In short
From the age of 15 the Knappschaft health insurance card needs a recent photo on which you are clearly recognisable – well lit and against a neutral background. A biometric passport photo is not required. With Knappschaft you sign in to the online photo portal with your insurance number and date of birth, upload the photo, see a preview of your card and confirm. For data protection reasons Knappschaft does not accept photos by email, USB stick or other data carriers.
Last updated: · FotoKlar editorial team
Creating the photo for the Knappschaft health insurance card
- 1Take a photo in daylight from the front or upload one in the tool above.
- 2“Health insurance card” is already selected: we crop, replace the background and check the photo.
- 3See the free preview, buy and download the file.
Uploading the photo in Knappschaft’s online photo portal
With Knappschaft you sign in to the online photo portal with your insurance number and date of birth, upload the photo, see a preview of your card and confirm. For data protection reasons Knappschaft does not accept photos by email, USB stick or other data carriers.
- 1Create the photo at FotoKlar and download the file
- 2Open Knappschaft’s online photo portal and sign in with your insurance number and date of birth
- 3Upload the photo, check the card preview and confirm
Photo requirements
What Knappschaft itself says:
- Not required to be biometric
- Clearly recognisable and well lit
- Neutral background
- Religious head covering allowed
- According to Knappschaft this is only an excerpt – the photo portal checks the rest when you upload
Photo rejected – what now?
If your photo is rejected, Knappschaft usually tells you why. Common reasons are shadows, a busy background, a tilted head or a face that is too small.
- Take a new photo in daylight from the front, head straight
- Face large enough in the frame (about 70–80% of the image height)
- Have the background replaced – FotoKlar does this automatically
- If the insurer rejects the purchased photo for not meeting its requirements, we refund the €7.99 in full
Sources
- Knappschaft: your photo for the electronic health card – checked 03/11/2026
- § 291a SGB V (photo on the health card) – checked 21/10/2026
