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CSS Insurance

Benefits from myFlex Outpatient Insurance

Outpatient insurance offers comprehensive cover in the case of any non-hospital treatment. It is therefore the ideal supplement to basic insurance. Compare the various benefits of the three categories (Economy, Balance, Premium) and review your cover now.

CY = calendar year / * On the CSS list and/or recognised by CSS.

Immediate answers to your questions about cover

Do you already have insurance from CSS? The myCSS Benefits Check makes it even easier to review your cover.

Cover under myFlex Outpatient Insurance

The following list provides you with an overview of the benefits and is not exhaustive. The benefits are divided into four categories:

Overview of benefits Switzerland

Benefits ECONOMY BALANCE PREMIUM
Outpatient treatment
throughout Switzerland
90%, no limit 90%, no limit 90%, no limit
Medication* 90%, no limit for medically prescribed medication 90%, no limit for medically prescribed medication 90%, no limit for medically prescribed medication
Medicinal products* - - 90%, no limit to the amount of medically prescribed products, which are effective, suitable, economically efficient and scientifically recognised in Switzerland at the usual market prices
Optical aids (glasses, contact lenses, laser eye treatment) - CHF 150/case up to age 18;
CHF 150/CY from 19  years of age  
CHF 300/case up to age 18;
CHF 300/CY from 19 years of age
Dental treatment - 50%, max. CHF 1,000/CY
up to 18 years of age
50%, max. CHF 2,000/CY
up to 18 years of age
Correction of malpositioned teeth - 50%, max. CHF 12,000/CY up to 20 years of age 50%, no limit up to 20 years of age
Removal of wisdom teeth - 50%, max. CHF 1,000/CY from 19 years of age 50%, max. CHF 2,000/CY from 19 years of age
Care and assistance at home - Total for care/assistance:
max. CHF 50/day, up to
CHF 2,000/CY max. (medically prescribed)
Total for care/assistance: max. CHF 100/day, up to
CHF 4,000/CY max.  (medically prescribed)
Care at home by family members; no proof of loss of income required - - CHF 20/day, up to a max.
of CHF 2,000/CY (medically prescribed)
Psychotherapy - 75%, max. CHF 1,000/CY by psychotherapists recognised by CSS 75%, max. CHF 3,000/CY by psychotherapists recognised by CSS
Outpatient ear correction - 90%, max. CHF 2,000/person up to 18 years of age 90%, max. CHF 5,000/person up to 18 years of age
Vaccinations* 90%, max. CHF  100/CY 90%, no limit 90%, no limit
Aids* 90%, max. CHF 500/CY 90%, max. CHF 1,000/CY 90%, max. CHF 2,000/CY
Preventive gynaecological
examination
90%, no limit 90%, no limit 90%, no limit
Outpatient sterilisation - 90%, max. CHF 2,000/case 90%, max. CHF 5,000/case
Wagnisse - - Max. CHF 250,000/CY

Overview of benefits maternity

Benefits ECONOMY BALANCE PREMIUM
Ultrasound examination 90%, no limit 90%, no limit 90%, no limit
Outpatient birth (not at place of residence or employment) 90%, no limit 90%, no limit 90%, no limit
Breastfeeding CHF 200/child CHF 200/child CHF 200/child

Overview of benefits abroad worldwide

Benefits ECONOMY BALANCE PREMIUM
Emergency outpatient and inpatient treatment Outpatient: 90%, no limit
Inpatient: no limit
Outpatient: 90%, no limit
Inpatient: no limit
Outpatient: 90%, no limit
Inpatient: no limit
Personal assistance Insured Insured Insured
Elective outpatient treatment - - 90%, max. CHF 250,000/CY
Legal Protection Insurance for
Patients and Legal Protection while Abroad (legal entity: Orion Legal Expenses Insurance Ldt.)
CHF 250,000/case in Europe;
CHF 50,000/case outside Europe
CHF 250,000/case in Europe;
CHF 50,000/case outside Europe
CHF 250,000/case in Europe;
CHF 50,000/case outside Europe

Overview of benefits transport: Switzerland/abroad

Benefits ECONOMY BALANCE PREMIUM
Emergencies, search & rescue Emergency transport: no limit;
search and rescue operations: CHF 100,000/case
Emergency transport: no limit;
search and rescue operations: CHF 100,000/case
Emergency transport: no limit;
search and rescue operations: CHF 100,000/case
Transport to avoid/cut short hospitalisation CHF 250/CY CHF 1'000/CY CHF 2'000/CY
Repatriation No limit No limit No limit

CY = calendar year / * On the CSS list and/or recognised by CSS.