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By Felix Schneuwly
Source: iStock / cookelma
You have a medical emergency and cannot be transported by private car or public transport? If you call an ambulance on the emergency number 144, basic health insurance will cover the cost of patient transportation in this case.
All answers apply to persons who have accident insurance through their health insurer and to transportation in the event of illness.
In an emergency, every second counts. The emergency services will transport the patient to the nearest hospital without delay. The cost of such emergency transportation varies significantly between cantons. For example, as reported on Swiss television, if someone has a heart attack in the canton of St. Gallen, the cost for the emergency services is greater than that in the canton of Aargau. It is usually between 900 and 2,100 francs.
If you have accident insurance through your employer or a private insurer, this will cover all emergency transportation costs. However, if the emergency transportation is required because of an illness, or if you have accident insurance through your health insurer, the costs can soon mount up.
Basic health insurance policies will contribute to the cost of emergency transportation if it is a medical necessity. If the patient could have travelled by private car or public transport, basic health insurance policies will not pay out.
Basic health insurance will cover half the cost, up to a predefined maximum limit. The maximum limit for the cost of rescuing you from a life-threatening situation is 5,000 francs per calendar year (rescue costs). If the situation is not life-threatening but transportation by ambulance is still medically necessary, basic health insurance will pay up to a maximum of 500 francs per calendar year (transportation costs).
The cost of a taxi journey is only covered in exceptional circumstances. If it is not possible for you to get to hospital by private car or public transport for medical reasons, your basic health insurance will cover 50% of the costs, but only up to 500 francs per calendar year. Note: you must be transported by a means of transport that is appropriate for your medical needs. You are advised to clarify the details with your health insurer in advance.
Yes. There are supplemental insurance policies that guarantee a higher level of cover. Some are even unlimited and will cover all transportation and rescue costs. You need to decide for yourself what level of cover is right for you.Find the best supplemental insurance deal now
Basic health insurance policies will pay a proportion of emergency transportation costs even when you are abroad. The conditions that apply are the same as if you were in Switzerland. However, the situation is not the same for rescue costs. Basic health insurance policies do not cover rescue costs abroad. If you are travelling abroad, it is sensible to take out supplemental insurance, as transportation and rescue costs abroad can easily run into thousands or tens of thousands of Swiss francs. It is important to ensure that you have enough cover in the event of an accident abroad. Before you travel, check to see if you are properly insured.
Rega is not an insurance provider. Furthermore, you do not have a legal entitlement: Rega is permitted to provide its services, but is not obliged to do so. Rega can waive the costs of repatriation for its patrons in the event that insurance companies or any other third party are not liable to pay and so will only reimburse a proportion of the cost of the service or none at all. This applies to repatriation on a Rega jet as well as on scheduled flights. In addition, Rega does not pay for emergency treatment abroad. Cover for such treatment can be obtained from your health insurer (basic and supplemental insurance) or via a foreign health insurer.
If a patient needs to be transported from one hospital to another for treatment and due to medical necessity, the costs are covered completely by basic health insurance. In this case, the transfer is part of the inpatient treatment.
If an ambulance is called and paramedics attend the incident, then costs are incurred. As a rule the patient – or their insurance company – must cover these costs. The person who called the ambulance is not required to reimburse any costs – unless the call was intentionally fraudulent.
All the above answers apply to persons who have accident insurance through their health insurer and to transportation in the event of illness.
Health & health insurance expert
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