U10, U11, and J2: The Checkups That Come After U9, and Why Your Krankenkasse Might Say No

The Official Rule

Families who’ve diligently tracked every U1 through U9 appointment sometimes assume the checkup schedule simply ends there, or that whatever comes next works the same way the earlier exams did. Neither assumption is quite right, and the specific difference is worth understanding before booking anything.

Three additional checkups exist beyond the standard sequence: U10 around age 8 to 9, U11 around age 10 to 11, and J2 around age 17 to 18. According to kindergesundheit-info.de’s own explanation of where these fit in the broader schedule, these exams were added specifically to cover school-age and adolescent developmental, behavioral, and health topics that the core U1-U9 sequence and the J1 checkup don’t fully address, they’re a genuine expansion of the schedule, not a repeat of earlier content under a new name.

Here’s the detail that catches families off guard: unlike U1 through U9, which every statutory Krankenkasse must cover as a baseline benefit, U10, U11, and J2 aren’t automatically covered the same way. Coverage comparisons of German statutory insurers show that these three checkups are only reimbursed if your specific insurer has entered into a separate contractual agreement (a Selektivvertrag) covering them, meaning genuine coverage varies from one Krankenkasse to another rather than being guaranteed nationwide.

AOK Bayern is one insurer that does cover all three, through its own arrangement across its entire service area, which is a meaningfully favorable position for families insured there. But this isn’t universal across insurers, some cover only one or two of the three, others don’t cover them at all, so treating your U1-U9 coverage experience as a reliable predictor for U10, U11, or J2 is a genuine, avoidable mistake.

What Real People Say

Parents describe assuming these later checkups would simply be covered the same way U1 through U9 always were, only to discover at the appointment, or on a subsequent bill, that their specific Krankenkasse hadn’t signed on to cover a particular one. The practical lesson that comes up consistently: a single phone call to your Krankenkasse before booking U10, U11, or J2 specifically, confirming current coverage for that exact checkup, avoids an unpleasant billing surprise after the fact.

Families who confirmed coverage in advance describe the actual checkup process itself as straightforward once that step is out of the way, the administrative uncertainty is really the only meaningfully different part of the experience compared to the earlier, universally-covered U-exams.

Step by Step

1. Don’t assume U10, U11, or J2 are automatically covered the way U1-U9 were, treat each one as needing its own coverage confirmation.
2. Call your Krankenkasse directly before booking, and ask specifically about coverage for U10, U11, and J2 individually, since coverage can differ between the three.
3. If you’re insured with AOK Bayern, coverage for all three is generally in place, but confirm current terms directly rather than assuming indefinitely.
4. If your Krankenkasse doesn’t cover a specific checkup, ask your Kinderarzt’s practice about the likely out-of-pocket cost before deciding whether to proceed.
5. Keep these three checkups on your calendar alongside the core U1-U9 schedule, even though their coverage mechanics differ, the developmental value of each is still worth tracking.

Compliance Note

This page explains the general framework for U10, U11, and J2 checkups and their coverage status in Germany, current as of mid-2026. It is not medical or insurance advice. Coverage varies by individual Krankenkasse and can change, confirm current terms directly with your insurer before booking.