Preventive Health Check-ups and Screenings Covered by Public Health Insurance in Germany #

Looking after your health starts before you feel unwell. In Germany, public health insurance (GKV) covers many check-ups and screenings. These visits help you spot issues early or prevent them entirely.

In this guide, you’ll learn which services are free, when you qualify, and how to book STI tests, vaccinations, and child check-ups. By the end, you’ll know how to use these benefits with confidence.

How preventive check-ups work in Germany #

Preventive care in Germany is easy to access and usually free if you have public health insurance. If you’re insured under public health insurance (GKV), most check-ups, screenings, and vaccinations are fully covered. These free services are part of the national healthcare law, which ensures regular preventive care for everyone.

You don’t need a referral for most screenings. Simply book an appointment directly with your doctor or the right specialist, depending on the test you need.

If you have private health insurance (PKV), See our companion guide to preventive care on PKV.

Always check with your insurer to confirm what’s included in your coverage before booking an appointment policies can differ.

What public insurance (GKV) covers? #

Below you’ll find everyday check-ups and screenings that GKV covers and how often you can use them.

Health checkups covered by Public Health Insurance #

Ages 18 to 34
If you’re between 18 and 34, you’re entitled to one free general health check-up with your doctor. This visit includes a basic screening to detect early signs of health issues such as high blood pressure or high cholesterol. If your doctor advises regular follow-ups, you can receive up to €35 in reimbursement every three years for additional check-ups.

From Age 35 Onward
Starting at age 35, public health insurance covers a comprehensive health check-up every three years. This includes:

• A physical examination
• Lab tests (e.g., blood sugar, cholesterol)
• A discussion about your health habits and risk factors

Your doctor may also screen for conditions such as cardiovascular disease, diabetes, and kidney problems.

Sports Medical Checkups
Public insurance may also reimburse a sports medical exam and consultation every two years (24 months). This is especially useful if you’re starting a new sport or have existing health conditions. Coverage details can vary between insurers, so it’s best to check with your provider in advance.

Cancer screenings covered by Public Health Insurance #

Preventive cancer screenings in Germany are free at regular intervals, depending on your age and gender.Here’s what’s covered, how often, and what’s included:

• Skin cancer (20+) – Every 2 years; full-body skin check by a dermatologist or trained GP.
• Cervical cancer (women 20–34) – Yearly pelvic exam and Pap smear. From 35, every 3 years with Pap + HPV.
• Gynecological exam (women 20+) – Yearly genital exam. From 30, adds breast and lymph node check.
• Breast cancer (women 50–75) – Every 2 years; mammogram via invitation. Over 70? You may need to book yourself.
• Colon cancer (50+) – One colonoscopy with the option to repeat after 10 years (up to two total).

STD & STI screenings covered by Public Health Insurance #

In Germany, public health insurance covers STI (sexually transmitted infection) and STD (sexually transmitted disease) tests, but only in specific cases.

Routine testing  just to be sure isn’t included. Coverage applies only if you have symptoms or if your doctor believes there’s a clear medical reason to test, such as a known exposure.

Exception:
Women under 26 are entitled to one free Chlamydia test per year.

If you want routine Screening #

Even if you’re not covered under public insurance, there are still affordable ways to get tested:

• Local health departments (Gesundheitsamt): Many offer free or low-cost STI testing check what’s available in your city.
• Home testing with S.A.M. Health: A convenient and discreet option, with packages starting at around €60.

If you’re sexually active with new partners or belong to a higher-risk group, it’s recommended to get tested once or twice a year, even if you need to pay out of pocket.

Vaccinations covered by Public Health Insurance #

In Germany, vaccine recommendations come from the Standing Committee on Vaccination (STIKO). Public health insurance covers vaccinations that are medically necessary, depending on your age, job, or health condition.

Here’s an overview of key vaccines and how often they’re recommended:

• Tetanus, diphtheria, pertussis: Every 10 years (3-in-1 booster).
• MMR (adults born after 1970): 1–2 doses; catch-up is encouraged.
• HPV (ages 9–14, all genders): 2 doses; best before sexual activity.
• Influenza (60+ or risk groups): Every autumn; fully covered.
• COVID-19 boosters (60+ or chronic illness): As recommended.
• Pneumococcal (60+): Once or periodic, based on risk.
• Travel vaccines: As needed; if STIKO-recommended, co-pay ~€5–€10.

Dental prevention and screenings covered by Public Health Insurance #

Dental care is one of the few areas where public health insurance provides regular, structured prevention — and you can enjoy extra long-term benefits if you stay consistent. Here’s what’s covered for dental check-ups and cleanings:

Basic Dental Check-up

• Basic check-up: Twice a year (≥4 months apart). Covered.
• Tartar removal: Once a year. Covered.
• Periodontitis screening: Every 2 years. Covered.

Stamp your Bonusheft at each visit. After 5 years, GKV pays 70% (vs. 60%). After 10 years, it pays 75%. However, cosmetic cleanings, orthodontics, and aesthetic work are often not fully covered.

Health courses covered by public health insurance #

Preventive care in Germany goes beyond regular check-ups — it also includes programs that promote healthier lifestyles and help prevent illness. These certified programs, known as Präventionskurse (prevention courses), are designed to support you in areas such as:

• Quitting smoking
• Healthy eating and nutrition
• Stress management and relaxation
• Mental health and emotional well-being
• Physical activity and fitness

Under §20 SGB V, public health insurers fund prevention courses that meet strict quality standards. Depending on your insurer and the course, you can receive a reimbursement of €80–€100 per course, often up to twice per year.

Here are some of the most common Präventionskurse (prevention courses) and how much public insurers typically reimburse:

• Smoking cessation: group therapy, behavior training — up to €100.
• Nutrition: weight management or diabetes prevention — ~€80.
• Exercise: back pain prevention, Nordic walking — ~€80–€100.
• Stress reduction: MBSR, autogenic training — ~€75.
• Mental health: burnout prevention, resilience coaching — varies.

How to enroll and get Reimbursed for Health Courses #

These prevention courses are not limited to people with diagnosed conditions they’re designed for anyone who wants to reduce health risks or build healthier habits before problems arise.

How to Enroll #

• Contact your Krankenkasse (health insurer):
  Most insurers have searchable directories on their websites or mobile apps. Look for sections called “Gesundheitskurse” or “Präventionskurse.”
• Search the ZPP database:
  The Zentrale Prüfstelle Prävention (ZPP) lists all approved prevention courses available in your area.
• Ask your GP:
  A referral isn’t required, but your doctor can recommend suitable programs based on your check-up or health risks.

How Reimbursement works #

To receive reimbursement from your health insurance, you’ll need to:

1. Choose a ZPP-certified course (or one recognized by your insurer).
2. Attend at least 80% of the sessions.
3. Submit your receipt and participation certificate to your insurer after completion.

Preventive care for children and adolescents on public health insurance #

If you’re a parent, your child’s early years will include a series of structured medical check-ups designed to monitor growth, track development, and ensure timely vaccinations. These appointments also help doctors detect any potential health or developmental issues early on.

These examinations known as U1 to U9 (for infants and young children) and J1 (for teenagers) are mandatory or strongly recommended under Germany’s public health insurance system. Each check-up takes place within a specific age window and focuses on different aspects of your child’s physical, mental, and emotional development.

Each of these pediatric exams is scheduled for a specific age range and focuses on monitoring your child’s development, growth, and overall health:

• U1–U2 (birth–10 days): vital signs, reflexes, early screening (e.g., hearing).
• U3 (4–5 weeks): hip ultrasound, feeding, weight gain.
• U4–U6 (3 months–1 year): motor skills, vision, growth, vaccinations.
• U7–U9 (2–5 years): language, social behavior, coordination.
• J1 (12–14 years): puberty, mental health, lifestyle habits.

How to schedule a preventive appointment #

1. Find an English-speaking doctor: use Doctena or Doctolib, or ask your insurer.
2. Book online or by phone: state the specific check-up you want.
3. Bring your health card (eGK): required for GKV billing.

Check out our detailed guides on How to find Hausarzt in Germany

Conclusion #

Public insurance makes preventive care simple and affordable. From check-ups and cancer screenings to vaccines and courses, you can stay ahead of problems and feel confident about your health.