COMPLETA PLUS
If you already have COMPLETA, you can extend your insurance cover with COMPLETA PLUS. You will receive supplementary cost contributions for prevention, spectacles, complementary medicine, health promotion and more.
Insured benefits
With COMPLETA PLUS supplementary insurance, you receive the statutory benefits covered by basic insurance and COMPLETA supplementary outpatient insurance, plus the following additional benefits:
Requirement
You must have an illness or complaint that renders treatment necessary (medical prescription not necessary).
Preventive treatments and remedies are not covered.
Outpatient treatment
In addition to benefits under COMPLETA, you will receive 15% of the invoice amount, up to a maximum of CHF 500 per calendar year, provided that the specialist and treatment method are recognised by Helsana.
You will receive 75% of the costs, up to a maximum of CHF 500 per calendar year, for certain therapists and treatment methods recognised by us that are not covered by COMPLETA.
Our lists of requirements can be found here:
What does your basic insurance cover?
It covers five specific complementary medicine methods. Information and requirements for the payment of costs by basic insurance.
You receive 90% of the costs, up to a maximum of CHF 200 per calendar year, that exceed the COMPLETA benefits for spectacle lenses, frames and contact lenses. You receive 100% of the costs, up to a maximum of CHF 500 per eye and calendar year, for laser vision correction.
What does your basic insurance cover?
Children and young people up to the age of 18 receive CHF 180 per year for their spectacle lenses or contact lenses.
Requirements
- Your treatment has been prescribed by a doctor.
- Depending on the treatment, a prior request for cost approval may be required.
- The attending physician or therapist is recognised by us.
- The special form of treatment is recognised by us.
- The maximum cost contribution of CHF 4,500 under COMPLETA has not been used up yet.
What does your basic insurance cover?
Basic insurance does not cover any costs for these special forms of treatment.
Exception: since 1 July 2022, the costs of non-medical psychotherapy provided by psychotherapists who fulfil the legal approval requirements and perform treatment in accordance with the principles and methods laid down in the Swiss Health Insurance Benefits Ordinance are covered under compulsory basic insurance rather than supplementary insurance.
For search and recovery operations in Switzerland for the purpose of a rescue or recovery, you will receive a maximum of CHF 30,000 per claim.
What does your basic insurance cover?
It does not cover the costs for search and recovery operations in Switzerland.
You receive 75% of costs that exceed the benefits under COMPLETA, up to CHF 200 per calendar year, for health-promoting fitness offers such as weight and endurance training in a gym (gym membership) and many other courses (aqua fitness, gymnastics, first aid, etc.). You also receive 75% of the costs, up to a maximum of CHF 100, for baby and children’s swimming lessons.
The total entitlement for the following areas is 75% up to a maximum of CHF 200 per calendar year:
- Fitness
- Back training
- Pregnancy
- Nutrition courses, relaxation courses, movement and other health courses
Requirement
Your gym, club, course and/or course leader are recognised by us.
Note: all gyms in hospitals and medical, chiropractor’s and physiotherapy practices are recognised by us.
Important information regarding reimbursement: our benefits do not include reimbursement of memberships that were purchased prior to the start of insurance. The maximum amount applies per calendar year, even if the membership that has been submitted is valid in the subsequent year. The entitlement to the maximum amount shall only re-apply in the subsequent year if a new subscription is submitted.
Find all of our recognised gyms and course leaders:
Sport promotion (membership/active membership contributions)
For baby and children’s swimming lessons, you receive 75% of the costs, up to a maximum of CHF 100 per calendar year. This benefit applies to insured children until the end of the calendar year in which they turn five years old.
You can find the recognised associations/providers on the respective website.
Infant swimming
Swimming for children
What does your basic insurance cover?
Basic insurance does not cover any costs.
For medically prescribed outpatient treatment abroad, you receive – in addition to the benefits provided under COMPLETA – 90% of the costs, up to a maximum of CHF 1,000 per calendar year. This excludes complementary medicine and dental treatments, laser vision corrections, preventive medical care and health promotion.
COMPLETA and COMPLETA PLUS product comparison
COMPLETA PLUS offers you even more benefits for your health. Our overview shows you what is covered by COMPLETA supplementary insurance as well as the additional benefits offered by COMPLETA PLUS.
All benefit entitlements relate to a calendar year unless otherwise specified.
Advantages for persons insured with supplementary insurance
Downloads
Additional Insurance Conditions
Supplementary outpatient insurance – also referred to as supplementary health insurance – rounds out your basic insurance and closes key gaps in coverage. It covers the cost of complementary medicine treatments, as well as fitness courses and subscriptions, preventive medical care and targeted treatment abroad.
COMPLETA PLUS extends the scope of cover of COMPLETA. Supplementary insurance is worth it if benefits relating to health promotion, complementary medicine, prevention and visual aids are important to you.
You can take out this insurance if you reside in Switzerland (official place of residence) and already have COMPLETA supplementary insurance or you apply for the latter at the same time as COMPLETA PLUS.
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 insurance on 31 December of each year and switch to another health insurance company in Switzerland. Three months’ notice of cancellation must be given. Notice of cancellation must reach us by no later than the last working day in September. If the insurance premium changes, a one-month notice period applies. In this case, notice of cancellation must reach us by no later than the last working day in November.
A waiting period is the time (from the start of the contract) during which you are not yet entitled to claim insurance benefits. The length of the waiting period can vary depending on the insurance benefit.
For laser vision correction benefits, there is a waiting period of twelve months. That means you cannot claim these benefits before the end of the first insurance year.
Other supplementary insurance
You may also be interested in the following supplementary insurance:
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