The chosen SSL Config was very good! But for I client I had to meet the specs from PCI DSS[1], HIPAA[2] and NIST[3].
The server already was PCI DSS ready. However since there are medical data it had to meet HIPAA too.

It turned out that HIPAA does not allow the nice CHACHA20-POLY1305 ciphers and I had to enable SSLStaplingCache that I turned of when I used StartSSL Certs cause of the timeout / outage from the response server from start ssl.

<If "%{SERVER_PORT} == '443'">
    <IfModule mod_headers.c>
        Header always set Strict-Transport-Security "max-age=15553000; preload"
SSLUseStapling On
SSLSessionCache shmcb:/opt/apache2/logs/ssl_gcache_data(512000)
SSLStaplingCache shmcb:/opt/apache2/logs/ssl_stapling_data(512000)
SSLOptions +StrictRequire +StdEnvVars -ExportCertData
SSLProtocol -all +TLSv1.1 +TLSv1.2
SSLCompression Off
SSLHonorCipherOrder On

SSLOpenSSLConfCmd ECDHParameters secp384r1
SSLOpenSSLConfCmd Curves sect571r1:sect571k1:secp521r1:sect409k1:sect409r1:secp384r1:sect283k1:sect283r1:secp256k1:prime256v1

H2Direct On

I still get an A+ on ssllabs plus all green lights on htbridge ssl test.

[1] Payment Card Industry Data Security Standard
[2] Health Insurance Portability and Accountability Act
[3] National Institute of Standards and Technology