Civil servant status (Verbeamtung) in Saxony usually runs through a medical examination by a public health doctor (Amtsarzt). This guide explains what is checked, how your coverage works during training and which steps lead to lifetime tenure.
Short answer: In Saxony, the authority usually has a public health doctor check your fitness before appointment. During training, trainees without children receive a Beihilfe rate of 50 percent as the standard rule. Trainee basic pay rose by 60 euros each on 1 April 2026 (status April 2026, source: dbb). The details are set by Saxon state law.
Key points
- Before appointment, the employer usually requires a medical examination by a public health doctor. State law sets the scope and the documents.
- According to information from the Free State of Saxony, you can choose during training between probationary civil servant status (Beamtenverhältnis auf Widerruf) and a public-law training relationship (öffentlich-rechtliches Ausbildungsverhältnis) (status October 2026).
- Trainee basic pay rises by 60 euros each on 1 April 2026 (§ 19 para. 2 no. 2 SächsBesG, status April 2026).
- As a rule, probationary civil servants without children receive a Beihilfe rate of 50 percent (status October 2026, state Beihilfe regulation).
- Civil servants entitled to Beihilfe are exempt from statutory health insurance (§ 6 para. 1 no. 2 SGB V).
What does the public health doctor check in Saxony?
The medical examination is part of the appointment process. It establishes whether you can practise the profession in the long term without health limitations. As a rule, it looks at earlier illnesses, current complaints and the outlook for the whole working life. How thorough the examination is and which documents you must provide is decided by the appointing authority under state rules.
The exact procedure differs between authorities. The usual steps look like this:
- You receive the offer of a training place or a position.
- You complete the health questionnaire and name treating doctors if requested.
- The public health doctor examines you and writes a report for the employer.
- The employer decides on the appointment based on that report.
How is coverage organised during training?
If you are entitled to Beihilfe, you are not compulsorily insured under statutory health insurance (§ 6 para. 1 no. 2 SGB V). Beihilfe then covers part of your medical costs. You need to cover the remainder yourself, usually with a private health insurance policy with a Beihilfe tariff. Details on Beihilfe in Saxony are in the guide Beihilfe in Saxony.
For trainees without children, the standard rate is 50 percent. For trainees with children, specialist sources list higher rates. The exact scale is set out in the state Beihilfe regulation, not in this text.
| Situation | Beihilfe rate | Where to check |
|---|---|---|
| Trainee without children | 50 percent (standard rule) | Saxon Beihilfe regulation |
| Trainee with one child | higher, specialist sources cite 70 percent | Saxon Beihilfe regulation |
Worked example. Assumption: a medical bill of 400 euros arises and your Beihilfe rate is 50 percent. Beihilfe then reimburses 200 euros. The remaining 200 euros must be covered by your tariff or your savings. The choice of tariff therefore decides how high your own share is for larger treatments.
When does lifetime tenure begin?
Probationary civil servant status during training (Beamtenverhältnis auf Widerruf) serves the training period. Probationary status (Beamtenverhältnis auf Probe) serves a probationary period. Only afterwards comes appointment for life (Beamtenverhältnis auf Lebenszeit), and the employer decides on the takeover (§ 4 Federal Civil Service Act, BeamtStG). State law sets the length of the probationary period, so check Saxon civil service law for it.
What is the pay during training in Saxony?
Trainee basic pay rises by 60 euros each on 1 April 2026 (§ 19 para. 2 no. 2 SächsBesG, status April 2026). No fixed euro amount is given here, because the tables available for Saxony are not reliable enough. The current amount is available from the authority responsible for your training. An overview of all states is in the guide Trainee pay by federal state (in German).
Is civil servant status right for you?
Civil servant status has advantages and limits that you should weigh against each other. In its favour are Beihilfe, which covers part of your medical costs, and the prospect of appointment for life. Against it are the health examination, which can make some tariffs harder to get, and the dependence on state law, which can change.
- Often a good fit if your health is unremarkable and you plan a stable position in the public sector.
- Less suitable if existing conditions make acceptance by private insurers harder.
- Less suitable if you expect to move to another federal state with different rules.
Frequently asked questions
Do I always have to see a public health doctor in Saxony?
As a rule yes, before the appointment takes place. The requirement follows from state law and the appointment procedure. Ask the appointing authority which documents you need and when.
What happens if the public health doctor finds a pre-existing condition?
The authority decides on the basis of the medical report. Whether a pre-existing condition stands in the way of appointment depends on the individual case. If in doubt, contact the responsible authority early, before deadlines pass.
Can I choose between civil servant status and a training relationship?
According to information from the Free State of Saxony, this choice exists. It affects pay and coverage, so review it carefully before you start.
Is Beihilfe alone enough for my health insurance?
Usually not. Beihilfe covers only a share of the costs. The rest must be covered by a Beihilfe tariff of a private health insurer or another arrangement. Which tariff fits depends on age, health and family plans.
Where can I find current pay figures?
The legal sources are the statutes and regulations of the Free State. Overviews from trade unions such as the dbb help you find your way but are not a legal basis. For decisions, the official text counts.
What to do next
- Ask for your offer of appointment and the documents for the medical examination in writing.
- Clarify with the authority whether you will be appointed as a probationary civil servant or under a training relationship.
- Check the Beihilfe rate for your situation in the state Beihilfe regulation, especially if children are part of your plans.
- Compare tariffs that supplement Beihilfe before you decide. You can get a personal assessment from Academycon: How we work.
Related guides
- Teacher training in Saxony 2026/27
- Beihilfe in Saxony
- Health insurance during teacher training (in German)
- Trainee pay by federal state (in German)
- Disability insurance during the teaching degree (in German)
Sources: Federal Civil Service Act (BeamtStG), § 4 (retrieved October 2026); Social Code Book V (SGB V), § 6 (retrieved October 2026); dbb, Saxony pay table from 1 April 2026 (status April 2026).
Last updated: October 2026. This guide is general information, not individual advice.
