Q&A

Krankschreibung — Medical Leave in Germany

Medical leave in Germany is mandatory from day 4 of illness and sent electronically to your doctor. Your employer pays 100% of salary for 6 weeks, then health insurance covers approximately 70% of gross income.

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German terms
Krankschreibung Arbeitsunfähigkeitsbescheinigung AU Krankmeldung Entgeltfortzahlung

Krankschreibung — Medical Leave

How does it work?

  1. Days 1-3 — you can be sick without a certificate (depends on your contract!)
  2. From day 4 — you must have Krankschreibung from a doctor
  3. 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)

Editorial hamboorg.city · As of: April 2026 · Carefully prepared, regularly updated. Content is informational and does not replace legal advice.
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