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Funding: tax, health insurers and budgets for health programs with genetic analyses

Reviewed by Dr. Daniel Wallerstorfer, molecular biologist and founder of Novogenia · Updated: 15 October 2026 · Reading time: 10 min

In short

In Germany, employers can spend up to 600 euros per employee and calendar year tax-free on health promotion – but only on services that meet the requirements of Sections 20 and 20b SGB V (Section 3 no. 34 EStG). The Prevention Guide of the statutory health insurers expressly lists genetic analyses and food supplements as exclusion criteria for nutrition programs. So do not plan the genetic analysis as a tax-free or insurer-funded service. Accompanying courses and workshops, by contrast, can qualify if they meet the criteria. Austria and Switzerland have their own rules – always clarify the details in advance with your tax adviser and health insurer.

600 euros tax-free – but not for everything

600 euros per calendar year: that is how much a company in Germany can spend tax-free on the health of each employee (Section 3 no. 34 of the Income Tax Act, EStG). It sounds like the perfect budget pot for a program with genetic analyses. A closer look is still worthwhile, because the pot comes with a lid of clear rules.

Think of a house. The genetic analysis is the door opener: it makes health personal and is often what makes employees curious enough to walk through the door in the first place. What gets funded, though – if anything – are the rooms behind it: courses and workshops on physical activity, nutrition and stress management that meet certain criteria.

That is why we do not promise you any tax or funding advantages for genetic analyses. What we give you instead is an honest overview of the rules in Germany, Austria and Switzerland – so your budget delivers what it promises.

Germany: what Section 3 no. 34 EStG requires

The tax exemption has four conditions. All of them must be met:

ConditionWhat it means
In addition to the wages already owedNo salary conversion: the benefit is not offset against wages, wages are not reduced for it, it does not replace an agreed pay raise, and if it ends, wages do not go up (Section 8(4) EStG)
A health promotion serviceIt serves to prevent and reduce health risks and to promote health in the workplace.
Requirements of Sections 20 and 20b SGB VQuality, earmarking, targeting and certification must be right. The yardstick is the fields of action and criteria that the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband) sets and publishes (Section 20(2) of Book V of the Social Code, SGB V).
No more than 600 euros per calendar yearAnything above that is not tax-free under this provision.

The GKV-Spitzenverband’s criteria are set out in its Prevention Guide (Leitfaden Prävention, version of December 17, 2025). The guide sums it up itself: employer spending on certified behavioral prevention services – such as recognized courses – and on workplace health promotion services that meet the guide’s criteria is tax-free.

And the genetic analysis? An honest look

This is where the Prevention Guide gets very specific. For nutrition programs, it expressly rules out funding when any of the following is involved:

Similar exclusions apply to weight-loss courses, and behavioral nutrition measures in workplace health promotion expressly follow the same criteria. For workplace health promotion, the guide also excludes, among other things, isolated measures by external providers that are not embedded in an overall concept, as well as activities that serve one-sided advertising purposes for particular products.

The logical conclusion: plan neither the genetic analysis nor personalized supplements as tax-free or insurer-funded services. That is no reason for disappointment – it is a clear division of labor. The genetic analysis provides the personal spark, and the company pays for it from its own budget. The courses and workshops that turn the spark into lasting habits can qualify for funding if they meet the criteria. Which analyses suit employees is covered in Which offers suit employees.

Health insurers: support for structures, not for products

Statutory health insurers promote workplace health with services – above all by helping to build and strengthen health-promoting structures (Section 20b(1) SGB V). To do this, they assess the health situation together with the employees, those responsible for the company, company physicians and occupational safety specialists, develop proposals for improvement and support their implementation. For individual prevention courses within the company, the certification requirement applies accordingly (Section 20b(1), third sentence, with Section 20(5), first sentence).

A good first point of contact is the health insurers’ regional workplace health promotion coordination offices: they inform companies about the services and clarify which insurer provides services in the company in a given case (Section 20b(3) SGB V).

A sensible combination could look like this: the health insurer supports the needs assessment and eligible courses, and the company pays for the voluntary genetic analysis itself. Insurers that offer analyses to their members as a prevention component of their own are a different model – more on that in For workplace-health providers, insurers and consultants.

Non-cash benefits and payroll tax: what payroll checks

If Section 3 no. 34 EStG does not apply, the question lands with payroll. One rule that is often checked is the monthly exemption limit for non-cash benefits: they are disregarded if the benefits in total do not exceed 50 euros per calendar month (Section 8(2), sentence 11 EStG). This is not a health privilege but a limit for all of a month’s non-cash benefits combined. Whether and how an offer fits within it depends on what the company already provides – your tax adviser will clarify that.

One point is easily overlooked: if a benefit has to be recorded per person for payroll tax, payroll needs to know who received it. That can clash with the goal of the company learning as little as possible about who takes part. So clarify early with your tax adviser and data protection officer how payroll tax and confidentiality can be reconciled. More in Data protection and confidentiality of results.

Austria and Switzerland: their own rules

Austria: the monetary benefit from targeted, outcome-oriented health promotion (salutogenesis) and prevention is tax-free insofar as it is covered by the range of services of statutory health insurance – provided the employer makes it available to all employees or to certain groups of them (Section 3(1) no. 13(a) of the Income Tax Act 1988). So the decisive question is whether an offer is covered by statutory health insurance’s range of services. Clarify that for the genetic analysis with your tax adviser in advance instead of planning it as tax-free. The health insurance funds also offer health promotion and prevention programs aimed at specific groups and tailored to their everyday settings (Section 154b of the General Social Insurance Act, ASVG) – a possible point of contact for accompanying components.

Switzerland: health insurers promote disease prevention and, together with the cantons, run an institution that initiates, coordinates and evaluates health promotion measures (Art. 19 of the Health Insurance Act, KVG). It is financed through an annual contribution from every person with compulsory insurance (Art. 20 KVG). You should not infer funding for individual genetic analyses in a company from this. We do not cite a specific tax exemption for employer health benefits in Switzerland comparable to those in Germany or Austria; clarify the treatment with your fiduciary or tax adviser.

Planning the budget – without false promises

A program consists of more than the analysis. These components belong in your plan:

There are several ways to decide who pays for what: the company covers the analysis and the support; it covers only the support and employees order the analysis themselves; or a mix. In every model, personalized supplements remain a private, voluntary decision. And in every model, the employer gets the invoice, not the result.

Decide early which internal budget the program comes from – for example, the workplace health promotion budget or the employee benefits budget – and who checks the invoice. Ideally, that is a unit that makes no personnel decisions. That way, billing also stays on the right side of the firewall between health and employment.

Start with a manageable group, such as one site or one department, and evaluate the pilot through participation and anonymous feedback – not through health promises. How to do that in practice is shown in Measuring benefits and impact and Rollout: from kick-off to results.

Funding checklist

Frequently asked questions

Is a genetic analysis for employees tax-free under Section 3 no. 34 EStG?
Do not plan on it. Only services that meet the requirements of Sections 20 and 20b SGB V in terms of quality, earmarking, targeting and certification are tax-free. The statutory health insurers’ Prevention Guide (version of December 17, 2025) expressly lists genetic analyses as an exclusion criterion for nutrition programs. Have a tax adviser review how your specific offer is treated.
Will the health insurer pay for genetic analyses for our employees?
Not as a workplace health promotion service under Section 20b SGB V: the Prevention Guide excludes genetic analyses from nutrition programs. Health insurers mainly support companies in building health-promoting structures and with courses that meet the criteria. If an insurer offers analyses to its members as a prevention component of its own, that is a separate model – there too, the member gets the result and the insurer only the invoice.
Can the company also pay for personalized supplements?
Section 3 no. 34 EStG does not help here: the Prevention Guide lists the use of food supplements in nutrition programs as an exclusion criterion. Whether another rule applies, such as the exemption limit for non-cash benefits, is for your tax adviser to clarify. Data protection matters too: a personalized formula reveals something about a person’s genes – so formula, report and delivery belong directly with the person.
Is there a similar tax exemption in Austria?
Yes, with its own logic: the monetary benefit from targeted, outcome-oriented health promotion and prevention is tax-free insofar as it is covered by the range of services of statutory health insurance, provided the employer makes it available to all employees or to certain groups of them (Section 3(1) no. 13(a) EStG 1988). Whether a genetic analysis is covered is something to clarify in advance with your tax adviser.
What does a program with genetic analyses cost?
That depends on the scope: the number of participants, the analyses chosen, accompanying offers such as a talk and workshops, and the partner model. We do not quote fixed package prices in this guide. Tell us about your company and you will receive a specific proposal.

Related: Measuring benefits and impact · For workplace-health providers, insurers and consultants · Sales channels: web shop, Amazon, practices, direct selling

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