Vivacare Managed Care

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Vivacare Managed Care

  • Multiple: Family doctor/hmo

  • Primary care: Family doctor/hmo

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General

General information:

Health insurance model «Managed Care» of the insurance company Vivacare.

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 Vivacare.
Pharmacy choice:
You get free choice of pharmacy
Number of policyholders:
A total of 60,211 people hold compulsory health insurance policies from Vivacare.
Additional child-discount:
Vivacare provides additional premium reductions from the third child onwards.
Administrative costs:
5.6% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).
Administrative costs per policyholder:
CHF 197 (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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