leistungsuebersicht
| Basic insurance benefits Standard and Favorit models | |
|---|---|
| Outpatient treatment, conventional medicine | Treatment by contracting physician and other approved health professionals. Full cover (details co-payments Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits.) |
| Medicines | As per statutory lists of medicines with doctor’s prescription (for use within the indication Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits.) |
| Hospitalisation | General ward in hospitals of the canton of residence or current location based on the rate valid for the canton of residence Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Complementary medicine | Anthroposophic medicine, acupuncture, TCM pharmacotherapy, homeopathy and phytotherapy: costs covered based on the rate of the canton of residence for doctors (SWICA therapist directory) certified (FMH) in the discipline Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Medical check-ups | Preventive measures under the provisions of the Health Insurance Benefits Ordinance, gynaecological check-up every 3 years Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Maternity | - No co-payments for maternity benefits in accordance with the Health Care Benefits Ordinance. - No co-payments for treatment of illness from the 13th week of pregnancy up to and including the 8th week after the birth. |
| Inoculation and travel vaccination | Vaccinations under the provisions of the Health Care Benefits Ordinance Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Home nursing care | Advice, treatment/basic care provided by recognised service providers Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| SPA treatment | CHF 10 per day, 21 days per year Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Psychotherapy | Psychotherapy with a specialist; medically prescribed psychological psychotherapy Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Glasses or contact lenses | CHF 180 per year up to the age of 18 (under the provisions of the Health Care Benefits Ordinance Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits.) |
| Medically prescribed aids | Statutory list of aids and appliances Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Emergency transport and medically indicated transport, search and rescue operations | - 50% up to CHF 500 for medically indicated transport Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. - 50% up to CHF 5'000 for emergency transport in Switzerland Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Treatment abroad | Costs covered in emergencies up to double the rate based on the recognised rate for Switzerland or as per bilateral agreement with EU/EFTA countries Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Dental treatment costs, dental hygiene | In the case of serious illnesses of the masticatory system or if the treatment is related to a very serious general illness. Cover in the event of dental accident, if accident cover is in place Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
| Orthodontics | Under certain legal conditions Co-payments in basic insurance: SWICA charges the co-payments prescribed by law or defined in the contract for these benefits. |
