In the past few years, not enough new insured persons chose the HOSPITAL PLUS BONUS, HOSPITAL COMFORT BONUS, HOSPITAL PLUS CLASSICA and HOSPITAL COMFORT CLASSICA supplementary hospital insurance policies. These supplementary hospital insurance policies are therefore deemed to be “closed portfolios” in accordance with Art. 156 of the Supervision Ordinance (ISO).
From 31 December 2018 the above also applies to the HOSPITAL PLUS and HOSPITAL COMFORT supplementary hospital insurance policies.
You can, of course, keep your current excellent supplementary hospital insurance policy. After all, nothing at all will change with respect to your insurance coverage. We will continue to offer the aforementioned supplementary hospital insurance policies and the many benefits they provide. It can, however, be the case that the premiums for a supplementary hospital insurance policy with a closed portfolio rise more sharply over the longer term than for a supplementary hospital insurance policy whose portfolio is not closed.
For this reason, you have the option to switch to an equivalent supplementary hospital insurance policy with an open portfolio at any time as of the first of the following month, however with effect on 1 January 2019 at the earliest.
This change is voluntary and does not require a medical examination. We are offering you the opportunity to switch from your existing supplementary hospital insurance policy to the equivalent HOSPITAL Semi-Private or HOSPITAL Private supplementary hospital insurance policy.
The HOSPITAL PLUS supplementary hospital insurance policy will be classified as a closed portfolio from 1 January 2019. For this reason, all insured persons have the option to voluntarily switch to the HOSPITAL Semi-Private supplementary hospital insurance policy without a medical examination.
In principle, you can switch to HOSPITAL Semi-Private at any time as of the first of the following month, however with effect on 1 January 2019 at the earliest. Nevertheless, it is not always worthwhile to change. The premium of HOSPITAL Semi-Private generally increases more sharply in old age than is the case under the HOSPITAL PLUS supplementary hospital insurance policy. However, the premiums in a closed portfolio can increase more significantly over the long term than for a supplementary hospital insurance policy with an open portfolio.
If you switch to HOSPITAL Semi-Private, we will deduct old age provisions from the premium for the product HOSPITAL PLUS. The precise amount of this deduction will be indicated on your insurance policy.
In your current product, HOSPITAL PLUS, old age provisions accrue which are then used to pay for benefits received in old age. The product therefore does not have age-based premiums.
The new product HOSPITAL Semi-Private, on the other hand, has risk-based and age-based premiums. They do not need any old age provisions as a result. Since premium development is directly linked to the benefits, the premiums follow a steeper age-based curve.
Please note the comparison of benefit components between HOSPITAL PLUS and HOSPITAL Semi-Private:
The HOSPITAL PLUS supplementary hospital insurance policy will be classified as a closed portfolio from 1 January 2019. For this reason, all insured persons have the option to voluntarily switch to the HOSPITAL Semi-Private supplementary hospital insurance policy without a medical examination.
In principle, you can switch to HOSPITAL Semi-Private at any time as of the first of the following month, however with effect on 1 January 2019 at the earliest. Nevertheless, it is not always worthwhile to change. The premium of HOSPITAL Semi-Private generally increases more sharply in old age than is the case under the HOSPITAL PLUS supplementary hospital insurance policy. However, the premiums in a closed portfolio can increase more significantly over the long term than for a supplementary hospital insurance policy with an open portfolio.
If you switch to HOSPITAL Semi-Private, we will deduct old age provisions from the premium for the product HOSPITAL PLUS. The precise amount of this deduction will be indicated on your insurance policy.
In your current product, HOSPITAL PLUS, old age provisions accrue which are then used to pay for benefits received in old age. The product therefore does not have age-based premiums.
The new product HOSPITAL Semi-Private, on the other hand, has risk-based and age-based premiums. They do not need any old age provisions as a result. Since premium development is directly linked to the benefits, the premiums follow a steeper age-based curve.
Please note the comparison of benefit components between HOSPITAL PLUS and HOSPITAL Semi-Private:
The HOSPITAL PLUS supplementary hospital insurance policy will be classified as a closed portfolio from 1 January 2019. For this reason, all insured persons have the option to voluntarily switch to the HOSPITAL Semi-Private supplementary hospital insurance policy without a medical examination.
In principle, you can switch to HOSPITAL Semi-Private at any time as of the first of the following month, however with effect on 1 January 2019 at the earliest. Nevertheless, it is not always worthwhile to change. The premium of HOSPITAL Semi-Private generally increases more sharply in old age than is the case under the HOSPITAL PLUS supplementary hospital insurance policy. However, the premiums in a closed portfolio can increase more significantly over the long term than for a supplementary hospital insurance policy with an open portfolio.
If you switch to HOSPITAL Semi-Private, we will deduct old age provisions from the premium for the product HOSPITAL PLUS. The precise amount of this deduction will be indicated on your insurance policy.
In your current product, HOSPITAL PLUS, old age provisions accrue which are then used to pay for benefits received in old age. The product therefore does not have age-based premiums.
The new product HOSPITAL Semi-Private, on the other hand, has risk-based and age-based premiums. They do not need any old age provisions as a result. Since premium development is directly linked to the benefits, the premiums follow a steeper age-based curve.
Please note the comparison of benefit components between HOSPITAL PLUS and HOSPITAL Semi-Private:
The HOSPITAL PLUS supplementary hospital insurance policy will be classified as a closed portfolio from 1 January 2019. For this reason, all insured persons have the option to voluntarily switch to the HOSPITAL Semi-Private supplementary hospital insurance policy without a medical examination.
In principle, you can switch to HOSPITAL Semi-Private at any time as of the first of the following month, however with effect on 1 January 2019 at the earliest. Nevertheless, it is not always worthwhile to change. The premium of HOSPITAL Semi-Private generally increases more sharply in old age than is the case under the HOSPITAL PLUS supplementary hospital insurance policy. However, the premiums in a closed portfolio can increase more significantly over the long term than for a supplementary hospital insurance policy with an open portfolio.
If you switch to HOSPITAL Semi-Private, we will deduct old age provisions from the premium for the product HOSPITAL PLUS. The precise amount of this deduction will be indicated on your insurance policy.
In your current product, HOSPITAL PLUS, old age provisions accrue which are then used to pay for benefits received in old age. The product therefore does not have age-based premiums.
The new product HOSPITAL Semi-Private, on the other hand, has risk-based and age-based premiums. They do not need any old age provisions as a result. Since premium development is directly linked to the benefits, the premiums follow a steeper age-based curve.
Please note the comparison of benefit components between HOSPITAL PLUS and HOSPITAL Semi-Private:
The HOSPITAL PLUS supplementary hospital insurance policy will be classified as a closed portfolio from 1 January 2019. For this reason, all insured persons have the option to voluntarily switch to the HOSPITAL Semi-Private supplementary hospital insurance policy without a medical examination.
In principle, you can switch to HOSPITAL Semi-Private at any time as of the first of the following month, however with effect on 1 January 2019 at the earliest. Nevertheless, it is not always worthwhile to change. The premium of HOSPITAL Semi-Private generally increases more sharply in old age than is the case under the HOSPITAL PLUS supplementary hospital insurance policy. However, the premiums in a closed portfolio can increase more significantly over the long term than for a supplementary hospital insurance policy with an open portfolio.
If you switch to HOSPITAL Semi-Private, we will deduct old age provisions from the premium for the product HOSPITAL PLUS. The precise amount of this deduction will be indicated on your insurance policy.
In your current product, HOSPITAL PLUS, old age provisions accrue which are then used to pay for benefits received in old age. The product therefore does not have age-based premiums.
The new product HOSPITAL Semi-Private, on the other hand, has risk-based and age-based premiums. They do not need any old age provisions as a result. Since premium development is directly linked to the benefits, the premiums follow a steeper age-based curve.
Please note the comparison of benefit components between HOSPITAL PLUS and HOSPITAL Semi-Private:
The HOSPITAL PLUS supplementary hospital insurance policy will be classified as a closed portfolio from 1 January 2019. For this reason, all insured persons have the option to voluntarily switch to the HOSPITAL Semi-Private supplementary hospital insurance policy without a medical examination.
In principle, you can switch to HOSPITAL Semi-Private at any time as of the first of the following month, however with effect on 1 January 2019 at the earliest. Nevertheless, it is not always worthwhile to change. The premium of HOSPITAL Semi-Private generally increases more sharply in old age than is the case under the HOSPITAL PLUS supplementary hospital insurance policy. However, the premiums in a closed portfolio can increase more significantly over the long term than for a supplementary hospital insurance policy with an open portfolio.
If you switch to HOSPITAL Semi-Private, we will deduct old age provisions from the premium for the product HOSPITAL PLUS. The precise amount of this deduction will be indicated on your insurance policy.
In your current product, HOSPITAL PLUS, old age provisions accrue which are then used to pay for benefits received in old age. The product therefore does not have age-based premiums.
The new product HOSPITAL Semi-Private, on the other hand, has risk-based and age-based premiums. They do not need any old age provisions as a result. Since premium development is directly linked to the benefits, the premiums follow a steeper age-based curve.
Please note the comparison of benefit components between HOSPITAL PLUS and HOSPITAL Semi-Private:
Supplementary hospital insurance policies with a closed portfolio are products for which we manage the portfolio of insured persons but no longer sell to new customers. By law, the insured persons of a closed portfolio are entitled to switch from the current supplementary hospital insurance policy to another supplementary hospital insurance policy with coverage that is comparable but with an open portfolio. This is governed by the Supervision Ordinance (ISO). In accordance with the applicable insurance conditions, the benefits of the closed supplementary hospital insurance policy remain unaffected.
You can remain in your existing supplementary hospital insurance policy for as long as you want and continue to profit from the benefits it provides. It can, however, be the case that the premiums for a supplementary hospital insurance policy with a closed portfolio rise more sharply over the longer term than for a supplementary hospital insurance policy whose portfolio is not closed.
All existing benefits have been transferred to the new supplementary hospital insurance policies and the contributions have been increased generously. We have expanded the international benefits and introduced new benefits such as rooming-in, travel costs for your journey to and from hospital and refunds for stays in a lower-level ward. Depending on the product as well as your age, gender and canton, the premium for the new supplementary hospital insurance policy could also be cheaper for you.
Depending on the product as well as your age, gender and canton, the premium for the new supplementary hospital insurance policy could at present be more expensive than your current insurance policy.
Over the longer term, however, Helsana wants to ensure more sustainable premiums for the new hospital product through the exclusion of hospitals and doctors with a below-average price-performance ratio. While this may lead to certain restrictions in terms of the choice of hospitals and doctors, Helsana is endeavouring to reach an agreement with as many hospitals and doctors as possible. The current list of hospitals and doctors without cost coverage can be found here.
In principle, you can switch to an equivalent supplementary hospital insurance policy at any time as of the first of the following month, however with effect on 1 January 2019 at the earliest.
In principle, you can switch to an equivalent supplementary hospital insurance policy at any time without a medical examination as of the first of the following month.
Ideally, you should call your personal customer consultant. The telephone number can be found in the top left of all documents. You can, of course, also visit us.