Complementary medicine Tariff 590
HELSANA has drawn up a standard tariff for complementary benefits together with CONDORDIA, CSS, GROUPE MUTUEL, SWICA, SANITAS and VISANA as well as the responsible professional bodies. The tariff has been coordinated and registered with SASIS. This has given rise to "Tariff no. 590 for outpatient complementary medicine benefits under VVG", valid throughout Switzerland, with over a hundred tariff figures.
You can download Tariff 590 from the SASIS website and use it to charge for services.
- From 1 January 2018 onwards, complementary medical benefits must be invoiced in accordance with Tariff 590. Until then, there will be a transitional period during which alternative forms of invoicing can still be acceptable.
- Tariff 590 may be adjusted annually (as a rule on 1 January). We therefore ask you to use the valid Tariff 590 in each case and regularly check the latest information.
- Some tariff items (e.g. tariff figure 1208 pharmacotherapy) are intended exclusively for naturopaths with a Swiss Federal Diploma. This information can be found in the tariff in the "Description" field. If you do not have this diploma, please use other items that correspond to your qualification (e.g. 1085 phytotherapy).
- Services and complementary medicine treatments that are not included in the tariff can be shown on your invoices with the corresponding free text via tariff figure 999.
- Please also provide details of complementary medicines and laboratory services with the corresponding tariff figures.
This is what the new invoice looks like:
*Tax point valueUp
Standard invoice form
With effect from 1 January 2017, you can download a standardised invoice form for complementary medicine benefits and show the services you have provided transparently with Tariff 590. This has the advantage that our joint customers receive their reimbursement faster and you need only one invoice form for billing with all health insurers.
The invoice form with the 2D-Matrix-Code for enhanced protection against counterfeiting will be the standard for all complementary therapists from 1 April 2018. You will need the PDF invoice form if you do not use practice software that already meets the industry standard.
You can download the invoice form from the well-known registers in a secure area. As we rely on the ErfahrungsMedizinische Register EMR in Basel for registrations, please download the form from myEMR.
If you have specific questions relating to invoicing, please send an e-mail to: email@example.com
Questionnaire to clarify benefits
The Helsana Group reimburses 75% of the costs of complementary medicine up to an unlimited amount from the SANA and COMPLETA supplementary insurances, provided that the treatment is medically necessary.
If the treatment takes longer or is unclear, our complementary medicine specialists contact our clients. The further course of action is discussed on the phone or a report/questionnaire allows the cost approval to be reviewed.
By filling out the questionnaire for doctors, naturopaths or complementary therapists in detail, you allow us to quickly review the co-payment and we can provide our joint clients with reliable information regarding the next steps.
Please send your fully completed questionnaire (PDF, 90KB) ito the following address:
Complementary Medicine Specialist
9008 St. Gallen