
Evgeny Yudin
Author
Qualification: International Health Access Consultant
Post: Founder of Pillintrip.com
Company: Pillintrip.com – International Health and Travel
Added: October 28, 2025
Changed: October 28, 2025

For many people living in Germany — including those with residence permits but not full citizenship — the idea of getting medical care abroad is becoming more common. The reasons are simple: shorter waiting times, lower prices, and sometimes access to treatments that are not easily available at home.
Medical tourism, in plain terms, means traveling to another country for healthcare. It might sound like something only wealthy people do, but that’s not the case anymore. Every year, thousands of Germany residents plan short trips to nearby countries like Poland, Hungary, or Turkey for dental work, surgery, or fertility treatments. The rise of affordable, accredited clinics and the open healthcare system across Europe has made it easier than ever.
According to the European Commission, cross-border healthcare is protected by law — under Directive 2011/24/EU — meaning that EU residents can seek planned medical treatment in other EU countries and, in some cases, get reimbursement from their home insurance. This system was designed to give patients more choice and reduce pressure on national healthcare systems.
The costs also play a big role. A dental implant that costs around €2,000 in Germany might be just €700 in Poland or Hungary. Cosmetic surgeries in Turkey can be up to 60–70% cheaper than in German clinics, even after adding flights and hotel stays. For people paying out of pocket or dealing with long waiting lists, that’s a big difference.
But it’s not just about the price tag. Some people go abroad for specialized care — such as fertility treatments in Spain or orthopedic surgery in the Czech Republic — where clinics offer both expertise and English-speaking staff.
One popular discussion on Reddit’s r/AskGermany showed how common this idea has become. A user asked where people would recommend going for medical treatment, and dozens replied with personal stories — from dental clinics in Poland to cosmetic procedures in Turkey. The main takeaway was clear: many Germans or long-term residents feel that going abroad for care can save both money and stress, as long as it’s well planned.
In this guide, we’ll look at how the system works, which countries are most popular for Germany residents, what procedures are worth traveling for, and what to check before booking your treatment. The goal is not to promote any specific clinic but to help you understand your options and make informed decisions about healthcare beyond borders.

Legal and Insurance Framework for Germany Residents
Before deciding to get medical treatment abroad, it’s important to understand what your rights are — and what your insurance will actually cover. The good news is that the European Union has created clear rules to make healthcare across borders safer and easier for everyone.
Understanding Your Rights in the EU
If You live in Germany and are an EU citizen or have a long-term residence permit, You have the right to receive medical treatment in other EU or EEA countries under the Directive 2011/24/EU on patients’ rights in cross-border healthcare.
This directive was designed to make sure that patients are treated fairly no matter where they go within the EU.
In simple terms, You can:
- Get emergency treatment abroad if You suddenly need medical help.
- Plan a medical procedure in another EU country — but sometimes You’ll need prior authorization from Your German health insurance provider.
- Apply for reimbursement, usually up to the amount that the same treatment would cost in Germany.
For short stays — vacations, business trips, or study — the European Health Insurance Card (EHIC) covers emergency and necessary medical care in EU countries, Iceland, Liechtenstein, Norway, and Switzerland.
It’s not a travel insurance policy, but it ensures You’ll receive healthcare under the same conditions as residents of the country You’re visiting.
You can learn more about this system on the European Commission’s official portal.
How German Insurance Handles Treatment Abroad
German public health insurance (gesetzliche Krankenkasse) usually reimburses cross-border medical care when:
- The treatment is medically necessary.
- The clinic or hospital is recognized in the country where it operates.
- You request approval before going — especially for hospital procedures or surgeries.
If You go abroad without prior approval for something that requires hospitalization, You might have to pay the full cost yourself.
For outpatient care (like dental work or diagnostic tests), prior authorization isn’t always required — but it’s wise to check in advance.
Here’s a simple overview:
|
Type of Treatment |
EHIC Coverage |
Prior Authorization Needed |
Reimbursement Rules |
|
Emergency treatment |
Yes |
No |
Based on host country’s system |
|
Planned outpatient |
Partial |
Recommended |
Based on German rates |
|
Hospital treatment |
Yes |
Yes |
Based on German rates |
|
Cosmetic procedures |
No |
N/A |
Not reimbursed |

To get approval, You’ll need to contact Your insurance provider with a medical report and a cost estimate from the foreign clinic.
Most insurance companies also require confirmation that the clinic meets EU healthcare standards.
For more details, residents can contact the National Contact Point for Cross-Border Healthcare in Germany — a free government service that explains which treatments are covered, how reimbursement works, and what documents You need.
In short: if You plan carefully and follow the rules, getting treatment abroad can be both legal and financially manageable.
Top Medical Tourism Destinations for Germany Residents
For people living in Germany — especially those without full citizenship or private insurance — getting treatment abroad can be both affordable and safe. Many nearby countries have built modern clinics, often with English- and German-speaking doctors, transparent pricing, and packages that include everything from airport transfers to hotel stays.
Below are the most popular destinations for Germany residents who travel for healthcare — and what each country is best known for.
Turkey — Affordable and High-Tech Care
Turkey has become one of the world’s busiest medical tourism hubs. Patients go there for cosmetic surgery, dental work, hair transplants, and fertility treatments.
Prices are often 50–70% lower than in Germany, and many clinics are JCI-accredited, which means they follow international safety standards.
For example, a hair transplant that costs €6,000 in Berlin may cost just €2,000 in Istanbul, including accommodation and transfers. The country’s mix of advanced technology and experienced doctors makes it a top choice.
(Source: Turkey Travel Planner)
Poland — Close, Reliable, and Budget-Friendly
Poland is the go-to place for dental treatments.
Many clinics in cities like Szczecin, Kraków, and Gdańsk specialize in serving patients from Germany and Scandinavia.
You can expect high-quality implants and crowns at half the German price, often with no waiting list.
(Source: Dental Departures – Poland)
Hungary — Europe’s Dental Capital
Hungary, and especially Budapest, has earned the title of “Dental Capital of Europe.”
Around 40% of Europe’s dental tourists visit Hungary every year. Clinics offer modern technology, affordable materials, and all-inclusive care packages, helping You save up to 70% compared to German prices.
(Source: DentaVacation – Hungary)
Spain — Fertility and Reproductive Treatments
Spain is one of Europe’s most advanced countries for IVF and egg donation.
It has open laws that allow treatments for single women and same-sex couples, with success rates reaching 60–70%.
Prices start from €3,500 per IVF cycle, and clinics often include full support and English-speaking teams.
(Source: Fertility Clinic Spain)
Czech Republic — Quality Care Near Home
The Czech Republic is known for orthopedics, plastic surgery, eye treatments, and fertility procedures.
Its clinics follow EU healthcare standards and are 30–50% cheaper than in Germany.
Prague and Brno are especially popular among patients who want high quality without traveling far.
(Source: Visit Czechia)
Thailand — Long-Distance but Worth It
Thailand attracts patients seeking heart surgery, orthopedic procedures, or wellness recovery programs.
Bangkok and Phuket have world-class hospitals offering 50–80% lower prices than Western Europe, along with tropical recovery surroundings.
It’s ideal for complex surgeries or full health check-ups.
(Source: Bangkok Health Service)
UAE (Dubai) — Premium Experience and Comfort
Dubai combines luxury travel with advanced medical care.
It’s a favorite for cosmetic surgery, dental care, and executive health screenings, offering five-star comfort and high-end clinics.
While prices are closer to Western levels, the overall service experience is unmatched.
(Source: Dacomed Wings – Medical Tourism)
Cost Comparison: Popular Procedures
|
Procedure |
Germany (€) |
Turkey (€) |
Poland (€) |
Hungary (€) |
Spain (€) |
Thailand (€) |
|
Dental implant (single) |
1,500–2,500 |
600–900 |
700–900 |
800–1,200 |
900–1,200 |
500–800 |
|
Hair transplant (2,000 grafts) |
5,000–8,000 |
1,500–3,000 |
2,500–4,000 |
2,000–4,000 |
3,000–5,000 |
1,500–2,500 |
|
IVF (single cycle) |
3,000–5,000 |
3,000–5,000 |
— |
— |
3,500–6,000 |
3,000–5,000 |
|
Knee replacement |
12,000–18,000 |
7,000–10,000 |
8,000–12,000 |
— |
10,000–15,000 |
8,000–12,000 |
|
Rhinoplasty |
5,000–8,000 |
2,000–4,000 |
4,000–5,000 |
3,500–5,500 |
3,000–5,000 |
2,500–4,000 |
|
Breast augmentation |
6,000–9,000 |
2,000–5,000 |
4,000–5,400 |
3,900–6,500 |
4,000–6,000 |
3,000–5,000 |
Each of these destinations has its strengths — from low prices and short distances to advanced medical technology and world-class facilities.
The best choice depends on the type of treatment You need, Your budget, and how far You’re willing to travel.
Most Popular Medical Tourism Procedures

When Germany residents travel abroad for healthcare, they usually go for treatments that are safe, predictable, and much cheaper than at home. Some are medical necessities — like knee replacements or fertility treatments — while others are elective, such as dental or cosmetic procedures. Let’s look at the most common ones and why they attract so many patients.
1. Dental Treatments
Dental care is by far the most common reason for medical travel. The difference in price between Germany and countries like Poland or Hungary can be huge — sometimes up to 70% cheaper, even with travel included.
Patients often go abroad for:
- Dental implants and crowns
- Veneers and full-mouth restoration
- Orthodontic work (like braces or aligners)
The quality is usually excellent because dentists in Central Europe are highly trained and use the same materials as German clinics. Many clinics even provide quotes and treatment plans in German.
2. Cosmetic Surgery
Cosmetic and plastic surgeries are another major reason people leave Germany for treatment. Turkey and Spain are the most popular destinations — thanks to experienced surgeons, modern clinics, and significantly lower prices.
The most common procedures include:
- Rhinoplasty (nose reshaping)
- Liposuction and tummy tuck
- Breast augmentation or reduction
- Facelift and eyelid surgery
While these procedures can cost thousands less than in Germany, it’s still important to choose a JCI-accredited or certified clinic for safety.
(Source: Mordor Intelligence – Europe Medical Tourism Market)
3. Fertility Treatments
Spain and the Czech Republic are among the top destinations for IVF and fertility care. They offer advanced techniques, shorter waiting times, and supportive legal frameworks — including treatments for single women and same-sex couples, which are restricted in some countries.
Many patients report higher success rates abroad, especially in Spain, where clinics provide comprehensive packages covering diagnosis, medication, and follow-up care.
4. Orthopedic and Joint Procedures
Procedures like knee or hip replacements are common among older adults and athletes.
The Czech Republic, Poland, and Thailand offer these surgeries at 40–60% lower cost, often with full rehabilitation support.
In Germany, patients sometimes wait months for such operations — abroad, the process can be completed within weeks.
Post-surgery care and communication with doctors back home are crucial, so it’s best to arrange follow-up appointments in advance.
5. Preventive and Wellness Treatments
Some people don’t go abroad for surgery at all. Instead, they choose wellness retreats, diagnostic packages, or rehabilitation programs in destinations like Thailand or the UAE.
These programs often combine medical check-ups with spa recovery, physiotherapy, or mental health support.
Wellness tourism is becoming a major part of medical travel — especially for those looking to recover from chronic stress, surgery, or illness in a calm environment.
How to Plan Your Medical Tourism Journey

Traveling abroad for medical care may sound complicated, but with the right preparation, it can be smooth and stress-free. The main goal is to plan early, verify all medical and legal details, and understand how Your insurance fits in. Here’s a step-by-step guide.
1. Pre-Trip Planning
Start by talking to Your German doctor. Even if You plan to get treatment abroad, it’s wise to get a local consultation and medical report first — especially for surgery or fertility procedures. This report can be useful both for the foreign clinic and for possible reimbursement from Your insurance later.
Then, research clinics carefully.
Look for:
- Accredited facilities (for example, those listed in the JCI Accredited Organizations Directory)
- Transparent pricing — ask for an itemized quote
- Language support — clinics that provide English or German communication
- Patient reviews — check independent platforms and Reddit forums for real experiences
Request a written treatment plan and cost estimate before confirming anything.
2. Visa and Travel Requirements
If You’re traveling within the EU or Schengen Area, a medical visa is not usually needed.
For treatments outside the EU — like Turkey, Thailand, or the UAE — You’ll need a medical treatment visa, which is different from a tourist visa.
The application normally requires:
- A valid passport
- Confirmation of the medical appointment
- Proof of funds to cover treatment and stay
- Medical records or doctor’s referral
You can find detailed rules on the Schengen Visa Guide for Medical Treatment.
If You live in Germany but don’t hold EU citizenship, check with the foreign embassy — some countries require extra documentation for long-term residents.
3. Financial Planning
Even with lower prices abroad, budgeting is important.
Consider all costs, not just the procedure itself: flights, accommodation, transportation, post-op care, and possible follow-up visits.
If You’re using German public insurance (gesetzliche Krankenkasse), contact them at least two to three months before travel for approval of planned medical treatment abroad. Some treatments require prior authorization to be reimbursed.
For extra protection, buy travel or medical insurance that covers complications, delays, or hospital stays. You can compare options via VisitorsCoverage.
4. Quality and Safety Considerations
Choosing the right clinic matters more than saving a few hundred euros.
Here are simple safety steps:
- Confirm the clinic’s international accreditation (e.g., JCI or ISO).
- Ask about doctor qualifications and the number of similar procedures performed.
- Make sure the clinic offers written consent forms and provides a copy of all medical records in English or German.
- Plan for aftercare — especially if stitches, implants, or follow-up exams are required.
If possible, schedule a pre-travel online consultation to discuss expectations, recovery time, and what happens if complications occur.

Medical Tourism Planning Checklist
|
Stage |
Action |
Recommended Timeframe |
Importance |
|
Initial Research |
Choose country and clinic |
3–6 months before travel |
Critical |
|
Medical Consultation |
Visit Your local doctor |
2–3 months before travel |
High |
|
Insurance Authorization |
Get approval from insurer (if needed) |
2–3 months before travel |
Critical |
|
Visa Application |
Apply for visa or confirm free entry |
6–8 weeks before travel |
Critical |
|
Travel Arrangements |
Book flights and accommodation |
4–6 weeks before travel |
High |
|
Medical Records |
Translate and prepare documentation |
3–4 weeks before travel |
High |
|
Pre-Treatment Check |
Online or in-person consultation |
1–2 weeks before travel |
High |
Planning ahead not only saves money but also reduces the risk of misunderstandings or delays.
Think of it as organizing a safe, well-structured project — where good preparation means better recovery and peace of mind.
Risks and Challenges
Even with all the benefits — lower costs, faster appointments, and modern clinics — medical tourism still comes with certain risks. Understanding them helps You make safer choices and prepare for possible complications.
1. Medical Risks
No medical procedure is completely risk-free, whether You do it in Germany or abroad.
But when You travel, a few extra factors can increase the challenge:
- Follow-up care may be harder to arrange once You’re back home. Not all German doctors are willing to take over treatment started abroad.
- Communication gaps can cause misunderstandings about procedures, recovery time, or medication.
- Different standards — even accredited clinics may follow slightly different medical protocols than those used in Germany.
It’s smart to keep all documents, test results, and discharge papers from the foreign clinic in both English and German. This makes post-treatment communication much easier.
(Source: CDC – Medical Tourism Guidance)
2. Legal and Financial Risks
When You receive treatment abroad, German legal protections don’t automatically apply.
That means:
- It can be difficult to file a complaint or claim compensation if something goes wrong.
- Refunds or insurance reimbursements may take longer or cover less than expected.
- Some clinics require full prepayment and may not refund cancellations.
To minimize the risk:
- Always sign a written agreement detailing the procedure, price, and responsibilities of both sides.
- Keep digital and printed copies of all receipts and medical records.
- Check whether Your travel insurance includes coverage for medical complications or return flights in case of an emergency.
3. Travel and Recovery Challenges
Recovery after surgery or treatment can be tough, and travel adds another layer of stress.
- Long flights or car rides can worsen pain or swelling, especially after orthopedic or cosmetic procedures.
- Changes in climate or diet might slow healing or cause discomfort.
- Unexpected delays — like infections or postponed follow-ups — could extend Your stay and raise costs.
If possible, plan to stay in the destination for at least a few extra days after treatment. This allows time for rest and for doctors to check that recovery is going smoothly before You return home.
4. Emotional and Practical Considerations
Some patients underestimate the emotional side of getting medical care in another country. Being far from family, speaking a different language, or recovering in an unfamiliar place can be stressful.
That’s why many clinics now offer patient coordinators — people who help with logistics, translation, and even daily tasks during recovery.
Ultimately, medical tourism is safe when it’s well-organized. The key is to know what to expect, prepare backup plans, and communicate clearly with both Your local and foreign doctors.
Post-Treatment Considerations

Your trip doesn’t end when the procedure is over. The recovery phase is just as important — and proper follow-up care determines how successful the treatment will be. Here’s what to keep in mind once you return home.
1. Follow-Up Care
After getting treatment abroad, make sure all your medical records are complete and translated into German or English. This includes:
- Surgical reports and discharge notes
- Medication lists and post-op instructions
- Test results and imaging (X-rays, scans, etc.)
Bring these to your local doctor in Germany as soon as possible. It helps them understand what was done and continue care safely.
In some cases, especially after surgery or fertility treatment, you may need remote follow-ups with your foreign clinic. Many clinics now offer online consultations or WhatsApp check-ins to track your recovery.
If you notice any complications — pain, swelling, infection, or unusual side effects — don’t wait. Contact both your local doctor and the clinic where you were treated. Early intervention prevents bigger problems.
2. Reimbursement and Insurance Process
If you’re covered by German public health insurance, you can apply for reimbursement once you return.
To do that, you’ll usually need:
- The medical report from the foreign clinic
- Original invoices and proof of payment
- A filled-out reimbursement form (your Krankenkasse provides it)
Most claims must be submitted within three months of treatment. The refund amount depends on what the same procedure would cost in Germany, not what you actually paid abroad.
You can find full guidance on this process through the National Contact Point for Cross-Border Healthcare in Germany.
For treatments outside the EU, insurance reimbursement is not guaranteed. That’s why it’s best to discuss options with your insurer before traveling.
3. Monitoring Long-Term Health
Some procedures — like implants, orthopedic surgeries, or fertility treatments — require ongoing check-ups. Keep your contact with the clinic open for at least several months after returning home.
It’s also useful to have a local physician review your recovery after 3–6 months to ensure everything is healing as expected.
If the treatment was successful and the experience positive, consider leaving a review online (for example, in r/AskGermany or specialized health forums). It helps others make safer, more informed choices.
4. Staying Organized for the Future
Keep all documents from your trip in one folder — both physical and digital copies. That includes:
- Medical correspondence
- Insurance communication
- Travel and visa details
- Expense receipts
Having a clear paper trail will make future insurance claims or follow-up visits much easier.
When done right, medical tourism can be a rewarding experience — giving access to quality care, new medical expertise, and often a smoother recovery than expected. But success depends on staying organized, informed, and cautious at every step.
Conclusion

Medical tourism isn’t just a trend — for many Germany residents, it’s a practical and affordable way to get quality healthcare without long waiting times or sky-high bills. Whether it’s a dental implant in Poland, a fertility treatment in Spain, or a surgery in Turkey, cross-border healthcare gives patients more freedom to choose where and how they receive care.
The European Union’s framework for cross-border healthcare and the European Health Insurance Card (EHIC) make this process smoother than ever. With proper planning, clear documentation, and communication between doctors, receiving treatment abroad can be both safe and financially reasonable.
From the Reddit discussion on r/AskGermany, one thing becomes clear: people living in Germany often find that going abroad for care isn’t just cheaper — it’s easier. Clinics in neighboring countries are adapting to German patients, offering transparent prices, shorter waiting times, and English- or German-speaking staff.
Still, the key to a positive experience is research and preparation.
Here’s what to remember before making your decision:
- Check if the clinic is accredited (for example, listed in the JCI directory).
- Confirm insurance and reimbursement options in advance.
- Collect all medical documents and get them translated.
- Plan enough recovery time before traveling back home.
If you treat it like any important project — with careful research, trusted professionals, and clear communication — medical tourism can open real opportunities for better, faster, and more affordable care.
