Do you wish to have a medical check-up in one of our partner pharmacies, receive advice over the phone from our telemedicine partner available 24/7, check your symptoms via your Customer Area or see your family doctor?
Here are a few concrete examples of how the PrimaFlex model can be used
First point of contact
Marc is very busy at work and prefers to go quickly to the chemist for advice rather than to the doctor. He can easily plan his visit between business appointments.
Treatment
The pharmacist advises Marc to have a strep test, which is free of charge thanks to PrimaFlex. The result is positive, and Marc is given an antibiotic. Marc saves time and money by avoiding a medical consultation. If he wishes to be reimbursed, he can obtain a prescription by calling the telemedicine partner free of charge.
First point of contact
As it is Saturday evening, Cécile's parents take advantage of the 24-hour telemedicine service and call 0800 852 852 for free medical advice.
Treatment
The Medgate nurse gives them professional medical advice. She suspects a virus and prescribes a list of medicines. The prescription is sent directly to the pharmacy of their choice. Cécile's parents are pleased that they don't have to go to the emergency department and can pick up their daughter's medication directly from the pharmacy.
First point of contact
Nina is worried. She quickly opens the Ada symptom checker, available 24/7 in her Customer Area, and describes where she has redness and itching.
Treatment
The Ada symptom checker asks her a few quick questions, adapted to her answers. Nina discovers a list of possible medical conditions. The most likely cause could be a sun allergy that can be treated at home. Ada recommends applying an ointment to relieve the itching. Nina is reassured.
First point of contact
Carla had been feeling exhausted for several weeks. She makes an appointment with her long-standing family doctor, with whom she has a relationship of trust.
Treatment
Carla's doctor is aware of her situation and quickly identifies the cause of her symptoms. He adapts her medication and refers her to a specialist.
It may happen that the conditions of the model are accidentally not followed. In this case, we will notify you by letter and will be happy to offer our assistance.
However, if you repeatedly fail to comply with the rules, we will have to transfer you to the Standard basic insurance model. You will then lose your premium reduction, but you will benefit from free choice of doctor, with no conditions to be met.
Do you have any questions about PrimaFlex? Our specialist advisers are here to help.
Yes, you are exempted from contacting one of the above-mentioned first points of contact in certain special cases (e.g. in case of emergency or for consultations with a gynaecologist, ophthalmologist, etc.). The list of special cases can be found in your special terms and conditions of insurance.
No, you are free to buy your prescription drugs at the pharmacy of your choice (even if it is not a PrimaFlex partner).
