Preventive health services paid for by public health insurance include:
| Investigation |
Age |
Interval |
Special features |
| Preventive dental checkup |
≥ 18. LJ |
2 times a year |
|
| Cervical cancer screening (cervical cancer screening; as of 2018). |
≥ 20 years of age |
Annual |
Gynecological palpation |
| 20-34TH LY |
Annual |
- Pap smear (Papanicolaou cytological examination; cervical smear/cell smear from cervix).
|
| ≥ 35TH LY |
Every 3 years |
- Combination examination:
- Test for genital infections with human papillomavirus (HPV).
- Pap smear (cervical smear).
|
| Chlamydia screening |
≤ 25 LY |
Annual |
- Screening for Chlamydia trachomatis infection.
|
| Breast Cancer Screening |
≥ 30 years |
Annual |
- Inspection (viewing) and palpation of the chest.
- As well as the regional lymph nodes, including the doctor’s instructions for self-examination.
|
| 50th-69th years |
Every 2 years |
|
| 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
|
| Colorectal Cancer Screening |
50TH-54TH LY |
- Occult blood testing may be used for women 50 and older.
- Until 54, it can be done annually, then every two years at the expense of the insurance companies.
|
- Test for occult (“hidden”) blood in stool.
|
| ≥ 55TH LY |
Maximum of 2 colonoscopies (colonoscopy), 10 years apart(or fecal occult blood test every two years) |
- Precancerous lesions can be removed.
|
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 women” |
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 determination |
| Pulmonary function test (spirometry) |
X-ray chest (chest organ survey), if applicable. |
| Early glaucoma detection |
Perimetry, ophthalmodynamometry, tonometry if necessary. |
Further examinations – for clinically/anamnestically unremarkable adults
| Investigation |
Special features |
| Travel medical advice |
Travel medical vaccinations, if necessary |
| Sports medicine consultation |
|
| “Athlete check for woman” |
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.Occupational aptitude test
|
Investigations 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. |
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 (dietary consultation) |
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 |
| Cycle monitoring in childbearing |
|
| Bone densitometry (osteodensitometry). |
|
| Injection/infusion of micronutrients/vital nutrients (vitamin or restorative preparations) |
|
