This study examines the barriers faced by individuals with a migration background in accessing healthcare information in Germany, focusing on the communication strategies of municipal health authorities during the COVID-19 pandemic. Analysing ten municipalities in North Rhine-Westphalia with a significant proportion of residents from migrant backgrounds, the study mainly evaluates digital health communication based on language use, multimedia formats, and user-friendliness. While there is general awareness of cultural diversity, significant differences exist in how municipalities implement national health literacy strategies, with larger, more diverse municipalities displaying greater sensitivity. The findings furthermore highlight that intercultural healthcare communication largely depends on the engagement of each municipality, with some demonstrating stronger efforts through local collaboration. The study emphasizes the need for more accessible and culturally inclusive digital platforms and calls for further investigation into factors such as translation quality and the role of community influencers. Generally, this research advocates for a deeper exploration of how to overcome communication barriers and foster a more interculturally open healthcare system in Germany.