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Ombudsmen for health insurance issues

If you have problems with your health insurance or your doctor, there is help available. Comparis explains who you can contact.

Elena Wetli Foto
Elena Wetli

22.07.2022

An older couple receives advice from an insurance advisor.

iStock/Inside Creative House

1.Ombudsman’s Office for Health Insurance
2.Private Insurance and Suva Ombudsman
3.Legal Advice Centre for Accident Victims and Patients (UP)
4.DVSP - Confederation of Swiss patient centres
5.Swiss Dental Association (SSO)
6.Consumer Protection Foundation (SKS)

1. Ombudsman’s Office for Health Insurance

Ombudsman’s Office for Health Insurance

Morgartenstrasse 9

P.O. Box 519

6002 Lucerne

Phone: 041 226 10 10

https://www.om-kv.ch/

What is the Ombudsman’s Office for Health Insurance responsible for?

  • Membership issues

  • Rejected claims/scope of benefits

  • Questions regarding premium calculation

  • Legal issues relating to mandatory basic insurance and supplemental insurance

2. Private Insurance and Suva Ombudsman

Private Insurance and Suva Ombudsman

P.O. Box 1063

8024 Zurich

Phone: 044 211 30 90

Website

What is the Private Insurance and Suva Ombudsman responsible for?

  • Scope of services of accident insurance

  • Decisions relating to daily sickness allowance insurance

  • Other problems with private insurance

3. Legal Advice Centre for Accident Victims and Patients (UP)

UP has locations in Zurich, St. Gallen, Lucerne, Lenzburg, Bern and Basel.

Phone: 0800 707 277

UP Legal Advice Centre website

What is is the UP responsible for?

  • Liability claims (e.g. following an accident, an operation, etc.)

  • Invalidity insurance benefits

  • Daily allowance claims

  • Accident insurance

  • Sickness (incapacity to work) and wages

  • Pension fund benefits

4. DVSP - Confederation of Swiss patient centres

The DVSP has locations in Zurich, Aargau/Solothurn, East Switzerland, West Switzerland, Central Switzerland, Basel, Ticino and Graubünden.

Website

Which concerns is the DVSP responsible for?

  • Information and education about the rights and obligations of patients

  • Clarification of treatment errors and enforcement of claims for damages

  • Clarification and mediation of conflicts

  • Enforcement of social and private insurance benefits

5. Swiss Dental Association (SSO)

General Secretariat SSO

Münzgraben 2
3001 Bern

Switzerland

Phone: 041 31 313 31 31

SSO website

What is the SSO responsible for?

  • Complaints regarding dental treatment and dentists’ fees

6. Consumer Protection Foundation (SKS)

Consumer Protection Foundation

Nordring 4
3001 Bern

Phone: 031 370 24 24

Email

SKS website

How can the Consumer Protection Foundation help?

  • Advice booklets and tests concerning various consumer issues

  • Personal consultation

This article was first published on 22.07.2022

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