CSS Hausarztversicherung Profit
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Family doctor model
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Primary care: family doctor
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Free quote
General
General information:
Health insurance model «Profit Hausarztmodell» of the Swiss insurance company CSS.
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 CSS doctor list.
Medical partner:
Argomed, Ärztenetz Nordwest, Ärztenetzwerk Thurgau, Doccare, Docnet, DOXnet, Grisomed, Hapmed, HARESO, HAV-SH, Hawa, localmed, Luganocare, Medbase, MediX, mediX limmimed, mediX luzern, mediX säntis, mediX winterthur, MedNet Biel-Bienne, mednetbern, Monvia, PizolCare, Réseau de Soins Neuchâtelois, RhyMed, xundart, zimdoc, Zolamed, Zürcher Gesundheitsnetz.
Pharmacy choice:
You get free choice of pharmacy
Payment methods:
10% of payments are made using the tiers garant payment method, in which you pay and claim reimbursement.
90% of payments are tiers payant, meaning the bills are paid directly by the insurance (CSS).
90% of payments are tiers payant, meaning the bills are paid directly by the insurance (CSS).
Reimbursement:
The average waiting period before tiers garant reimbursement from CSS is 7.7 days.
Financial reserves:
The solvency ratio shows how available financial reserves compare to Federal Office of Public Health (FOPH) minimum reserve requirements. The solvency ratio of CSS is 111% (according to FOPH data). The minimum ratio required by the FOPH is 100%.
Number of policyholders:
A total of 892,916 people hold compulsory health insurance policies from CSS.
Additional child-discount:
CSS does not offer additional premium reductions for more than one child.
Administrative costs:
4.2% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).
Administrative costs per policyholder:
CHF 157 (as per the most recent BAG data).
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