Your family doctor is your first point of contact
With this alternative model, you choose your family doctor and let us know your choice.
If you have any medical questions, you must always go to this doctor first.
Save money without changing your family doctor: here are your advantages
- A premium reduction of up to 16% compared with the standard model.
- You can keep your current family doctor: he or she is aware of your state of health and medical history. You won't have to get used to a new doctor.
- If necessary, your family doctor will refer you to other healthcare professionals, such as a specialist, a clinic or other health facilities.
How does the PrimaCare model work?
Here is a concrete example of how the PrimaCare model can be used.
Carla, aged 35,has a number of health problems and has to make frequent visits to the doctor.
First point of contact
Carla has been feeling exhausted for several weeks. She makes an appointment with her long-standing family doctor, with whom she has developed 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.
Conditions that are easy to follow
- 1. If you have a medical problem or question, your first point of contact is always the family doctor indicated to us beforehand.
- 2. If necessary, this doctor will refer you to a specialist or medical facility.
- 3. In emergencies and some other situations, you do not need to comply with the requirements of your model. The above section “How does the PrimaCare model work?” contains more information.
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 if needed.
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.
Useful documents
- Flyer PrimaCare
- Referral voucher to be filled in by your general practitioner | Groupe Mutuel
- Special terms and conditions for PrimaCare insurance | Groupe Mutuel (except AMB)
- Special Terms and Conditions for PrimaCare Insurance | AMB
- Supplemental Executory Provisions for Compulsory Health Insurance under LAMal/KVG (CGA LAMal/KVG) | Groupe Mutuel (except AMB)
- Supplemental Executory Provisions for Compulsory Health Insurance under LAMal/KVG (CGA LAMal/KVG) | AMB |
Request advice
Do you have any questions about PrimaCare? Our specialist advisers are here to help.
Frequently asked questions
Your basic insurance covers standard hospital care in the general ward of a hospital listed by your canton of residence (Art. 41, para. 1bis LAMal/KVG).
For children up to the age of 18, the basic health insurance contributes to the costs of glasses and contact lenses up to CHF 180 per year. For adults, the basic health insurance only pays a contribution in special cases following surgery or an ophthalmic illness, for purchases made in Switzerland and if prescribed by an ophthalmologist.
For more information, please go to the page “Cover my expenses for glasses/contact lenses”
To pay your bills, you can choose between different payment methods. We recommend using the direct debit system (for bank or post office accounts) or the e-bill.
Direct debit (bank or post office account)
All your bills will be debited directly from your bank or post office account.
- You have a post office account: Complete and send us the form, by which you authorise us to debit directly your post office account for the different amounts due.
- You have a bank account: Complete our online form and we will send you the LSV form by which you authorise us to debit directly your bank account for the different amounts due. Please then return the form to us duly certified by your bank. Please note that registration may take several weeks. If you no longer receive QR-bills, this means that the direct debit has been activated.
In the meantime, if you still receive QR-bills, please pay them as before.
E-bill
If you have an e-banking/e-finance account, your bills will be sent directly to your account and you will only have to validate them. To sign up for this payment method, please go to the website www.ebill.ch
QR-bills
You can make your payments using QR-bills, either via your e-banking / e-finance account, via a payment order or by going to a post office counter.
- e-banking / e-finance: Simply go to your e-banking/e-finance account, either by scanning the QR code or by entering the information on the QR-bills.
- Payment at the post office counter: At the post office counter, you can pay in cash the amounts indicated on the QR-bills.
However, please note that for basic insurance, you will be charged an additional fee for using this payment method.
This is because post office fees represent a cost of around CHF 6,5 million for Groupe Mutuel, which has a direct impact on the insurance premiums of all customers. In order not to pass on postage costs to all our insureds, you will be charged the following additional costs if you use this method of payment as part of your compulsory health insurance.
- Payments up to CHF 50: CHF 1.20
- Payments up to CHF 100: CHF 1.60
- Payments up to CHF 1,000: CHF 2.35
- Payments up to CHF 10,000: CHF 3.95
- In addition, for every CHF 10,000: CHF 1.25
Bank / post office standing payment order
Simply order the payment order form from your financial institution, fill it in and send it to your bank/post office with the QR-bills so that they can make the payments for you. Please note that depending on the financial institution, this service may incur additional costs.
We strongly advise against the use of standing orders or payment templates as the reference numbers are different for each bill.
Yes, anyone legally resident in Switzerland must take out compulsory health insurance within three months of taking up residence or being born. If the person in question does not sign up on their own or if they are not signed up by their legal representative within this period, they will be automatically registered by the canton or commune of residence.
In the event of an unjustifiable delay in signing up to the insurance, interest on arrears will be charged by the insurer.
