The HOSPITAL PLUS CLASSICA supplementary hospital insurance policy has been classified as a closed portfolio since 1 January 2018. 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. You can, of course, keep your HOSPITAL PLUS CLASSICA supplementary hospital insurance policy and profit from all existing product benefits. 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.
Please note the comparison of benefit components between HOSPITAL PLUS CLASSICA and HOSPITAL Semi-Private:
One-off premium refund
If you apply to switch to HOSPITAL Semi-Private by 31 December 2018, we will give you a one-off premium refund to compensate you for the difference between your current 2018 premium and the premium of the new product for the period from 1 January to 31 December 2018. This amount will be paid out in February 2019.
The reason for this one-off premium refund is this: On 1 January 2018, the Swiss Financial Market Supervisory Authority (FINMA) declared the product HOSPITAL PLUS CLASSICA to be “closed” in accordance with Art. 156 of the Supervision Ordinance (ISO). This means that too few new insured persons were added to this product’s insured group (= all insured persons who took out a HOSPITAL PLUS CLASSICA policy through Helsana). As a result, you would have been entitled to transfer to an equivalent product at the start of 2018. As this was unfortunately not possible, we agreed with the Swiss Financial Market Supervisory Authority (FINMA) to allow you to transfer to a comparable product as of 1 January 2019. HOSPITAL Semi-Private, a modern supplementary hospital insurance policy, was developed for this purpose. You may now transfer to this new policy voluntarily and without a medical examination as of 1 January 2019.
Contribution from old age provisions:
If you switch to HOSPITAL Semi-Private, we will deduct old age provisions from the premium for the product HOSPITAL PLUS CLASSICA. The precise amount of this deduction will be indicated on your insurance policy.
In your current product, HOSPITAL PLUS CLASSICA, 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.