Invoices

You can find below the most frequent questions and answers relating to refunds of your medical invoices.
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Invoices

I sent you several invoices in the same envelope. Some of them do not appear on my refund statement. Is this possible?

Yes. Invoices you send us simultaneously are handled by different services within our Benefits Department. Invoices do not all follow the same route and are not dealt with by the same person. Therefore, they may be refunded on different dates.

I have received your refund statement, but it appears that you are only partially refunding the cost of some invoices. Why is that?

Part of the costs of your medical treatments are payable by yourself. Your contribution to costs includes the following items:

the annual deductible;
a 10 % (20% for some brand-name medicines) share of the costs exceeding the deductible (subject to a maximum of CHF 700/year for adults and CHF 350/year for children); and
a contribution of CHF 15/day when staying in hospital.

To obtain a refund, to which address must I send the invoices received from healthcare providers?

Please send your original medical invoices to this postal address only:
Groupe Mutuel, Rue des Cèdres 5, 1919 Martigny

If you have an account in our Customer Area, please visit this link: Documents - Groupe Mutuel

Do you have a system for the identification of invoices in the form of self-adhesive labels?

No, we do not send labels or other means of identification of invoices to our insureds. The service providers are required to identify their invoices electronically and indicate the following identification information listed in Art. 59 of the Ordinance on Healthcare Insurance (OAMal/KVV).

I have received an invoice from my doctor. Should I check it before sending to you for reimbursement?

Yes, only you can know whether the benefits you were billed for match the medical care received. Sometimes invoices are wrong and this is usually due to an oversight or confusion between several patients.

Each year, millions of francs are paid out by the basic health insurance as a result of invoicing errors. This has a negative impact on the trend of health insurance premiums. When you check your invoice, you help to curb the rising health costs.

To better understand your invoice and to be able to check it, download our infographic (French).

I have received a copy of an invoice that was intended for Groupe Mutuel (third-party payer). Why did I receive this document and what must I do?

Since 1 January 2022, all healthcare providers are legally required to send you a copy of the invoices issued in the third-party payment system, so that you can check the invoices.
Since the healthcare provider has sent us the original document, the copies are sent to you for information and must not be sent to the insurance.