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sana24 Med Direct

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sana24 Med Direct

Family doctor model
Primary care: family doctor

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General

General information:

Health insurance model «» of the insurance company sana24.

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 sana24 doctor list.

Medical partner:

Not specified.

Pharmacy choice:

You get free choice of pharmacy

Payment methods:

20% of payments are made using the tiers garant payment method, in which you pay and claim reimbursement.
80% of payments are tiers payant, meaning the bills are paid directly by the insurance (sana24).

Reimbursement:

The average waiting period before tiers garant reimbursement from sana24 is 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 sana24 is 135% (according to FOPH data). The minimum ratio required by the FOPH is 100%.

Number of policyholders:

A total of 76,696 people hold compulsory health insurance policies from sana24.

Additional child-discount:

sana24 provides additional premium reductions from the third child onwards.

Administrative costs:

6% (ratio of adminstrative costs to risk-adjusted premiums as per BAG data).

Administrative costs per policyholder:

CHF 197 (as per the most recent BAG data).

Customer satisfaction

General satisfaction 8.0/10 (Very good)

Helpfulness 8.1/10 (Very good)

Billing: flexibility 7.8/10 (Good)

Reimbursement: time frame 8.2/10 (Very good)

Product information 7.7/10 (Good)

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