English

Sympany casamed hmo

HMO model
Primary care: HMO center

General

General information:

Health insurance model «casamed hmo» of the insurance company Sympany.

Health insurance model:

HMO model: As an HMO policy holder, you are required to get medical consultation from a doctor at an eligible HMO center before receiving further treatment. Your HMO center may then refer you to specialists, therapists or hospitals. A primary consultation from an HMO center is not necessary in the event of medical emergencies, gynecological examinations and treatments by eye doctors.

Choice of doctor:

Your choice of general practitioners is limited to doctors at HMO health centers which partner with Sympany.

Pharmacy choice:

You get free choice of pharmacy

Number of policyholders:

A total of 211,968 people hold compulsory health insurance policies from Sympany.

Additional child-discount:

Sympany does not offer additional premium reductions for more than one child.

Administrative costs:

5.5% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).

Administrative costs per policyholder:

CHF 228 (as per the most recent BAG data).

Customer satisfaction

General satisfaction 7.5/10 (Good)

Helpfulness 7.7/10 (Good)

Billing: flexibility 7.7/10 (Good)

Reimbursement: time frame 8.0/10 (Very good)

Product information 7.5/10 (Good)

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