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| BenefitProduct | BASIS / DOCMED / PRAXMED | TOP | SANA | COMPLETA | PRIMEO |
|---|---|---|---|---|---|
| Complementary (alternative medicine) | acupuncture, anthroposophical medicine, traditional Chinese medicine (TCM), classical homoeopathy and phytotherapy (see conditions) | 75% of the costs (outpatient), 100% up to CHF 5000.- (inpatient) | 75% of the costs (outpatient), 100% up to CHF 5000.–(inpatient) | - | |
| Emergency treatment abroad (outpatient) | within EU/EFTA: benefits in accordance with the subsidised tariff in the country in question (the European Health Insurance Card must be shown) / Outside EU/EFTA: up to a maximum of two times the tariff for Switzerland (place of residence) | 100% of excess costs | - | 100% of excess costs | - |
| Emergency treatment abroad (inpatient) | within EU/EFTA: benefits in accordance with the subsidised tariff in the country in question (the European Health Insurance Card must be shown) Outside EU/EFTA: up to a maximum of two times the tariff for Switzerland (place of residence) | 100% of excess costs | - | 100% of excess costs | - |
| Planned treatment abroad (outpatient) | - | - | 90% up to CHF 1000.– | on receipt of confirmation of cost reimbursement | |
| Aids to vision (spectacle lenses and contact lenses) | up to max. CHF 180.– per year up to age 18 | 90% up to CHF 150.– per year | - | 90% up to CHF 300.– per year | up to CHF 5000.– per year if you also receive a contribution from basic insurance. |
| Medicines | according to special medication list | 90% | 75% | 90% medications conventional, 75% medications complementary | - |
| Fitness offers | - | - | 75% up to CHF 200.– | 75% up to CHF 200.– | - |
| Pregnancy exercise | up toCHF 150.– per calendar year for ante-natal courses provided by an accredited midwife | - | 75% up to 500.– | 75% up to CHF 500.– | - |
| Recovery gymnastics | - | - | 75% up to CHF 500.– | 75% up to CHF 500.– | - |
| Check-ups | 75% up to CHF 500.– | 90% up to CHF 700.– | |||
| Vaccinations | the costs of vaccinations prescribed by a doctor which are included on the list of specialities | - | 75% up to CHF 500.– | - | |
| Transport at home | 50%, up to CHF 500.– per calendar year | up to CHF 100'000.- per calendar year | - | up to CHF 100'000.– per year | up to CHF 500.– per calendar year |
| Rescue at home | in Switzerland: 50%, up to CHF 5000.– per calendar year (excl. search and rescue costs) | up to CHF 100'000.- per calendar year | - | up to CHF 100'000.– per year | - |
| Search and rescue | up to CHF 20'000.– per calendar year | - | up to CHF 20'000.– per year | - | |
| Repatriation | 100% | - | 100% | - | |
| Medical aids and equipment | according to the prescription for medical aids and devices | 90% up to CHF 1000.– / fixed amount | - | 90% up to CHF 1'500.– per year / fixed amount | excess amount |
| Non-medical psychotherapy carried out by an accredited psychotherapist | 75% up to CHF 3000.– | - | 75% up to CHF 4500.– / per year | - | |
| Foot care | 75% up to CHF 3000.– | - | 75% up to CHF 4500.– / per year | - | |
| Treatment of tooth misalignment | 75% up to CHF 10'000.– | - | 75% up to CHF 10'000.– / per year | - | |
| Medical hotlines and online services | - | - | up to CHF 300.– per calendar year | ||
| Implants | - | - | 90% up to CHF 5000.– per calendar year | ||
| Innovations | - | - | 90% bis CHF 5000.– per calendar year | ||
| Choice of doctor | - | - | free choice of doctor at recognised institutions | ||
| Doctors not under contract | - | 90% | - | ||
| Travelcheck | inclusive | - | inclusive | - | |
| Legal Protection Abroad | up to CHF 250'000.– per case | - | up to CHF 250'000.– per case | - | |
| Legal protection in health matters | up to CHF 250'000.– per case | - | up to CHF 250'000.– per case | - | |
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| BenefitProduct | BASIS | HOSPITAL ECO | HOSPITAL PLUS | HOSPITAL COMFORT | HOSPITAL FLEX | HOSPITAL Semi-Private | HOSPITAL Private |
|---|---|---|---|---|---|---|---|
| Choice of doctor | - | - | unrestricted choice of doctor anywhere in Switzerland | unrestricted choice of doctor anywhere in Switzerland | unrestricted choice of doctor anywhere in Switzerland (semi-private & private) | Unrestricted choice of doctor anywhere in Switzerland | Unrestricted choice of doctor anywhere in Switzerland |
| Hospital stays | general – anywhere in Switzerland | general – anywhere in Switzerland. | semi-private – anywhere in Switzerland | private – anywhere in Switzerland | flexible choice of ward | Semi-private – anywhere in Switzerland | Private – anywhere in Switzerland |
| Choice of hospital | full coverage in general ward, whole of Switzerland, up to a max. of the tariff of the canton of residence. | unrestricted choice of hospital anywhere in Switzerland.Please note that some hospitals do not have a (recognised) general ward; in such cases, you may incur costs for which you alone will be responsible. | unrestricted choice of hospital anywhere in Switzerland | unrestricted choice of hospital anywhere in Switzerland | unrestricted choice of hospital anywhere in Switzerland | Unrestricted choice of hospital anywhere in Switzerland | Unrestricted choice of hospital anywhere in Switzerland |
| Planned treatment abroad (inpatient) | up to CHF 500.– per day (see conditions) | up to CHF 1000.– per day | up to CHF 1,500 per day (see conditions) | up to CHF 500.– or CHF 1000.– per day (see conditions) | Up to CHF 1'500 per day | 100% | |
| KidsCare | up to 30 hours per calendar year (see conditions) | up to 60 hours (see conditions) | up to 90 hours (see conditions) | - | Up to 60 hours (see conditions) | Up to 120 hours (see conditions) | |
| Nanny Service | up to 30 hours per calendar year (see conditions) | up to 60 hours (see conditions) | up to 90 hours (see conditions) | up to 30 hours per calendar year (see conditions) | Up to 60 hours (see conditions) | Up to 120 hours (see conditions) | |
| Expert second opinion | - | inclusive | inclusive | - | Inclusive | Inclusive | |
| Fast Track | - | inclusive | inclusive | - | Inclusive | Inclusive | |
| Outpatient birth | for a home birth, you can claim costs in accordance with the applicable rate or contract with the midwife. | - | up to CHF 1500.– | up to CHF 2000.– | up to CHF 500.– or up to CHF 1000.– (see conditions) | CHF 1'500.– | CHF 3'000.– |
| Spa treatment | medical treatment and therapies in accordance with tariff at the place oftreatment, plus CHF 10 per day, max. 21 days per calendar year . | up to CHF 30.– per day (see conditions) | up to CHF 60.– per day | up to CHF 90.– per day (see conditions) | up to CHF 100.– per day (see conditions) | CHF 100.– per day | CHF 200.– per day |
| Convalescent therapy | up to CHF 30.– per day (see conditions) | up to CHF 60.– per day | up to CHF 90.– per day (see conditions) | up to CHF 100.– per day (see conditions) | CHF 100.– per day | CHF 200.– per day | |
| Household help | up to CHF 30.– per day (see conditions) | up to CHF 60.– per day | up to CHF 90.– per day (see conditions) | up to CHF 50.– per day (see conditions) | CHF 100.– per day | CHF 200.– per day | |
| Intensive and transitional care | for acute or transitional care, you receive the costs of care for up to 14 days for each event. | up to CHF 90.– per day (see conditions) | up to CHF 120.– per day | up to CHF 180.– per day | up to CHF 100.– per day (see conditions) | CHF 120.– per day | CHF 240.– per day |
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