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Groupe Mutuel PrimaCare

Family doctor model
Primary care: family doctor

General

General information:

Health insurance model «PrimaCare» of the Swiss insurance company Groupe Mutuel.

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 Groupe Mutuel doctor list.

Medical partner:

Doccare, Docnet, DOXnet, Hawa, Monvia, RhyMed, Sanacare, Seelandnet, Zürcher Gesundheitsnetz.

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 (Groupe Mutuel).

Reimbursement:

The average waiting period before tiers garant reimbursement from Groupe Mutuel 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 Groupe Mutuel is 97% (according to FOPH data). The minimum ratio required by the FOPH is 100%.

Number of policyholders:

A total of 296,991 people hold compulsory health insurance policies from Groupe Mutuel.

Additional child-discount:

Not specified.

Administrative costs:

4.6% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).

Administrative costs per policyholder:

CHF 230 (as per the most recent BAG data).

Customer satisfaction

General satisfaction 7.6/10 (Good)

Helpfulness 7.7/10 (Good)

Billing: flexibility 7.3/10 (Satisfactory)

Reimbursement: time frame 7.6/10 (Good)

Product information 7.5/10 (Good)

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Special offers for Moneyland users

Moneyland Special Offers

Up to CHF 550 Benefit

Amex Gold & Alpian Account

50% off the annual fee in first year
45'000 bonus points (instead of 15'000)
CHF 75 Moneyland-Bonus (Code LAND25) + CHF 50 Alpian bonus

Secure offer now

Swiss Trading Platform

Cornèrtrader Special Offer

Special offer: particularly favorable conditions for Moneyland users
No custody account fees for shares
Swiss online bank with FINMA license

Benefit now

Amex promotion until April 6

Amex Platinum Card

50% off the annual fee in the first year
Extra bonus: 75,000 instead of 45,000 Membership Rewards points
Further benefits: 10% discount on purchases in Gübelin boutiques & Up to CHF 160 Dining credit per year in over 600 GaultMillau restaurants

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Free bank account

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