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Glossary

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.

 

Calculate Telmed premium discount

 

Health insurance companyName of modelPartnerTelephone
ArcosanaCallmed 1, 2Medgate058 277 77 77
AtupriFlexCare 1Medgate 0844 844 777
AtupriTelFirstMedgate0844 844 777
AvenirSanaTel 1Medi240800 726 283
CompactCompact OneMedgate0844 111 365
CSSCallmed 1, 2Medgate058 277 77 77
Easy SanaSanaTel 1Medi240800 726 283
EGK-GesundheitskasseTelCare 1, 2Medgate0800 800 735
HelsanaBeneFit Plus Telmed 1Medgate0800 800 090
HelsanaPremed-24 1Medgate0800 773 633
IntrasCallmed 1, 2Medgate058 277 77 77
KK SteffisburgSanmed24 1, 2Medgate0844 844 911
KK VisperterminenTelmedMedgate0844 844 911
KolpingCallmed24 1Medgate0844 852 852
KPT/CPTWin.easy 1
Medi 24
058 310 98 99
KPT/CPTWin.win 1Medi 240844 946 946
Moove SympanyCallmed24 1Medgate0844 852 852
Mutuel AssuranceSanaTel 1Medi240800 726 283
ÖKKCasamed 24 2Medgate0848 227 224
ÖKKCasamed Select 24 2Medgate 0848 227 224
PhilosSanaTel 1Medi240800 726 283
ProgrèsBeneFit Plus Telmed 1Medgate 0800 800 090
ProgrèsPremed-24 1Medgate0800 773 633
ProvitaFavorit Telmed 3Santé24 044 404 86 86
RhenusanaSanmed24 1Medgate0844 844 911
Sana24Med Call 1Medi240800 633 225
SanagateSanaCall 1, 2Medgate058 911 80 00
SanitasCallmed 1Medgate0844 124 365
SlkkTelCare 1Medgate0844 844 911
SodalisTelmed 4Medgate0844 844 911
SwicaFavorit Telmed 3Santé24044 404 86 86
Sumiswalder KKsumis24Telmed 1Medi240800 786 47 24
SympanyCallmed 24 1Medgate0844 852 852
VisanaMed Call 1Medi240800 633 225
VivacareMed Call 1Medi240800 633 225

As of: 26 August 2019


1In case of non-use of the help-line, policyholders may be reallocated to the standard model after an advance warning.
2In case of non-use of the help-line, none of the costs are covered.
3sante24 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.
4Cost 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)

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