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Sumiswalder Hausarzt

Family doctor model
Primary care: family doctor

General

General information:

Health insurance model «Hausarzt» of the Swiss insurance company Sumiswalder.

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 Sumiswalder doctor list.

Pharmacy choice:

You get free choice of pharmacy

Number of policyholders:

A total of 31,773 people hold compulsory health insurance policies from Sumiswalder.

Additional child-discount:

Sumiswalder provides additional premium reductions from the third child onwards.

Administrative costs:

3.1% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).

Administrative costs per policyholder:

CHF 102 (as per the most recent BAG data).

Customer satisfaction

General satisfaction Not specified.

Helpfulness Not specified.

Billing: flexibility Not specified.

Reimbursement: time frame Not specified.

Product information Not specified.

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