Krankschreibung — Medical Leave
How does it work?
- Days 1-3 — you can be sick without a certificate (depends on your contract!)
- From day 4 — you must have Krankschreibung from a doctor
- The certificate is sent electronically to your employer and Krankenkasse
What do you need to do?
Step 1: Inform your employer
- IMMEDIATELY in the morning (phone, SMS, email)
- Tell them you're sick and for how long (approximately)
- You do NOT have to say WHAT you're sick with
Step 2: Go to the doctor
- Call to make an appointment
- You'll receive Arbeitsunfähigkeitsbescheinigung (AU)
- Since 2023: electronic AU — your doctor sends it directly
How much money do you get?
| Period | Who pays | Amount |
|---|---|---|
| Week 1-6 | Employer | 100% of salary |
| From week 7 | Krankenkasse | ~70% gross (max 90% net) |
Krankengeld you can receive for max 78 weeks within 3 years (same illness).
Can I leave the house?
YES, if it doesn't harm your health:
- You can go to the pharmacy
- You can go for a walk
- You can do shopping
NO, you cannot:
- Work (also from home)
- Do sports (unless your doctor recommended it)
- Go on holiday
Important!
⚠️ Your employer can send a control inspection (MDK) — you must be at home during the hours stated on your certificate or have a good reason.
Extension of sick leave
If you don't recover:
- Go to the doctor BEFORE your current certificate expires
- You'll receive an extension (Folgebescheinigung)