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Sympany casamed pharm

Pharmacy model
Primary care: pharmacy

General

General information:

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

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 family doctor is limited to just one doctor from the Sympany doctor list.

Medical partner:

Doccare, Docnet, Hawa, Medgate, Monvia, TopPharm, Zürcher Gesundheitsnetz.

Pharmacy choice:

Choice of pharmacies is limited to those on the Sympany casamed pharm pharmacy list.

Payment methods:

Not specified.

Reimbursement:

Not specified.

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 Sympany is 149% (according to FOPH data). The minimum ratio required by the FOPH is 100%.

Number of policyholders:

A total of 177,465 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:

6.2% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).

Administrative costs per policyholder:

CHF 246 (as per the most recent BAG data).