Private practice.
A practice without statutory-insurance accreditation: treatments for privately insured and self-paying patients, invoiced per GOÄ. Aesthetic treatments are not covered by statutory insurance anyway.

What a private practice is, difference to a statutory-insurance practice, who can be treated, how invoicing works and what it means for waiting times and…
A closer look.
A private practice has no contract with the statutory health insurers. It treats privately insured patients, civil-servant beneficiaries and statutorily insured patients as self-payers. Invoicing follows the GOÄ and the invoice goes directly to the patient.
For aesthetic medicine little changes: wrinkle treatment, filler or skin boosters are in principle not statutory-insurance services regardless of practice type. For medical indications such as hyperhidrosis, bruxism or chronic migraine, private insurance may reimburse; an enquiry beforehand makes sense.
The practical difference lies in the process: appointments are planned by time needed, not by case flat rates. That allows longer consultations and short waiting times. Prescription medicines such as botulinum toxin are obtained on private prescription.
This lexicon entry is general information and does not replace the medical consultation required under German law (§ 630e BGB).
At a glance.
A question about Private practice? Send us a short WhatsApp message – we usually reply the same working day.
Ask via WhatsAppFrequently asked questions.
Can I come with statutory insurance?
Yes, as a self-payer. Aesthetic treatments are not covered by statutory insurance anyway.
Do I get an invoice?
Yes, a GOÄ invoice with all items – also for your records or private insurance.
Sources and further reading.
- § 630e BGB – duty to inform before treatment (German Civil Code)
- GOÄ – German scale of medical fees (official text)
- § 11 HWG – ban on before/after images and advertising promises
- Professional code of the Medical Association North Rhine
- DGBT – German Society for Aesthetic Botulinum Toxin Therapy
- AWMF – German clinical practice guidelines
External links open in a new window; their operators are responsible for their content. Medical responsibility for this page: Katayoun Mostaghimi, specialist in general medicine. Last updated: 2026-10-05.
Talk to the physician.
Book on DoctolibOr simply call: +49 1520 8367711 · info@vivaderm.de
Or start with a consultation only: consultation appointment (€50, credited against a treatment)