The situation in Switzerland and abroad is constantly changing. How is Helsana supporting me and what do I need to know? You can find answers to burning questions and contact information for your first ports of call here.
Daily sickness benefits are paid when someone falls ill with the coronavirus or is treated as a suspected case because of an attack of the flu and has been confirmed by a doctor to be incapacitated for work. Daily sickness benefits are paid in accordance with the applicable insurance coverage and medical certificates.
If there is no event entitling a person to benefits, daily sickness benefits are not paid. This is the case if:
The unemployment insurance (ALV) pays short-time work allowances for working hours that are lost for economic reasons. This only applies for employees. The loss of working hours has to be at least 10% and has to be confirmed in writing by the employee.
Coronavirus infections contracted because of direct contact with the virus while working for a hospital or laboratory can be notified as an occupational illness. Such cases will be forwarded to Suva’s Occupational Medicine department for an assessment of the duty to provide benefits.
If a coronavirus infection qualifies as an occupational illness, Helsana will pay the statutory benefits under accident insurance. As such, it will pay the medical expenses and provide daily sickness benefits for virus-related incapacity for work as confirmed by a doctor.
If employees in these occupational groups are exposed to an increased risk when supporting or caring for infected individuals, coronavirus infections can be reported as an occupational illness. The circumstances in the individual case are decisive and these are examined accordingly.
No. In such cases, an occupational illness cannot be recognised for individuals whose work is not based on the provision of support to infected persons.
Provided the group category is recognised by the Federal Accident Insurance Act (UVG), for example groups comprising hospital or laboratory employees, and the tests are conducted due to a suspected case, you can report a collective case to us using an Excel list. Please send us the Excel document including your company's details and the personal details of the individuals affected.
Can you influence the invoicing process? In this case, send the invoices for the tests in the form of a collective invoice together with the Excel list.
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