Assurance Maladie à Martigny

À propos de notre agence à Martigny

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Groupe Mutuel Assurance Martigny

Rue des Cèdres 5 1919 Martigny

0848 803 333

info@groupemutuel.ch

Horaires d'ouverture:
07h45 - 12h00 et 13h30 - 17h30
(17h00 vendredi et veille de fête)

Contact
Nos domaines de compétences

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ASSURANCE-MALADIE DE BASE À MARTIGNY

Le modèle standard ainsi que plusieurs modèles alternatifs pour mieux s’adapter à mes besoins et m’offrir des rabais de primes

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ASSURANCE-MALADIE COMPLEMENTAIRES À MARTIGNY

Un large choix de produits qui complètent les prestations de la LAMal pour m’offrir une meilleure protection

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SECURITE FINANCIERE À MARTIGNY

Assurance-vie, épargne, capitaux, rentes et incapacité de gain

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SECURITE JURIDIQUE ET MATERIELLE À MARTIGNY

Protection juridique, responsabilité civile et inventaire du ménage

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RISQUES CYBER À MARTIGNY

Couverture des risques et litiges liés à l’utilisation d’Internet et des technologies numériques, avec assistance téléphonique

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ACTIVITE PROFESSIONNELLE À MARTIGNY

Assurances perte de gain et accidents, pour les indépendants et le personnel de ménage

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In accordance with Article 3 of the Swiss Federal Health Insurance Law (LAMal/KVG), any person residing in Switzerland is obliged to take out health insurance within three months of birth or taking up residence in Switzerland. If a person does not sign up for insurance, the cantonal or communal authorities will register that person automatically.

You can suspend your basic health insurance as soon as you receive your marching order or confirmation of civilian service due to last more than 61 consecutive days. Send us a copy of the document by post or using our notification form. At the end of your service, please send us the certificate of incorporation or a copy of the service booklet in order to confirm the suspension of your insurance. We will then cancel any invoices that will have been stopped during the service period.

When you join a health network, you choose your general practitioner from the list corresponding to the chosen network. You should always consult this doctor first. If necessary, this doctor will refer you to an appropriate specialist.
 
By opting for a health network system, you benefit from high quality medical attention and help contain health costs. This responsible behaviour will allow you to benefit from a discount on your insurance premium!

No. If you have opted for the health network system, you must choose a doctor from the list of doctors in the network. These lists are available on our website :
BasicPlus
Réseau Optimed
Réseau de soins (GE/FR)

You are not required to consult your general practitioner beforehand in certain specific cases (e.g. for consultations with a gynaecologist, eye specialist, etc.).
You will find all the necessary information in your special terms and conditions of insurance.

You may consult another doctor if your general practitioner issues a referral voucher and forwards it to us.

No, specialists do not need to be on a list of approved doctors. However, the decision to refer you to a specialist must be taken by your general practitioner. If necessary, your GP must issue a referral voucher and forward it to us.

You are allowed to change general practitioners once a year.
All you have to do is send us the name of your new doctor by post or by email (clients@groupemutuel.ch).

  • Special condition for SupraCare: the general practitioner can only be changed with the prior consent of the insurer.
  • Special condition for BasicPlus, Optimed and Health Network Geneva: your new doctor must be on the list of doctors approved by the network.

You have not complied with the terms and conditions of PrimaCare, PrimaTel, Sanatel, Optimed, Réseau de soins BasicPlus, SUPRAcare. If you feel that our decision is unjustified, please contact our Benefits Department on 0848 803 111.

Most of the gaps in basic insurance can be filled by supplemental insurance. The most significant gaps include the coverage of the costs of dental care, glasses and alternative medicine.

a) Pharmacy costs: your pharmacy costs are covered as before. This means that you pay your invoices directly to the pharmacy and then you are reimbursed by your insurer, after deduction of the co-insurance amounts (“third-party guarantor” system).
b) Costs of other healthcare providers (doctors, laboratories, physiotherapists, etc.): these costs are normally also refunded according to the “third-party guarantor” system. However, if the healthcare provider has entered into a “third-party payer” agreement with Groupe Mutuel, the insurer settles the healthcare provider's invoice and invoices the insured person for his share of the costs.

Groupe Mutuel

Rue des Cèdres 5 Case postale, 1919 Martigny    |    +41 0848.803.111