG or B-KUVG) during the 6 weeks just before your application, or for 26 weeks in the last 12 months.
Common pitfalls
- Believing that you choose your fund as in Germany. In Austria, the fund depends on your activity.
- Arriving with no activity and no insurance. Voluntary insurance in principle comes with a 6-month waiting period: organise your cover (S1, private insurance) before leaving.
- Using the EHIC as settling-in insurance. It is for a temporary stay, not for living in Austria: to settle, you need full health cover, also required for the Anmeldebescheinigung.
- Former self-employed person: if you were last insured under the GSVG or the BSVG, ÖGK voluntary insurance is only possible 60 months after the end of that insurance.
What changes by country of origin
- EU and EEA citizens: job in Austria = Austrian insurance; retired and paid by your country = S1; EHIC for the transition.
- Swiss nationals: same logic (Swiss EHIC for a temporary stay, S1 if Switzerland remains responsible).
- British nationals (including Scots): a third country since Brexit; a NAG residence permit is needed. Employee or self-employed in Austria, you are insured like everyone else (ÖGK or SVS, e-card). Retired with a British State Pension: the United Kingdom can cover your care in Austria with an S1 form, requested from the NHS (Overseas Healthcare Services) then registered with the ÖGK, which gives you an e-card (British government). Those who arrived before 2021 remain covered by the Withdrawal Agreement; others by the protocol of the Trade and Cooperation Agreement, close to but not identical with the European rules (European Commission).
Official sources (12) ›
- oesterreich.gv.at, "Pflichtversicherung"
- oesterreich.gv.at, "Selbstversicherung in der Krankenversicherung" (updated on 31.03.2026)
- oesterreich.gv.at, "Checkliste Sozialversicherung und weitere soziale Leistungen in Österreich für EU-Bürger* und Schweizer" (updated on 16.03.2026)
- Sozialversicherung, "Die e-card - Alle Infos im Überblick"
- oesterreich.gv.at, "EU citizens* and Swiss nationals – Application for a registration certificate and certificate of permanent residence"
- Your Europe, "Health insurance cover in your host country"
- Your Europe, "Health cover for temporary stays"
- ÖGK, "Service-Entgelt: Einhebung" (annual e-card fee: €25 for 2026)
- ÖGK, "Sozialversicherungswerte für 2026" (Service-Entgelt of €26.85 for 2027, set on 15.11.2026)
- Dachverband der Sozialversicherungsträger, "Beitragsrechtliche Werte in der Sozialversicherung 2026" (2026 rates and ceiling)
- GOV.UK, "Healthcare for UK nationals living in Austria" (S1 registered with the ÖGK; updated on 19.01.2024)
- European Commission, "Where do these rules apply?" (United Kingdom: Withdrawal Agreement and coordination protocol)