Whether treatment, referral to a specialist or admission to hospital: the telemedicine centre is your first port of call. The suggested treatment is considered to be binding.
Exception: in an emergency, always go directly to an emergency doctor or a hospital.
The benefits are the same for all basic insurance models. With the Telemedicine 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 medically prescribed medication on the specialities list.
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.
This is possible for certain illnesses. The healthcare professional or doctor at the telemedicine centre will be happy to discuss this with you.
The healthcare professional or doctor at the telemedicine centre will discuss the referral with you and suggest several appropriate doctors in your area. You can then choose one of the suggested doctors.
Yes, if the healthcare professional or doctor at the telemedicine centre thinks this would be helpful.
You will receive a link via SMS or e-mail after the telephone consultation. The link will take you to a secure area of the telemedicine centre website, where you can upload your photo. The doctor will examine the photo within four hours and initiate any further measures that are necessary.
Yes. If necessary, the telemedicine centre will request the advice of a paediatrician.
When you opt for the BeneFit PLUS Telmed model, you agree to always first call the telemedicine centre in the event of a health problem. If you need a specialist, the telemedicine centre will refer you to one.
If you consult a specialist directly, without having been referred by the telemedicine centre, you are breaching your obligations under the Telemedicine model. As a result, Helsana may switch you to the standard model of basic insurance. This will result in you losing the discount on your basic insurance premium associated with the Telemedicine model.
The course of treatment comprises all medical steps until your complete recovery.
The optimum and binding course of treatment is defined by you and the healthcare professional or doctor at the telemedicine centre.
You should inform the telemedicine centre so that it is always aware of the current status of your treatment.
Calls to the telemedicine centre are generally free of charge. However, depending on your phone provider, connection charges may be incurred.
Only when you receive a face-to-face consultation following a referral from the healthcare professional or doctor at the telemedicine centre.
When suffering from a chronic illness, your first point of contact should still be a healthcare professional or doctor at the telemedicine centre. They will discuss the next steps with you. Extended periods with no contact or a long-term referral for one year can also be agreed.
Yes, please also first contact the telemedicine service for vaccinations.
Everyone who lives in Switzerland (official place of residence).
If you have taken out the statutory BASIS standard option with the deductible of CHF 300 with us, you can switch to this alternative insurance model on the first of any month and take advantage of its benefits.
Contact us if you would like to change your current insurance.
You can terminate the insurance on 31 December of each year and switch to another health insurance company in Switzerland, provided that you have no outstanding premium invoices. There is a one-month notice period. Notice of termination must reach us by no later than the last working day in November.
Adults aged 18 and over can either select the statutory minimum deductible of CHF 300 or one of five optional deductibles between CHF 500 and CHF 2,500. The higher your deductible, the lower your basic insurance premium.
There is no minimum deductible for children. However, by choosing the optional deductible of CHF 500 for them, you can save on their premium too.
Still not sure which deductible would be best for you? Our advisor will be happy to help. Call us on 0844 80 81 82.
For cross-border commuters from EU/EFTA countries, the statutory annual deductible for adults is also CHF 300 a year and there is no annual deductible for children up to the age of 18. However, cross-border commuters cannot be offered optional deductibles, i.e. they cannot opt for a higher deductible in return for a reduction in premium.
You can increase or decrease your deductible on 1 January of the following calendar year. The following deadlines apply:
Please note that notification of change must reach us by no later than the last working day before the respective date.
Cross-border commuters from EU/EFTA countries cannot be offered optional deductibles, i.e. they cannot opt for a higher deductible in return for a reduction in premium.
Those whose income and assets justify financial support are entitled to a premium reduction (PR). The premium reduction differs from canton to canton. This often needs to be requested by the policyholder in order for it to take effect. It is therefore worth asking the competent office in your canton of residence whether you are entitled to financial support for your health insurance.
Helsana offers basic insurance as a standard version as well as three alternative models. The benefits are the same for all models.
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