Caisse Maladie de la Vallée d’Entremont SanaTel

  • Telemedicine model

  • Primary care: telemedicine

General

General information:

Health insurance model «SanaTel» of the insurance company Caisse Maladie de la Vallée Entremont.

Health insurance model:
Telmed model: If you choose a telmed policy, you will have to contact the telemedicine hotline before every doctor visit. Telephone consultation is not required in the event of medical emergencies, gynecological examinations and treatment by eye doctors.
Choice of doctor:
Your choice of doctors is limited by Caisse Maladie de la Vallée d’Entremont SanaTel requirements.
Medical partner:
Not specified.
Telmed consultation:
Recommendations made during telemedicine consultation are not binding.
Pharmacy choice:
You get free choice of pharmacy
Payment methods:
Not specified.
Reimbursement:
Not specified.
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 Caisse Maladie de la Vallée d’Entremont is 88% (according to FOPH data). The minimum ratio required by the FOPH is 100%.
Number of policyholders:
A total of 6519 people hold compulsory health insurance policies from Caisse Maladie de la Vallée d’Entremont.
Additional child-discount:
Caisse Maladie de la Vallée d’Entremont does not offer additional premium reductions for more than one child.
Administrative costs:
7.5% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).
Administrative costs per policyholder:
CHF 231 (as per the most recent BAG data).

Customer satisfaction

General satisfaction Not specified.
Helpfulness Not specified.
Billing: flexibility Not specified.
Reimbursement: time frame Not specified.
Product information Not specified.

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