Standard model – freedom to choose your own doctor
Under the traditional model of mandatory basic insurance, you are at all times free to choose your own doctor.Calculate premium
Do you like to decide for yourself which doctor or specialist you want to see? Then the standard model is the right form of insurance for you.
Under the standard model, you can choose which medical practice to go to for treatment or see a specialist directly. There is no need for you to inform your health insurer.
The standard model gives you access to basic outpatient and inpatient medical care in the event of illness, accident and maternity.
You may seek treatment directly from recognised specialists working as chiropractors, dieticians, obstetricians, speech therapists, physiotherapists or occupational therapists.
You can go to any gynaecologist for screenings and routine consultations during pregnancy. Because basic insurance pays important maternity benefits.
In an emergency, you can go straight to the doctor’s practice of your choosing. If they cannot be reached, you can contact their locum or the emergency service.
If you need to spend time in hospital, choose the general ward and a recognised clinic that features on the cantonal list of hospitals. That way, there will be no limit to either the amount or duration of the cost coverage.
The standard model is the basic version of mandatory basic insurance, and comes with a free choice of doctor. All general health insurance companies offer this model. You pay less in premiums under alternative models like family doctor, HMO, Telmed and Multimed. But there are a few rules that you have to follow.
Cost coverage according to the tariff, throughout Switzerland, for treatment by recognised doctors, chiropractors, dieticians, midwives, speech therapists, physiotherapists, ergotherapists, nurses and nursing auxiliaries
Acupuncture, anthroposophic medicine, Chinese medicine, homeopathy and phytotherapy: Cost coverage according to the tariff, throughout Switzerland, for treatment by recognised doctors with an FMH qualification in the respective field of complementary medicine
Cost coverage without limit to sum or duration in the general ward (hospital/acute-care hospital) in accordance with the current cantonal hospital list
As stipulated in article 12 of the Health Insurance Benefits Ordinance
Cost coverage in the general ward in emergencies for outpatient or inpatient treatment, up to a maximum of twice the tariff of the canton of residence in Switzerland. The special provisions in force under the bilateral agreements apply in the case of EU countries (incl. Iceland, the Principality of Liechtenstein and Norway)
Spa treatments: CHF 10 per day, 21 days per year, plus the cost of medical treatment
Recovery cures: The cost of medical treatment only
7 check-ups during pregnancy and one following the birth, 2 ultrasound examinations for a normal pregnancy, home birth or hospital birth, maximum CHF 150 for antenatal courses, maximum 3 sessions of breastfeeding advice
Contributions to preventive health measures e.g. vaccination of children, preventive gynaecological examinations, etc.
Cost of transport: 50% of costs, max. CHF 500 per calendar year
Rescue costs: 50% of costs, max. CHF 5,000 per calendar year
Up to age 18: CHF 180 per year, on a doctor’s prescription
Cost coverage for medically prescribed examinations, treatment and nursing care by recognised Spitex organisations at home or in nursing homes
Cost coverage for severe jaw disease or if treatment becomes necessary because of a serious general illness. Primary treatment of dental accidents (if accident cover included)
Cost coverage for psychotherapy with a doctor
Basic insurance provides benefits for alternative medicine if treatment is provided by a recognised doctor with relevant training in acupuncture, anthroposophic medicine, homeopathy or phytotherapy.