Billing
Practice & Institute Dr. Thomas Ackermann
Billing & Fees.
Transparency from the very first minute.
At Harmonie der Ästhetik, our commitment to quality doesn’t end with treatment – it also applies to billing. We know that medical bills often seem complicated. That’s why a simple principle applies in Herzogenaurach: Full cost transparency before treatment. No hidden items, no surprises.
Our promise: You will know the exact costs before we begin treatment.
Clear legal and tax separation of all service areas.
Our 4 Billing Pillars:
- GOÄ Private (Medical): Standard billing for private health insurance (PKV)
- GOÄ Statutory (Medical): For statutory health insurance patients as self-payers
- Medical Aesthetics: Doctor’s services plus 19% VAT
- Cosmetic Institute: Purely cosmetic services plus 19% VAT
Description
Medical excellence at fair prices
To be able to offer you medical treatments, medical aesthetics, and cosmetic enhancements in a legally and fiscally impeccable manner, we strictly divide our services into four clear areas. This provides you and us with maximum planning security and legal transparency.
1. GOÄ Private (Medical Treatment)
For medically indicated treatments for privately insured individuals (e.g., migraine therapy, medical ultrasound, pain therapy).
- Billing strictly according to the German Fee Schedule for Physicians (GOÄ).
- VAT-exempt.
- Submission to private health insurance (PKV) or civil servant’s aid regularly possible.
2. GOÄ Public (Medical Treatment)
Naturally, our medical services are also available to publicly insured individuals (self-payers).
- Billing also strictly according to GOÄ.
- VAT-exempt.
- Reimbursement by public health insurance (GKV) is generally excluded in a private practice.
3. Medical Aesthetics
Treatments that necessarily require medical expertise but have no medical indication (e.g., wrinkle injections, biostimulators).
- Calculation based on GOÄ including treatment contract.
- Purely aesthetic purpose.
- Legally subject to an additional 19% VAT (subject to sales tax).
4. Purely Cosmetic Services
Classic cosmetic treatments for pure care and beautification (e.g., superficial apparatus-based cosmetics, Drip Spa).
- Billing legally separate through our cosmetic institute.
- Transparently fixed prices in advance.
- Legally subject to an additional 19% VAT (subject to sales tax).
At a Glance: The Billing Facts
| Payment Methods | EC card, credit card (Visa/Mastercard), Apple Pay, Google Pay, cash. (Payment is made immediately after the treatment). |
| Laboratory Costs | Will be billed to you separately, directly, and transparently by our external specialized laboratory. |
| Treatment Contract | For aesthetic procedures, you will receive a written contract in advance that precisely fixes the costs. No hidden additional payments. |

Wrinkles & Muscle Relaxants
HIFU Lifting
Primary Care Support
Tension & Pain
Hair Health & Hair Loss
Skin Diseases
Drip Spa & Infusion Medicine

