Is it calculated as a percentage of income? In that case, it is effectively a tax, and like any progressive taxation, higher income individuals pay more.
Also of note: when you're insured with a public health insurance in Germany, a spouse and kids without income of their own are automatically insured as well, without extra cost.
Also of note: when you're insured with a public health insurance in Germany, a spouse and kids without income of their own are automatically insured as well, without extra cost.