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AMB Assurances PrimaCare

Family doctor model
Primary care: family doctor

General

General information:

Health insurance model «PrimaCare» of the insurance company AMB Assurances.

Health insurance model:

Family doctor model: When you use a family doctor policy, you are required to visit your relevant family doctor first. Your doctor may then refer you to specialists, therapists or hospitals. A primary consultation from your doctor is not necessary in the event of medical emergencies, gynecological examinations and treatments by eye doctors.

Choice of doctor:

Your choice of family doctor is limited to just one doctor from the AMB Assurances doctor list.

Medical partner:

Not specified.

Pharmacy choice:

You get free choice of pharmacy

Payment methods:

8.7% of payments are made using the tiers garant payment method, in which you pay and claim reimbursement.
90.9% of payments are tiers payant, meaning the bills are paid directly by the insurance (AMB Assurances).

Reimbursement:

The average waiting period before tiers garant reimbursement from AMB Assurances is 10.8 days.

Financial reserves:

The solvency ratio shows how available financial reserves compare to Federal Office of Public Health (FOPH) minimum reserve requirements. The solvency ratio of AMB Assurances is 169% (according to FOPH data). The minimum ratio required by the FOPH is 100%.

Number of policyholders:

A total of 10,341 people hold compulsory health insurance policies from AMB Assurances.

Additional child-discount:

Not specified.

Administrative costs:

5.5% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).

Administrative costs per policyholder:

CHF 210 (as per the most recent BAG data).