Assura medical network

  • Family doctor model

  • Primary care: family doctor

General

General information:

Health insurance model «Medical network» of the Swiss insurance company Assura.

Health insurance model:
Family doctor model: When you use a family doctor policy, you are required to visit your relevant family doctor first. Your doctor may then refer you to specialists, therapists or hospitals. A primary consultation from your doctor is not necessary in the event of medical emergencies, gynecological examinations and treatments by eye doctors.
Choice of doctor:
Your choice of family doctor is limited to just one doctor from the Assura doctor list.
Pharmacy choice:
Choice of pharmacies is limited to those on the Assura medical network pharmacy list.
Number of policyholders:
A total of 682,061 people hold compulsory health insurance policies from Assura.
Additional child-discount:
Assura provides additional premium reductions from the second child onwards.
Administrative costs:
6.7% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).
Administrative costs per policyholder:
CHF 262 (as per the most recent BAG data).

Customer satisfaction

General satisfaction    7.2/10 (Satisfactory)
Helpfulness    7.3/10 (Satisfactory)
Billing: flexibility    7.0/10 (Acceptable)
Reimbursement: time frame    7.3/10 (Satisfactory)
Product information    7.3/10 (Satisfactory)

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