Germany Health card 35x45 mm Photo Size Requirements for DE (2025 Update)

By AI Assistant 774 words 4 min read

Every German health insurance card (Gesundheitskarte) must feature a perfectly compliant biometric photo measuring exactly 35 × 45 mm to ensure seamless processing and avoid costly delays. This stringent requirement—rooted in German federal regulations—dictates not only the precise dimensions but also specific standards for background color, head positioning, lighting, facial expression, and image quality. Whether you’re a first-time applicant or renewing your card, understanding these detailed criteria is essential: a single nonconformity can lead to rejection, leaving you without vital proof of coverage. In the following guide, we’ll break down every aspect of the 35 × 45 mm photo requirements, offer expert tips for flawless results, and show you exactly how to capture a compliant image on your first try.

Requirements

  • Photo dimensions: exactly 35 mm wide × 45 mm tall with no white borders
  • Head size: distance from chin to crown between 32 mm and 36 mm to ensure proper biometric capture
  • Recentness: photo taken within the last six months reflecting your current appearance
  • Background: uniform light gray or white, matte finish, free of shadows, patterns or objects
  • Facial expression: neutral, mouth closed, eyes open and clearly visible, no exaggerated smile or frown
  • Eye position: pupils horizontally centered and between 20 mm–30 mm from the bottom edge of the photo
  • Lighting quality: even, no harsh shadows, reflections, red-eye or over-exposure on face and background
  • Eyewear rules: clear lenses only if medically required, frames must not cover eyes, no glare or tinted glasses
  • Head coverings: only permitted for religious reasons, but must not obscure hairline, forehead or facial features
  • Attire: everyday clothing with contrast against background; no uniforms, camouflage, or overly bright colors
  • Photo print quality: high resolution (≥ 600 dpi), matte or semi-matte paper, sharp detail, no creases or spots
  • Digital edits: absolutely no retouching, filters or color corrections that alter natural skin tone or features

Step-by-Step Process

Content about Germany Health card 35x45 mm Photo Size Requirements for DE - process

Tips and Best Practices

  • Exact Photo Dimensions: ensure the photo is precisely 35 × 45 mm with a face height of 32–36 mm using a ruler or professional template to avoid automatic rejections due to wrong sizing.
  • Central Head Position: keep the head centered with eyes 16–19 mm from the top edge by using alignment guides or visa-photo apps to prevent off-center refusals by authorities.
  • Uniform Background & Lighting: use a plain white or light-gray backdrop and diffused lighting to eliminate shadows and reflections that often cause photo quality rejections.
  • Neutral Facial Expression: adopt a natural, closed-mouth expression with hair pulled back and remove glasses or headgear (unless religious) to ensure clear identification and avoid retakes.
  • Recent, High-Quality Print: print on matte, ISO-certified photo paper within the last 6 months at 300 dpi in a professional lab to prevent blurriness, fading, or glossy overcoats that violate health card standards.

Conclusion

Ensuring your Germany health card photo meets the 35 × 45 mm standards minimizes the risk of rejection and expedites your application process. Below is a concise summary of the key requirements:

  • Dimensions: 35 × 45 mm total photo size
  • Head size: 32–36 mm from chin to crown
  • Background: uniform light grey or white, no patterns or shadows
  • Expression: neutral face, mouth closed, eyes open and clearly visible
  • Lighting: even illumination, no reflections or strong shadows
  • Photo quality: high-resolution color print on matte or glossy photo paper
  • Age of photo: taken within the last 6 months
  • Glasses: permitted if frames are thin and lenses clear—no glare or tinted lenses
  • Head coverings: only for religious reasons, must not obscure facial features
  • Image integrity: no digital alterations or filters, natural skin tones only
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