Application for the student health insurance

Step 1 – fill in the form and upload the required documents

Step 2 – you receive the filled in document in PDF, which you have signed

Step 3 – please send the filled and signed PDF to:

You will receive in return as soon as possible the confirmation and the required documents.


Personal Information


AOK membership

I was abroad until just before the start of membership.
I was most recently legally covered for health insurance in Germany by:

I have never been insured in Germany with a statutory health insurance.

My Studies


The data is collected and processed to fulfill our tasks in accordance with §§ 284 in connection with § 175 SGB V. Your participation is required according to § 60 SGB I and § 206 SGB V. Please note: You cannot become a member of the AOK Baden-Württemberg without the required data. We may pass on your data to third parties or service providers who have been commissioned by us within the scope of legal obligations and notification powers. Further information about the processing of your data and your rights can be found at We would be happy to provide you with this information in paper form on request. If you have any questions, please contact AOK Baden-Württemberg, Presselstraße 19, 70191 Stuttgart or our data protection officer at Providing your telephone numbers is voluntary, but it makes our work easier when we have questions.

I consent to the AOK Baden-Württemberg or my responsible AOK storing and using the contact details I have given, in order to inform me, if necessary, also through the involvement of a contracted service provider about the advantages, in particular the services offered by the AOK, as well as private supplementary insurance from AOK contracting partners to be able to advise and to conduct opinion research (e.g. surveys on quality measurement and customer loyalty), also by email, telephone or SMS. This consent also applies in the event that the desired membership in the AOK does not come about. This consent is voluntary and I can revoke it at any time with future effect. It applies until it is revoked. The rights of those affected apply

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