HOSPITAL FLEX
Your flexible supplementary hospital insurance with free choice of department on a case-by-case basis (with cost sharing). Free choice of doctor in the semi-private or private ward and free choice of hospital throughout Switzerland.
- Free choice of hospital throughout Switzerland
- Free choice of department
- Free choice of doctor in the semi-private and private departments
Insured services
Helsana Versicherungen AG will reimburse you for the following services in addition to the statutory benefits of the basic insurance from the HOSPITAL FLEX supplementary hospital insurance:
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Frequently Asked Questions
Basic insurance only reimburses the tariff set in your canton of residence for the stay and medical treatment in the general ward (multi-bed room), provided that the hospital is on the hospital list of your canton of residence (listed hospital) or you need to be treated in a hospital outside the canton for medical reasons . You have to pay for any services that go beyond this yourself - for example, household help after an acute hospital stay or childcare while you recover in the hospital. These additional services in particular provide financial relief and more relaxation.
For minor procedures, a hospital stay in the general ward is often sufficient. There are no additional costs for you as a patient.
If you have a longer hospital stay, you may want more peace and privacy. In this case, you can choose the semi-private (double room) or private department (single room) for an additional charge (share of costs).
You may only want to have certain operations carried out by a specific doctor - for example if it is a particularly complicated procedure. However, the free choice of doctor is only available in the semi-private and private departments.
If you are only interested in covering high hospital costs, only complete the main module in the FLEX 1 or FLEX 2 variant. However, if you would also like to contribute to the costs of treatments, household help and other additional services, you can also complete the FLEX supplementary module.
If you choose the semi-private or private ward, you must contribute a percentage of your hospital costs:
Semi-private department
FLEX 1 variant: 35% cost contribution, max. 3,000 francs per calendar year
FLEX 2 variant: 20% cost contribution, max. 2000 francs per calendar year
Private department
FLEX 1 variant: 50% cost contribution, max. 9,000 francs per calendar year
FLEX 2 variant: 35% cost contribution, max. 4,000 francs per calendar year
Please ask Helsana beforehand whether they will cover the entire cost of your hospital stay.
Your official residence is in Switzerland.
HOSPITAL FLEX 1 variant: You are younger than 70 years old when the insurance begins.
HOSPITAL FLEX 2 variant: You are younger than 50 when you start the insurance.
You will receive a positive acceptance letter from Helsana Versicherungen AG. To assess the risk, you will need your fully completed health declaration.
You can cancel the insurance on December 31st and switch to another health insurance company in Switzerland. A notice period of three months applies. The cancellation must be received by your health insurance company by the last working day in September at the latest. If the insurance premium changes, a one-month notice period applies. The cancellation must then be received by the health insurance company by the last working day in November at the latest.
In the case of maternity, a waiting period of 365 days applies. You can therefore only receive benefits after the end of the first insurance year at the earliest. In the first year, your hospital stays due to maternity are only covered by basic insurance - for example for the birth and the postpartum period. The costs for the stay, care and treatment in the general ward (multi-bed room) will be reimbursed according to the tariff in your canton of residence.
Benefits as a result of illness or accident are covered from the start of the insurance.