Groupe Mutuel PrimaFlex

  • Multiple: Telemedicine/pharmacy/family doctor

  • Primary care: Telemedicine/pharmacy/family doctor

General

General information:

Health insurance model «PrimaFlex» of the insurance company Groupe Mutuel.

Health insurance model:
Pharmacy model: Holders of pharmacy-model policies are required to visit pre-specified pharmacies as a first stop. From there they are referred to doctors, specialists, therapists, or hospitals.
Choice of doctor:
Your choice of doctors is limited by Groupe Mutuel PrimaFlex requirements.
Telmed consultation:
Recommendations made during telemedicine consultation are not binding.
Pharmacy choice:
Choice of pharmacies is limited to those on the Groupe Mutuel PrimaFlex pharmacy list.
Number of policyholders:
A total of 1,053,960 people hold compulsory health insurance policies from Groupe Mutuel.
Additional child-discount:
Not specified.
Administrative costs:
4.1% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).
Administrative costs per policyholder:
CHF 192 (as per the most recent BAG data).

Customer satisfaction

General satisfaction    7.4/10 (Satisfactory)
Helpfulness    7.5/10 (Good)
Billing: flexibility    7.0/10 (Acceptable)
Reimbursement: time frame    7.1/10 (Satisfactory)
Product information    7.0/10 (Acceptable)

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