BeneFit PLUS Flexmed

In the event of a health problem, always first contact a general practitioner on our Flexmed doctor list or the Telemedicine Centre: 0800 88 40 40. This means that you can choose the access to medical help that is best for you and benefit from an attractive premium discount.

  • Choice of two points of contact and planning for your course of treatment The general practitioner and group practices you can choose from can be found in the premium calculator.
  • Medical support around the clock
  • Quick and flexible advice for medical concerns
  • In the event of an illness or treatment, Helsana may also recommend additional measures aimed at promoting your health and saving costs, based on your customer data.

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Your premium

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Environmental tax 0
Net premium 0
Find your GP or HMO group practice

To benefit from this insurance model, you must select a doctor or a group practice (HMO) from the following list.

How BeneFit PLUS Flexmed works

Your GP, your HMO group practice or the Telemedicine Centre is your first port of call. After an initial assessment, the selected contact person will explain to you which treatment is appropriate. If necessary, you will be referred for further treatment to a specialist or hospital.

  • Illness or accident
  • General practitioner or the Telemedicine Centre
  • Further treatment

Emergency: in an emergency, go directly to an emergency doctor or a hospital.

  • Emergency
  • Emergency doctor or hospital
  • General practitioner or the Telemedicine Centre

Remember: After receiving treatment, let your GP or the Telemedicine Centre know about the consultation. This information ensures that further treatment can be optimised.

Your exclusive benefits with Helsana

  • Everything to hand at all times with the myHelsana app
  • Quick and easy reimbursement
  • Round-the-clock medical advice with Medi24
  • Access to BetterDoc: find the right specialist quickly
  • Collect points with Helsana+ and receive up to CHF 75 per year

Insured benefits

The benefits are the same for all basic insurance models. With the Flexmed model, we will reimburse you the following benefits after deduction of the statutory co-payment (deductible/excess/hospital cost contribution).

You receive the costs of a stay, care and treatment in a general ward (multi-bed room).

In an emergency, you will receive the respective social tariff schedule in the EU/EFTA country. In all other countries, we will cover a maximum of twice the amount insured in Switzerland. 

You receive 50% of the costs for transport, up to CHF 500 per calendar year. We will reimburse 50% of the costs for rescue operations, up to CHF 5,000 per calendar year.

You receive the costs of medically prescribed medication on the specialities list.

If several pharmaceuticals are listed with the same combination of active ingredients, the excess can amount to 40%.

Specialities list (SL)

You receive the costs according to the tariff of the recognised specialist for the whole of Switzerland.

You receive the costs according to the tariff of the recognised specialist for the whole of Switzerland.

You receive the costs for certain preventive examinations and measures.

You receive the costs of medically prescribed aids and apparatus up to the maximum amount specified by law.

You receive the costs of examinations and birth preparation measures. 

You receive contributions towards the costs for care at home (Spitex) and in a nursing home.

You receive CHF 10 per day for balneotherapy at recognised therapeutic spas in Switzerland.

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Frequently asked questions

Under the Swiss Health Insurance Act (KVG), health insurance is compulsory for anyone living in Switzerland. It provides basic medical care in the event of illness, accidents and maternity.

 

The scope of benefits it covers is regulated by law. This means you receive exactly the same benefits from every health insurer in Switzerland.

  • You can enjoy the highest flexibility and decide whether to consult your GP or group practice, or the Telemedicine Centre, on a case-by-case basis.
  • Your GP and the Telemedicine Centre coordinate your treatment.
  • You benefit from an attractive premium discount.
  • You have access to a medical contact person around the clock and from any location.
  • In the event of an illness or treatment, Helsana may also recommend additional measures aimed at promoting your health and saving costs, based on your customer data.

Yes, but only for certain illnesses. The healthcare professional or doctor at the Telemedicine Centre will be happy to discuss this with you.

Yes. If necessary, the Telemedicine Centre will request the advice of a paediatrician.

When taking out the Flexmed model, you have to select a doctor or HMO group practice from our list of doctors as your main contact. If your current GP is on our list of doctors, you can continue to be treated by them.

 

If not, you can use our general practitioner search to find a practice that’s compatible with the Flexmed model. In the event of a medical concern, you can choose between the defined practice and the Telemedicine Centre.

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Other models under basic insurance

Helsana offers basic insurance as a standard version as well as four alternative models. The benefits are the same for all models.

Calculate premium

Please select your gender
Please enter a date of birth between 21.05.1904 and yesterday
Please enter your postcode or place of residence

BASIS

You have a free choice of doctor at all times.

BeneFit PLUS General Practitioner

The GP or HMO group practice is your first port of call.

BeneFit PLUS Telmed

The telemedicine centre advises on health problems.

PREMED-24

Call the Medi24 medical advice hotline before any visit to the doctor.

Do you have questions?

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