He is insured with a statutory fund. The check-up every three years from 35 (Gesundheitsuntersuchung) covers total, LDL and HDL cholesterol, triglycerides, glucose and a urine test; his last one was never claimed, so it can be used now. Everything else on the order is outside the statutory catalogue for a person without a diagnosis, and it becomes a private service. G-BA

Two invoices, not one. The practice bills its own part: the counselling and the blood draw, at the GOÄ rate the practice applies. The laboratory bills the specialised analyses (GOÄ chapter M III and M IV) directly to him; the practice is not allowed to liquidate those, and it does not earn on them. medas

• Practice: consultation GOÄ 1 at factor 2.3, 10.72 €, and blood draw GOÄ 250 at factor 1.8, 4.20 €. 14.92 € in total. medas
• Laboratory: 28 self-paid markers at the GOÄ factor 1.15. The laboratory quotes the panel on the order confirmation and invoices him after the analysis. Lipoprotein(a) alone is 18.63 €. medas
• Covered: six markers through the check-up, and the visit today. G-BA

German law requires that he agrees to the private service in writing before the blood is drawn, with the price named. The sheet below does that in his app: what is covered, what he pays, and a signature. Nothing is drawn until he has signed. medas