Preventive health care services paid for by public health insurance include:
| Investigation |
Age |
Interval |
Special features |
| Preventive dental checkup |
≥ 18. LJ |
2 times a year |
|
| Check-up 35 |
≥ 35TH LY |
Every 3 years
|
- Medical history taking into account familial risks for cancer (e.g., breast carcinoma, colon carcinoma, malignant melanoma) and, if indicated, a systematic assessment of cardiovascular risk using risk charts.
- Clinical examination: examination to determine the complete status (whole body status) including blood pressure measurement.
- Vaccination history. (Survey and counseling; motivation for follow-up vaccination).
- Laboratory tests: see below.
- Consulting
- Interpretation of the findings and inference from the results: If the presence of a disease is suspected, further targeted diagnostics and therapy if necessary.
Laboratory diagnostics:
- Hepatitis B virus (HBV) diagnostics [one-time claim from age 35].
- Hepatitis C virus (HCV) diagnostics [single claim from age 35]
- Glucose (B/U)
- Lipid profile: total cholesterol, LDL and HDL cholesterol, and triglycerides (B).
- Protein (U) [including albumin test if necessary].
- Erythrocytes (U)
- Leukocytes (U)
- Nitrite (U)
|
| Skin Cancer Screening |
≥ 35TH LJ |
Every 2 years |
- Visual (naked-eye), standardized whole-body inspection (full-body view) of the entire skin, including the hairy head and all body skin folds
|
| Prostate examination/genital examination(prostate cancer screening). |
≥ 45TH LY |
Annual |
- Inspection (looking at) and palpation (feeling) of the external genitalia.
- Digital rectal examination (DRU) (examination of the prostate by means of a finger through the intestine).
- Palpation examination of the regional lymph nodes
|
| Colorectal Cancer Screening |
≥ 50 LJ |
Maximum of 2 colonoscopies, 10 years apart (or fecal occult blood test every two years) |
If colonoscopy is performed, precancerous lesions can be removed.
|
| Abdominal aortic screening |
≥ 65 LJ |
one-time |
The prevalence (disease incidence) of abdominal aortic aneurysm (BAA) is 1.5% annually. The mortality (death rate) of ruptured (ruptured) BAA is high, as high as 80%.
|
Legend
Booster Vaccinations
| Vaccination |
Interval |
Special features |
| Tetanus |
Every 10 years |
|
| Diphtheria |
Every 10 years |
|
| Pneumococcus |
Every 6 years |
After age 60A booster vaccination may be given after five years if indication continues.
|
| Influenza |
Annual |
From the age of 60 |
Individual health services (IGel)
Preventive examinations – for clinically/anamnestically unremarkable adults.
| Examination |
Special features |
| “Health check for men” |
Preparation of an individual preventive care and treatment plan based on a health risk analysis, nutritional analysis and further diagnostics |
| “Interval check” |
Additional health examination; resting ECG examination, if necessary. |
| “Specialist check-up” |
Complete examination of the organ system in question |
| “General check” |
Examination with resting ECG, spirometry, chest X-ray (chest organ overview). |
| “Sono-Check” |
Sonography of internal organs, duplex if necessary, transcavitary |
| Doppler sonography of the vessels supplying the brain. |
z. E.g., for apoplexy (stroke) risk assessment |
| Pulmonary function testing (spirometry). |
If applicable.X-ray thorax (chest organ overview) |
| Prostate cancer screening |
Digital examination, determination of PSA* , transrectal prostate sonography (TRUS) if necessary. |
| Early glaucoma detection |
Perimetry, ophthalmodynamometry, tonometry if necessary. |
* Prostate-specific antigen
Further examinations – for clinically/anamnestically unremarkable adults
| Investigation |
Special features |
| Travel medical advice |
Travel medical vaccinations, if necessary |
| Sports medicine consultation |
|
| “Sportsman check for man” |
Creation of an individual fitness or training plan based on a health risk analysis, measurement of body composition, nutritional analysis and further diagnostics if necessary. |
| Preventive sports medicine examination |
|
| Sports medicine fitness test |
Ergometry |
| Aptitude test |
- Dive suitability examination
- Airworthiness examination
- Medical examination for professional aptitude
|
Medical-cosmetic services – for clinically/anamnestically unremarkable adults
| Investigation |
Special features |
| Medical-cosmetic consultation |
|
| Sunlight/skin type consultation |
|
| Cosmetic compatibility test |
Epicutaneous, prick, rub, scratch, or scarification test. |
Environmental health services – for clinically/anamnestically unremarkable adults
| Investigation |
Special features |
| Initial environmental medical history |
|
| Environmental medical follow-up history |
|
| Environmental medicine consultation |
|
| Environmental medicine housing inspection |
|
| Environmental medicine biomonitoring |
|
Psychotherapeutic services – for clinically/anamnestically unremarkable adults – without medical indication
| Investigation |
Special features |
| Relaxation methods for prevention |
|
Medical services – for clinically/anamnestically unremarkable adults
| Investigation |
Special features |
| Nutritional medical consultation (nutritional counseling including nutritional analysis). |
For healthy and sick people |
| Smoking cessation |
|
| Advice on the medicine cabinet |
|
| Advice on self-medication for prevention |
|
Laboratory medical elective services – for clinically/anamnestically unremarkable adults
| Investigation |
Special features |
| Blood grouping |
|
| Laboratory part test according to occasion |
|
| Examination for Helicobacter pylori colonization. |
13C-urea breath test; as primary diagnostic test. |
| Exclusion of metal allergies |
Epicutaneous, prick-friction, scratch, or scarification test. |
Other elective services – for clinically/anamnestically unremarkable adults – without indication
| Investigation |
Special features |
| Bone densitometry (osteodensitometry). |
|
| Injection/infusion of micronutrients/vital nutrients (vitamin or restorative supplements). |
|
| Making a spermiogram (sperm cell examination) |
|
