Checkups for children Checkups for children (c) p. Hofschlaeger / pixelio.de Pediatric medicine focuses on the early detection of diseases and developmental disorders. For this reason, the German health system includes regular ones Checkups for children and adolescents, which range from the first days of life to teenage years. However, not all examinations offered by the pediatrician are included in the statutory health insurance benefits. However, some health insurance companies reimburse the costs as part of a voluntary one statutes performance.
Basic right to preventive checkups for children
Every legally insured child has Eligibility for eleven preventive examinations: The child exams U1 to U9 as well as the investigation J1 for teenagers aged 12 to 14 years. They serve the early detection illnesses as well as mental and social disorders and are reimbursed in full by all statutory health insurance companies.
Participation voluntary or compulsory?
Participation in the checkups is voluntary in most federal states, is however used by pediatricians highly recommended, to ensure age-appropriate development of the child. Timely treatment or special support can in many cases mitigate or prevent the negative consequences of undesirable developments in childhood.
In the following overview you will find all examinations and their focus:
Right after birth
3rd to 10th day of life
4th to 5th week of life
6th to 7th month of life
* no compulsory benefits from statutory health insurance
Further checkups for children and adolescents
In addition to the above-mentioned preventive measures, the professional association of pediatricians recommends three further examinations. This is the U10 (for children aged 6 to 7 years) who U11 (8 to 9 years) and the J2 (for adolescents aged 16 to 17 years). They are intended to close gaps between the other examinations and thus achieve even more comprehensive preventive health care. The primary goal of the U10 and U11 preventive medical checkups is to identify School performance, socialization and behavioral disorders such as. one Reading and writing difficulties or ADHD (Attention deficit / hyperactivity syndrome), but also from excessive media consumption or unhealthy diet. The J2 study for teenagers focuses on puberty and sexuality issues.
Assumption of costs by the health insurance company
The cost of the three additional preventive examinations is approx. 50 euros each. Since, in contrast to the other examinations, they do not belong to the list of services provided by statutory health insurance, the costs are only borne by health insurance companies that have decided on a corresponding statutory benefit. A nationwide, unconditional reimbursement of U10, U11 and J2 was offered by around 40 statutory health insurance companies in 2015. For many other insurers, the examination costs are only covered in certain federal states or only up to a specified maximum amount.
Health insurance test for child prevention
Which health insurance companies carry out further examinations?
The test was rated as follows:
3 stars – U10, U11, J2 are paid
2 stars – U10, U11, J2 (with restrictions, e.g. not in all BL)
1 star – as part of a health account or only U10, U11 or other small programs
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