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Overview of benefits

 

Treatment costs package

BASIS

Treatment costs package

ÖKK FAMILY

Medical treatment

Treatment by doctors and chiropractors; Recognised therapies and analyses prescribed by doctors
Canton of residence and place of work Medical advice around the clock: 0844 655 655 90% with KVG doctors in Switzerland
In-patient or out-patient vasectomy and sterilisation 50%, up to CHF 1'000

Medication

Medications with doctor's prescription
As per list of medications and speciality medication list
Medication not usually covered by insurance
90%

Hospital

Accommodation and treatment
General ward as per the cantonal hospital list in Switzerland General ward in Switzerland
Daily hospital allowance
Remuneration for choosing a cheaper hospital ward in Switzerland, from 16 years
Rooming-in (bringing the child to the hospital or accompanying the child to the hospital overnight) CHF 100 per day

Emergencies abroad

Medical treatment Up to twice the tariff for the canton of residence, in accordance with the bilateral treaty in the EU 100%
Hospital Up to twice the tariff of the general ward of the canton of residence, in accordance with the bilateral treaty in the EU General hospital ward

Alternative medicine

Alternative medicine treatment by doctors and EMR therapists Acupuncture, anthrosophic medicine, Chinese medicine, homeopathy, phytotherapy with recognised doctors 70%, up to CHF 10,000 per year
Treatment by other qualified therapists 50%, up to CHF 1,000 per year
Natural medicines 90%

Prevention

Immunisations As per regulation on statutory benefits 90% up to CHF 200 per year
Check-up 90%, up to CHF 300 per year
Preventive gynaecological check-up One check-up every three years 90% for one check-up per year, if the costs for the check-up were not covered by the basic insurance
Health account (Sectors: Family, Nutrition, Exercise, Other prevention) 50% up to CHF 200 per sector, up to CHF 500 for all areas per year

Glasses and contact lenses

Spectacle lenses and contact lenses Children up to 18 years of age CHF 180 per year CHF 200 per year
Eye laser from 18 years

Transport, rescue, search

Transportation required for medical reasons to the nearest hospital or repatriation to Switzerland; Rescue and recovery operation 50%, up to CHF 500 per year (transport) 50%, up to CHF 5'000 per year (rescue) Up to CHF 50,000 per year, retention CHF 100 per case
Travel expenses from 30 km (public transport) 90%, up to CHF 100 per year for regular medical treatment; 90%, up to CHF 300 per year for dialysis, radiation or chemotherapy
Search operation CHF 20,000 per year

Maternity

Antenatal classes and postnatal gymnastics CHF 150, antenatal classes with midwives only CHF 200 per pregnancy
Birth in a hospital and maternity unit General ward as per the cantonal hospital list in Switzerland General ward in Switzerland, Wards: comfort twin room and family room in a hospital as per cantonal hospital list in Switzerland; ÖKK pays a maximum of CHF 200 per day for twin and family rooms
Birth in a recognised maternity unit that is not included in a list of cantonal hospitals CHF 2'000 per birth
Domestic help following birth in hospital CHF 100 per day, up to CHF 700 per birth
Domestic help following birth at home or out-patient birth CHF 100 per day, up to CHF 1'200 per birth
Breastfeeding allowance CHF 250

Convalescent treatments

Recuperation and convalescent spa treatment Medical treatment
Recuperation treatment; stay CHF 50 per day, up to 21 days per year
Spa treatment; stay CHF 10 per day, up to 21 days per year CHF 30 per day, up to 21 days per year
Thermal baths (prescribed by a doctor) 50%, up to 12 admissions per year

Home care

Home nursing care Examination, treatment, care
Domestic help Up to CHF 50 per day, up to CHF 1'000 per year
Domestic help for looking after a child Up to CHF 100 per day, up to CHF 2'000 per year

Dental treatment

Treatment by dentists Disease of the mastication system, dental accident
Wisdom tooth extractions 90%
Check-up and prophylaxis CHF 60 per year (for children and young adults up to the age of 25)
Orthodontic treatment for children and young adults up to the age 25, as per KVG tariff 70%

Travel insurance

Visit and special return journey, advance payment on hospital costs, procuring addresses of hospitals and doctors abroad, medical consultation by doctors The ÖKK travel insurance provides world-wide safety in the case of emergencies abroad.