1 to U11 – the best of care from an early age on
An established series of screening exams from birth until the point when school starts helps to identify illnesses and developmental disorders as early as possible.
U1 – immediately after birth
Immediately after birth, the infant is given vitamin K to prevent increased risk of bleeding. The examination covers the medical history, an inspection of the external genitals, palpation of the prostate gland and newborn’s hearing test.
U2 – third to tenth day of life
In this examination, the infant is given vitamin K to prevent an increased risk of bleeding. In addition, administering vitamin D and fluoride from the fifth day of life should prevent rickets (softening of the bones) and caries. In the U2, the doctor will check for any malformation and birth injuries. This examination is both physical and neurological. The infant’s blood is examined for different metabolic disorders that can be treated. An initial hip screening (sonography) is possible.
U3 – fourth to fifth week of life
Here too, your child will be given vitamin K, vitamin D and fluoride. The doctor will focus on the following areas in particular during the examination:
- motor development
- social behaviour (smiling)
- neurological exam (newborn’s reflexes)
- level of nourishment
- sight and hearing
- physical examination
Now is also the recommended time for hip screening.
U4 – third to fourth month
Your child is again administered vitamin D and fluoride to prevent rickets and caries. Immunisation also commences now. The doctor examines the infant with a view to the following aspects:
- motor development
- social behaviour and playing
- neurological exam
- level of nourishment
- sight and hearing
- physical examination
U5 – sixth to seventh month
Once again, the doctor will give your child vitamin D and fluoride. The doctor will concentrate on the following in a thorough examination:
- motor development
- social behaviour and playing
- neurological exam
- identifying any delays in mental or physical development, initiating supportive measures
- level of nourishment
- sight (squinting)
- hearing (special hearing test if in doubt)
- physical examination
U6 – tenth to twelfth month
Rickets prevention is now completed (continues in the six winter months of the second year). Further immunisations are due. The doctor will examine your child and will concentrate on the following aspects in particular:
- motor development
- social behaviour and playing
- neurological exam
- identifying any delays in mental or physical development, initiating supportive measures
- level of nourishment
- sight (squinting)
- hearing (special hearing test if in doubt)
- physical examination
U7 – 21st to 24th month
The child is given vitamin D and fluoride once more. The doctor will also examine the following areas in particular:
- motor development
- social behaviour and playing
- speech development
- neurological exam
- identifying any delays in mental or physical development, initiating supportive measures
- level of nourishment
- sight (squinting)
- hearing (special hearing test if in doubt)
- physical examination
U7a – 34th to 36th month
This examination – also called the “kindergarten check” – closes the longer interval between the health screening exams at the age of two and four years. In this examination, the doctor will again pay particular attention to the physical development of your child and make sure development is appropriate for the child’s age. The doctor will make sure that all immunisations are complete and will do an eye test in particular. The following will also be examined:
- allergic reactions
- socialisation and behavioural difficulties
- obesity
- problems with language development
- dental and oral abnormalities and jaw occlusion
U8 – 46th to 48th month (three and a half to four years)
Preventive measures on this occasion include caries prevention with fluoride tablets. In addition, any incomplete immunisations are continued. The doctor will focus on the following points in particular during the examination:
- motor development (check of fine motor skills, e.g. while painting)
- social behaviour and playing
- speech development (problems with pronunciation)
- neurological exam
- identifying any delays in mental or physical development, initiating supportive measures
- level of nourishment
- sight using eye test
- hearing (special hearing test if in doubt)
- physical examination
- urine test
- tuberculosis test
U9 – 60th to 64th month (five to five and a half years)
Caries prevention with fluoride tablets and immunisations are continued. In addition, regular visits to the dentist are now included in preventive care. The doctor examines your child with a view to the following aspects:
- motor development (checking development of fine motor skills, balance and coordination)
- social behaviour and playing (elimination of behavioural difficulties or hyperactivity)
- speech development (problems with pronunciation)
- neurological exam
- sight using eye test
- hearing (special hearing test if in doubt)
- abnormalities of the vertebral column, legs or feet
- physical examination
- urine test
U10 – seven to eight years
BIG offers the U10 as an extra benefit for school-age children. It aims to close a long gap between the U9 (at the age of five) and the J1 (between the ages of 12 and 14) check-ups provided for by law and also to improve prevention at this stage of a child’s life that is crucial to their development. Just give your paediatrician the health insurance card, they can then settle the costs for the check-up with BIG directly. If your doctor wants to issue you with a private invoice, please contact us so that you do not incur any unnecessary costs.
The doctor will assess the child’s physical development and will in addition pay particular attention to the following points:
- difficulties with academic achievements
- socialisation and behavioural difficulties
- dental and oral abnormalities and jaw occlusion
- media habits
U11 – nine to ten years
BIG offers the additional U11 check-up (9–10 years) to its policyholders as an extra benefit. Just give your paediatrician the health insurance card, they can then settle the costs for the check-up with BIG directly. If your doctor wants to issue you with a private invoice, please contact us so that you do not incur any unnecessary costs.
The U11 concentrates chiefly on:
- identifying and initialising treatment for difficulties with academic achievement, socialisation and behavioural difficulties
- dental and oral abnormalities and jaw occlusion, media habits that are detrimental to health
- encouraging exercise and sports
- support for health-conscious behaviour







