Family doctor model – go directly to your own doctor
The family doctor model is a version of mandatory basic insurance in which your family doctor is always your first point of contact.
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The advantages for you
- The family doctor you know and trust is your main point of contact.
- All treatment is organised by your family doctor.
- Medical advice is available 24/7 on +41 58 277 77 77.
- You can consult eye doctors and gynaecologists directly.
How it works
Under Profit (CSS and Arcosana), FIRST MED (Intras) or Sanagate's family doctor model, you always ask your family doctor first. Your own doctor is familiar with your medical history and knows what treatment is best for you. If you need to see a specialist, your family doctor will refer you directly. Send us the referral confirmation from your family doctor. In an emergency, you can go straight to your family doctor, their locum or an A&E department.
This model lets you benefit from your family doctor’s experience. You always contact your own doctor first and, in return, you enjoy an attractive discount.
Would you like to keep your family doctor as your main point of contact in all health matters while also saving on premiums? Then the family doctor model is perfect for you.
Your premium at a glance
Overview of basic insurance benefits
Benefits
Outpatient treatment – classical medicine
Cost coverage according to the tariff for treatment by recognised doctors, chiropractors, dieticians, midwives, logopedists, physiotherapists, ergotherapists, nurses and nursing auxiliaries throughout Switzerland
Outpatient treatment – alternative medicine
Acupuncture, anthroposophic medicine, Chinese medicine, homeopathy and phytotherapy: costs are covered according to the tariffs prevailing in the canton of residence or at the place of work for treatment by recognised doctors with an FMH qualification in the discipline of complementary medicine
Hospitalisation
Cover for all costs in the canton of residence according to the HIA (public hospital/acute hospital), unlimited as to sum or duration in a general ward
Health promotion/prevention
In accordance with Article 12 of the Ordinance on Compulsory Health Insurance Benefits
Benefits abroad
Cover for costs incurred in emergencies for outpatient or inpatient treatment on a general ward up to a maximum of twice the tariff of the canton of residence in Switzerland. Special conditions apply in EU states (incl. Iceland, the Principality of Liechtenstein and Norway) as determined in the bilateral agreements
Medication
Medically prescribed medication on the list of generic drugs maintained by the Federal Office of Public Health (FOPH), the list of medicines with tariffs or the specialities list
Spa cures/convalescence cures
Spa cures: CHF 10 per day, 21 days per year plus medical costs
Convalescence cures: only medical costs
Maternity/breastfeeding
Eight check-ups, two ultrasound examinations for a normal pregnancy, home birth or hospital birth, max. CHF 150 for prenatal courses, max. three sessions for breastfeeding advice
Aids
Contributions to aids in accordance with the official aids and appliances list compiled by the Federal Office of Public Health (FOPH)
Preventive examinations/vaccinations
Contributions to preventive health measures e.g. vaccination of children, preventive gynaecological examinations, etc.
Transport and rescue costs
Cost of transport: 50% of costs, max. CHF 500 per calendar year
Cost of rescue: 50% of costs, max. CHF 5,000 per calendar year (Switzerland)
Glasses/contact lenses
Up to 18 years of age: CHF 180 per year with a medical prescription
Home nursing/care in a nursing home
Costs are covered for examinations, treatment and nursing care prescribed by a physician and carried out at home or in nursing homes by recognised Spitex organisations
Dental treatment
Costs are covered for serious jaw disease or if treatment becomes necessary because of a serious general illness. Initial treatment in case of accident (if accident cover included)
Psychotherapy
Costs for psychotherapy by a doctor
Downloads
- Product sheet – Profit family doctor insurance (PDF)
- The essentials in brief - Profit family doctor insurance (PDF)
- Regulations – Profit family doctor insurance CSS (PDF)
- Confirmation of referral CSS & Arcosana (PDF)
- Regulations - Profit Family Doctor Insurance Arcosana (PDF)
- Product sheet – FIRST MED Intras (PDF)
- The essentials in brief – FIRST MED Intras (PDF)
- Regulations – FIRST MED Intras (PDF)
- Confirmation of referral Intras (in German) (PDF)
- Accident notification form (basic and supplementary insurance) (PDF)
- Calculation of co-payment (deductible and retention fee) (PDF)
Tips: how to save on premiums
Premiums depend on where you live, your age, and what deductible you choose. Save on premiums each year – thanks to the right retention fee and a low-cost version of basic insurance.
