Overview of insurance products

Optional supplementary insurance

Hospital insurance for inpatient treatment

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HOSPITAL Semi-Private

With HOSPITAL Semi-Private Supplementary Hospital Insurance, you are insured in hospitals throughout Switzerland in the semi-private ward. You are given access to the best possible care in a very quiet and comfortable two-bed room of all hospitals recognised by Helsana. You also benefit from numerous supplementary insurance benefits not covered by basic insurance and from exclusive services like second opinions from renowned professors and fast-track access to specialists.

Semi-private insurance: the best medical care in the whole of Switzerland in a very quiet and comfortable two-bed room.

Insurance benefits

The following insurance benefits in addition to those provided under statutory basic insurance are provided by the supplementary hospital insurance HOSPITAL Semi-Private:

Hospital stays in Switzerland Semi-private – anywhere in Switzerland

Hospital stays

You are reimbursed for costs associated with your stay, care and treatment in the semi-private ward (two-bed room).

For rooming-in, i.e. the accommodation (board and lodging) in the hospital of a close accompanying person of the patient (e.g. partner, parents or other close relatives), you receive 100 francs per day for up to 15 days per calendar year.

What does basic insurance cover?

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

Details about basic insurance >

Choice of hospital

You have an unrestricted choice of hospital in the whole of Switzerland.

Please note that where hospitals not recognised by Helsana are concerned, costs are incurred which you yourself have to assume.

Further information

What does basic insurance cover?

Basically you are free to choose any hospital you want in Switzerland which is on a cantonal hospital list (“listed hospitals”). But the costs will only be paid up to the amount that is reimbursed in your canton of residence. If you stay in an out-of-canton hospital you may have to pay the excess costs.

Details about basic insurance >

Choice of doctor

You have a free choice of doctor in hospitals throughout Switzerland. This enables you to request that the head physician operate on you personally, for example.

Please note that where doctors not recognised by Helsana are concerned, costs are incurred which you yourself have to assume.

Further information

What does basic insurance cover?

Patients are not allowed to choose the hospital doctor themselves.

Details about basic insurance >

Hospital stays abroad CHF 1,500 per day

Emergency treatment abroad (inpatient)

You are reimbursed for the costs of emergency inpatient treatment abroad up to CHF 1,500 per day, provided that repatriation to Switzerland would be unreasonable.

What does basic insurance cover?

Within the EU/EFTA the costs are reimbursed in accordance with the basic rate of the respective country.

In other countries, it covers a maximum of twice the cost of the same treatment had it been provided in Switzerland (tariff of the canton of residence). In some countries, however, this is nowhere near enough.

Basic insurance in detail >

Planned treatment abroad (inpatient)

The Swiss Health Insurance Act applies as the basis for cost reimbursement.

For planned inpatient treatment abroad, you receive up to 1,500 francs per day if you obtain an undertaking to pay costs from us beforehand.

What does basic insurance cover?

Costs are not covered by basic insurance. Patients have to pay the costs themselves.

Basic insurance in detail >

Expert second opinion Inclusive

The expert second opinion works along the lines of the "two heads are better than one" principle. Leading specialists in Switzerland will review an existing diagnosis or a therapy that has been prescribed for you. In the event of severe illness or injury, this can help you come to a decision on the best course of therapy for you.

Expert second opinion in the event of illness

Where necessary, you receive direct access to distinguished professors and specialists at our partner clinics to obtain an expert second opinion.

Expert second opinion after an accident

If accident cover is included in your policy, you can also request the advice of leading accident surgeons at the Zurich University Hospital and, if necessary, receive treatment from them.

Further information

What does basic insurance cover?

The basic insurance generally does not provide direct access to distinguished professors and specialists at our partner clinics to obtain an expert second opinion.

Details about basic insurance >

Fast Track Inclusive

You benefit from swift access to the medical services provided by our specialist partner clinics: With Fast Track, you can obtain appointments with specialists and consultants, as well as for special consultations, within just five working days.

Further information

What does basic insurance cover?

The basic insurance does not provide swift access to the medical services provided by our specialist partner clinics.

Details about basic insurance >

Nanny service 60 hours

You can reach the emergency call centre 24 hours a day on +41 43 340 16 11.

You receive up to 60 hours of nanny services per calendar year if you have to be admitted to hospital as an inpatient.

While you are in hospital, an experienced caregiver looks after your healthy children (up to the age of 15) on weekdays. Your children are given loving care at home during your inpatient stay.

Conditions:

  • You as a parent need to spend time in hospital as an inpatient.
  • You took out the insurance for the hospitalised parent (not for the child).
  • You arrange for our emergency call centre to handle the organisation at every stage.
What does basic insurance cover?

Costs are not covered by basic insurance. Patients have to pay for this service themselves.

Details about basic insurance >

KidsCare 60 hours

You can reach the emergency call centre 24 hours a day on +41 58 340 16 11.

You receive up to 60 hours of KidsCare services per calendar year.

A professionally trained carer is arranged within a short amount of time to look after and care for your sick or injured child (up to the age of 15) at home in familiar surroundings, allowing you to meet your work-related obligations.

Conditions:

  • You are gainfully employed.
  • You took out the insurance for your child (not for the parents).
  • You allow our emergency call centre to handle the organisation at every stage.
What does basic insurance cover?

Costs are not covered by basic insurance. Patients have to pay for this service themselves.

Details about basic insurance >

Lump sum on birth CHF 1,500

Home birth

You receive a lump sum on birth of 1,500 francs for a home birth or a birth which occurs as an outpatient in a hospital or birthing centre.

What does basic insurance cover?

No benefits are covered by basic insurance. The mother does not receive any maternity allowance in case of a home birth.

Details about basic insurance >

Balneotherapy and convalescent therapy CHF 100 per day

Spa treatment

To find out which therapeutic spas are recognised by us, please contact your customer service team.

The duration of benefits for spa and convalescent therapies is 21 days in total.

You receive 100 francs per day for up to 21 days per calendar year for balneotherapies at recognised therapeutic spas in Switzerland.

Conditions:

  • The spa treatment is medically certified as necessary.
  • The spa treatment has been prescribed by a doctor.
  • The spa treatment is carried out at a therapeutic spa recognised by us.
What does basic insurance cover?

You receive CHF 10 per day for up to 21 days per calendar year.

Details about basic insurance >

Convalescent therapy

To find out which therapeutic spas are recognised by us, please contact your customer service team.

The duration of benefits for spa and convalescent therapies is 21 days in total.

You receive 100 francs per day for up to 21 days per calendar year for convalescent therapies in Switzerland.

Conditions:

  • The convalescent therapy has been prescribed by a doctor.
  • The convalescent therapy is carried out at a therapeutic spa recognised by us.
What does basic insurance cover?

Costs are not covered by basic insurance. Patients have to pay the costs themselves.

Details about basic insurance >

Household help CHF 100 per day

Following an acute inpatient hospital stay, you will receive CHF 100 per day for up to 30 days per calendar year for medically prescribed household help.

What does basic insurance cover?

Costs are not covered by basic insurance. Patients who require household help after a stay in hospital have to finance this themselves.

Details about basic insurance >

Intensive and transitional care CHF 120 per day

You will receive CHF 120 per day for up to 14 days per calendar year for the costs of boarding (room and board) in a nursing home during inpatient acute and transitional care.

Conditions:

  • Acute or transitional care has been prescribed by a doctor.
  • Your acute or transitional care immediately follows a hospital stay.
What does basic insurance cover?

Costs are not covered by basic insurance. Patients must pay the boarding costs (accommodation and meals in a nursing home) themselves.

Details about basic insurance >

Travel costs CHF 250.–

In case of planned inpatient procedures, you will receive up to 250 francs per calendar year for costs associated with travelling to and from hospital (official taxi or public transport) in Switzerland.

What does basic insurance cover?

No benefits are covered by basic insurance. Patients must pay for their travel costs associated with planned inpatient procedures themselves.

Details about basic insurance >

Refund for stays in the general ward CHF 1,000

If before being admitted to an acute care hospital, you decide to be treated in the general ward instead of the semi-private ward, you will receive a refund of 1,000 francs. Any deductible will be deducted from this figure.

What does basic insurance cover?

Basic insurance pays for the benefits of the general ward, and no additional refund will be paid.

Details about basic insurance >

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FAQs

Answers to frequently asked questions about HOSPITAL Semi-private supplementary hospital insurance:

Why do I need supplementary hospital insurance?

Supplementary hospital insurance allows you to enhance your basic hospital insurance cover for inpatient treatment with benefits of your choice.

Basic insurance covers only the cost of accommodation and medical treatment in a general ward (multi-bed room) in line with the rates in your canton of residence. You have to pay for anything in excess of that yourself, e.g. additional benefits for greater comfort, care or free choice of doctor/hospital – precisely the things that can make a stay in hospital considerably more pleasant.

What exactly does free choice of doctor mean?

Free choice of doctor in hospital means, for example, that you can request that the head physician operate on you personally.

Please note that where doctors not recognised by Helsana are concerned, costs are incurred which you yourself have to assume.

List of hospitals and doctors without cost coverage (PDF, 30KB)

Can I choose any hospital in Switzerland?

In principle, you have an unrestricted choice of hospital in the whole of Switzerland. However, certain hospitals and clinics are not recognised by Helsana. Costs can therefore be incurred which you have to bear yourself.

Please therefore ask us before your hospital stay if we will pay the costs of your hospital stay.

List of hospitals and doctors without cost coverage (PDF, 30KB)

How does Fast Track work?

If you want to see an ophthalmologist, orthopaedic surgeon or other specialist, you sometimes have to wait months for an appointment. This can be stressful.

Our Fast Track service shortens this waiting time. You will get an appointment with a consultant or specialist in our partner hospitals within just five working days.

Details about Fast Track >

What are the benefits to me of an expert second opinion?

When facing a serious illness such as cancer, for example, you can have your diagnosis and recommended treatment reviewed by a leading specialist. This expert, a leading Swiss specialist in the given field, assesses whether the treatment is in line with the latest medical developments and meets your particular needs. With this second opinion, you have a better overview of your situation and can base serious and far-reaching decisions on better information.

Details about the expert second opinion >

Who can take out this insurance?

You can take out this insurance if you meet the following conditions:

  • You have your official place of residence in Switzerland.
  • We accept your application. For the purposes of risk assessment, we require you to fill in a health declaration.
How and when can I terminate the insurance?
  • The minimum term is one year.
  • The contract is automatically renewed each year on the expiry date for a further year.
  • You can terminate the policy on 31 December of each year, subject to three months' notice.
  • If the premium is adjusted, a shortened notice period of one month applies.

Details about termination >

You can also take out a multi-year policy for three or five years. That way, you benefit from a premium discount and other notice periods apply.

Details about long-term policies >

Is there a waiting period?

The waiting period is the period between the date on which the insurance cover under your policy begins and the date from which you can claim benefits.

  • For maternity benefits, there is a waiting period of 365 days. That means you cannot claim these benefits before the end of the first insurance year. During the first insurance year, any pregnancy-related stays in hospital – for example for childbirth or postpartum – are covered only by your basic insurance. The latter covers the costs of a stay in a general ward (multi-bed room) and medical treatment in accordance with the standard rate in your canton of residence.
  • However, you are covered from the start of insurance for benefits paid as a result of illness or accident.
Is there a discount? How can I save on premiums?

You can take out this supplementary hospital insurance policy with a higher deductible (annual excess amount that you pay towards the costs incurred). By doing this, you take on more responsibility and can reduce your premiums by up to 35%.

Details about the hospital deductible>

If you conclude a three or five-year insurance policy, you receive a premium discount of 3% or 5% respectively.

Details about long-term policies >

If you have equivalent accident insurance, you can exclude the accident cover and reduce your premium by 10%.

Details about accident cover exclusion >

For two or more family members insured under the same contract, we grant a family discount of 5% on this and other supplementary insurance; for three or more insured family members, the discount is 10%.

Details about the family discount >

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