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 126% (according to FOPH data). The minimum ratio required by the FOPH is 100%.
Number of policyholders:
A total of 149,902 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:
6.1% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).
Administrative costs per policyholder:
CHF 270 (as per the most recent BAG data).

Customer satisfaction

General satisfaction    8.0/10 (Very good)
Helpfulness    8.0/10 (Very good)
Billing: flexibility    8.0/10 (Very good)
Reimbursement: time frame    7.9/10 (Good)
Product information    8.0/10 (Very good)