Pregnancy / Maternity

You are expecting a child. What exciting news! You know the baby will turn your life upside down, especially if it's your first. But what other changes will this new life situation bring? With your health insurance, for example, the focus will be on completely different things, some of which you may never have thought about before.

Insurance benefits - Pregnancy / Maternity

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Benefits covered by the insurance

Basic insurance
Free choice of doctor in canton of residence.

If you have selected an alternative insurance model, the following applies instead:

  • BeneFit PLUS Family Doctor option: You always contact your selected family doctor (or group practice). If necessary, your family doctor or group practice will refer you to a specialist or hospital.
  • BeneFit PLUS Telemedicine option: You always contact the doctors of the Centre for Telemedicine. If necessary, the doctor will refer you to a doctor, specialist or hospital for a physical consultation.
  • PREMED-24: You always contact by telephone first to receive non-binding health advice. If necessary, you can then consult a doctor of your choice in your canton of residence.

You can freely choose a doctor to treat you within your canton of residence from case to case and consult him or her directly, if necessary.


HOSPITAL Semi-private
Unrestricted choice of doctor anywhere in Switzerland

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.


Product information:
HOSPITAL Semi-Private
HOSPITAL Private
Unrestricted choice of doctor anywhere in Switzerland

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.


Product information:
HOSPITAL Private
HOSPITAL FLEX
Unrestricted choice of doctor anywhere in Switzerland (semi-private & private)

You have an unrestricted choice of doctor in any hospital in Switzerland if you stay in a semi-private or private ward. For example, you can even choose to be operated on by the head physician.


Product information:
HOSPITAL FLEX
PRIMEO
Free choice of doctor at recognised institutions

If you have selected an alternative insurance model, please note the following:

  • BeneFit PLUS Family Doctor option: Please contact your family doctor or group practice first.
  • BeneFit PLUS Telemedicine option: Please contact the Centre for Telemedicine first.
  • PREMED-24: Please contact the medical advice service first.

You have an unrestricted choice of doctor in the hospital for outpatient procedures or operations (e.g. eye cataract, bunion, tendonitis, tennis elbow, knee arthroscopy, etc.) or for an outpatient birth. For example, you can even choose to be operated on by the head physician.

Conditions:

  • The outpatient surgery is performed at an institution recognised by us.
  • The selected doctor is on the list of specialists (senior physician, head physician, professor) at the hospital in question.

Product information:
PRIMEO