Health insurance

Telmed


For every new health problem, the policyholder has to call a consultation hotline before seeing a doctor for the first time. There, medical experts give advice, make recommendations on how to behave or refer patients to a doctor, a hospital or a therapist.

Thanks to the consultation by phone prior to consulting a doctor, costs can be saved. Policyholders in the Telmed model receive a premium reduction of 15 to 20 percent compared to the standard basic insurance.

Health insurance company Name of model Partner Telephone
Arcosana Callmed 1, 2 Medgate 058 277 77 77
Atupri FlexCare 1 Medgate/Medbase
Atupri TelFirst Medgate 0844 844 777
Avanex Premed-24 1 Medgate 0800 773 633
Avenir SanaTel 1 Medi24 0800 726 283
Compact Compact One Medgate 0844 111 365
CSS Callmed 1, 2 Medgate 058 277 77 77
Easy Sana SanaTel 1 Medi24 0800 726 283
EGK-Gesundheitskasse TelCare 1, 2 Medgate 0800 800 735
EGK-Gesundheitskasse TelMed 1, 2 Medgate 0800 800 735
Helsana Premed-24 1 Medgate 0800 800 090
Helsana Premed-24 1 Medi 24 0800 100 008
Intras Callmed 1, 2 Medgate 058 277 77 77
KK Steffisburg Sanmed24 1, 2 Medgate 0844 844 911
KK Visperterminen Telmed Medgate 0844 844 911
Kolping MedHelp24 1 Medgate 0844 654 654
KPT/CPT Win.win 1 Medi 24 0844 946 946
Maxi.ch maxi.zero 1, 2 Medgate 0800 800 803
Moove Sympany Callmed24 1 Medgate 0844 852 852
Mutuel Assurance SanaTel 1 Medi24 0800 726 283
ÖKK Casamed 24 2 Medgate 0848 227 224
Philos SanaTel 1 Medi24 0800 726 283
Progrès Premed-24 1 Medgate 0800 773 633
Rhenusana Sanmed24 1 Medgate 0844 844 911
Sana24 Med Call 1 Medi24 0800 633 225
Sanagate SanaCall 1, 2 Medgate 058 911 80 00
Sanitas Callmed 1 Medgate 0844 124 365
Sansan Premed-24 1 Medgate 0800 773 633
Slkk TelCare 1 Medgate 0844 844 911
Sodalis Telmed 4 Medgate 0844 844 911
Swica Favorit Telmed 3 Santé24 044 404 86 86
Sumiswalder KK sumis24Telmed 1 Medi24 0800 786 47 24
Visana Med Call 1 Medi24 0800 633 225
Vivacare Med Call 1 Medi24 0800 633 225
Sympany Callmed 24 1 Medgate 0844 852 852
Wincare Callmed Medgate 0844 124 365

As of: 9 May 2014


1 In case of non-use of the help-line, policyholders may be reallocated to the standard model after an advance warning.
2 In case of non-use of the help-line, none of the costs are covered.
3 sante24 offers advice from competent experts and doctors. If required, sante24 arranges an appointment at one of Swica's partner practices or with an independently practising doctor or specialist on behalf of Swica Telmed. In case of non-use of the help-line, policyholders may be reallocated to the standard model.
4 Cost of treatments that were initiated without consulting a Medgate physician can only be reimbursed at 50 percent.

 

The general terms of contract envision various procedures for dealing with policyholders who consult a doctor without having called the telephone helpline first. They range from refusal to reimburse the costs to downgrading to the standard basic insurance (exclusion from the Telmed model).

Telephone consultation before seeing a doctor is not required for the following cases:

  • Emergencies
  • Annual gynaecological preventive check-ups
  • Examinations by an eye specialist (in some cases only for children)
  • Other services (depends on insurance company)