Health check-up from 60.For the years still ahead.

In most cases yes, for a simple reason: from 60 on, the likelihood that something is actually there to find is considerably higher than at 40. Cardiovascular changes, atrial fibrillation, early-stage tumours and bone loss all become more common at this stage and often run for years without symptoms. At the same time the benefit has become more concrete. The question is less about a risk in thirty years and more about how you spend the next ten to twenty with strength, mobility and independence. We stay honest in both directions. Early detection improves chances, it guarantees nothing, and not every finding needs treatment. That is exactly why a physician places every result in the context of your situation.

Yes, and we say so openly. The older you are, the more harmless variations high-resolution imaging shows: cysts, benign nodules, calcifications, disc changes. Most of them mean nothing for your health. The problem is not the finding itself but what happens next when nobody puts it in context. Then come follow-up scans, uncertainty and sometimes procedures that would never have helped anyone. We work differently. Every finding is assessed by a physician and you get a clear statement on whether something needs following up, whether a check in a year is enough, or whether it is a normal finding for your age. If we think an examination is not worth it for you, we say that too.

Yes, and from 60 on this is one of the practically most useful parts of the day. Please bring a complete list of everything you take, including over-the-counter products and supplements. Much of it interacts, and part of the effect depends directly on values we measure. Kidney function via creatinine and cystatin C determines the correct dose for several common medications, potassium and sodium respond to blood pressure drugs and diuretics, and liver values respond to statins. In the medical conversation we go through what your values mean for your current medication. Changes themselves belong with the physicians treating you long-term. We provide the basis and write it up so you can take it with you and discuss it there.

The day is deliberately paced so it works without rush. Core takes about six hours, Evolve and Ultimate around nine, all in one appointment in Berlin-Charlottenburg. There are fixed breaks between stations, breakfast after the blood draw and lunch are planned in, and there is no time pressure from station to station. If sitting or lying still for long is difficult, if your hearing is poor, if you use a walking aid or if you need more time for any other reason, tell us in the intro call. We then plan the sequence accordingly, build in longer breaks and explain every step beforehand. A companion can come along and stay in the waiting area. If you would rather split the day, raise that too and we will find a way.

From 60 on we recommend Evolve in most cases. It includes the radiation-free full-body MRI and the liquid biopsy for broad cancer early detection, on top of the complete cardiovascular work-up with ECG, echocardiography and vascular ultrasound. That covers precisely the areas that matter most statistically at this stage. Ultimate adds medical genetics, pharmacogenetics and microbiome analysis. That is mainly worthwhile with a family history of cancer or if you want to know how you metabolise medication. Core is the calm entry point with 85 biomarkers and the functional baseline examinations, without MRI. What suits you depends on your history, your existing findings and your questions. We clarify that in the free intro call before you commit.

Fully or partly, depending on how you are insured. Privately insured patients usually settle the check-up via the GOÄ schedule and are reimbursed a substantial share depending on their policy. Civil servants combine Beihilfe with a supplementary policy. If your employer provides company health insurance, that budget can often be used directly. Patients on statutory insurance generally pay themselves, because the check-up goes beyond the standard catalogue; in some constellations a bKV reimbursement applies. You receive a complete, GOÄ-compliant invoice with all individual items, which you can submit to your insurer. If you want to know in advance what to expect in your case, we clarify that in the intro call.