A woman and a man in sportswear sitting on a wooden bench in nature and smiling.

The best way: basic insurance with choice of doctor

Would you like to choose which doctor treats you and, if necessary, have direct access to a specialist? With ÖKK BASIS, you decide.

Calculate non-binding premium

Advantages

Free choice of doctor anywhere in Switzerland

Direct access to specialists

If required, additional medical advice from Medgate free of charge

Basic insurance benefits

Hospital

Basic insurance

General

General ward (tariff in canton of residence)
General ward (tariff in canton of residence)

Double the tariff in the canton of residence

Up to double the tariff for the general ward in the canton of residence, in the EU according to bilateral agreements
Up to double the tariff for the general ward in the canton of residence, in the EU according to bilateral agreements

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General

General ward (tariff in canton of residence)
General ward (tariff in canton of residence)

General

General ward (tariff in canton of residence)
General ward (tariff in canton of residence)

Transport, rescue, search

Up to CHF 500

50%, up to CHF 500 per calendar year (transport) 50%, up to CHF 5,000 per calendar year (rescue in Switzerland) no benefits for repatriation
50%, up to CHF 500 per calendar year (transport) 50%, up to CHF 5,000 per calendar year (rescue in Switzerland) no benefits for repatriation

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Medical treatment

Double the tariff in the canton of residence

Up to double the tariff in the canton of residence, in the EU according to bilateral agreements
Up to double the tariff in the canton of residence, in the EU according to bilateral agreements

100%

All costs covered (taking into account the deductible and the excess)
All costs covered (taking into account the deductible and the excess)

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Alternative medicine

Five methods

Acupuncture, anthroposophical medicine, Chinese medicine, homeopathy, phytotherapy by doctors with relevant training
Acupuncture, anthroposophical medicine, Chinese medicine, homeopathy, phytotherapy by doctors with relevant training

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Visual aids

CHF 180 up to 18 years

CHF 180 per calendar year (up to 18 years of age)
CHF 180 per calendar year (up to 18 years of age)

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Aids

According to List of Objects and Resources

According to List of Objects and Resources
According to List of Objects and Resources

Prevention

100% every 3 years

One examination every three calendar years (taking into account the deductible and the excess)
One examination every three calendar years (taking into account the deductible and the excess)

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In accordance with Benefits Ordinance

In accordance with Benefits Ordinance
In accordance with Benefits Ordinance

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Dental treatment

Masticatory system, dental accidents

Illness to masticatory system, dental accidents
Illness to masticatory system, dental accidents

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Maternity

CHF 150 for antenatal course, 3 nursing consultations

Antenatal course with midwife: CHF 150 Nursing consultations with midwife: 3 meetings No benefits for postnatal courses
Antenatal course with midwife: CHF 150 Nursing consultations with midwife: 3 meetings No benefits for postnatal courses

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Treatment and assistance at home

Examination, treatment, care

Examination, treatment, care (by a recognised institution)
Examination, treatment, care (by a recognised institution)

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Medication

According to medication and specialist lists

According to medication and specialist lists
According to medication and specialist lists

Balneotherapy and convalescent therapy

Medical treatment

Medical treatment
Medical treatment

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CHF 10 per day

CHF 10 per day, up to 21 days per calendar year
CHF 10 per day, up to 21 days per calendar year

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Non-medical psychotherapy

For therapists authorised under KVG

Medically prescribed psychotherapy with therapist authorised under KVG
Medically prescribed psychotherapy with therapist authorised under KVG

ÖKK pays the statutory benefits for you after deducting your deductible and excess and the hospital cost contribution.

The right insurance for me.

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How the free choice of doctor works

In the event of illness

  • In any situation, you yourself decide which medical expert you contact – if necessary, you can contact a specialist directly.
  • You must always have your ÖKK insurance card to hand.
  • Submit your doctor’s bills and claim documentation to ÖKK.

In an emergency

  • In case of emergency, you can contact your nearest hospital or emergency doctor.
  • ÖKK will bear the costs for the emergency medical treatment.

Questions and answers (FAQ)

With this basic insurance model, you decide for yourself which doctor to go to.

In Switzerland, the free choice of doctor in the basic insurance depends on the insurance model. With the standard model (ÖKK BASIS), insured persons can choose freely from all registered doctors. Cheaper models like the general practitioner, HMO and Telmed models restrict your choice of doctor, as you have a predefined point of contact whom you must turn to first.

You can take out basic insurance with free choice of doctor
if you officially reside in Switzerland or are subject to the Swiss Health Insurance Act under the bilateral agreements (e.g. as a cross-border worker from an EU/EFTA country). Every Swiss health insurer is obliged by law to accept applicants unconditionally, regardless of their age and state of health.

With the free choice of doctor, you keep all your options open: you can choose the doctor treating you freely at any time and go to them directly. If required, you can make appointments directly with specialists of your choice. You retain your free choice of doctor if you move house within Switzerland. If you are unsure whether or not to contact a medical specialist, you can get free medical advice from Medgate around the clock.