Advantages
You save on premiums compared to classic basic insurance.*
Your (tele-)general practitioner knows you and your needs best.
A new option in the general practitioner model: the tele-GP
In the ÖKK CASAMED GENERAL PRACTITIONER basic insurance model, you can now choose a tele-general practitioner as your first point of contact. You will enjoy various advantages if you do so.
Find out more about the tele-GP model
Basic insurance benefits
Hospital
Transport, rescue, search
Medical treatment
Alternative medicine
Visual aids
Aids
Prevention
Dental treatment
Maternity
Treatment and assistance at home
Medication
Balneotherapy and convalescent therapy
Psychotherapy
ÖKK pays the statutory benefits for you after deducting your deductible and excess and the hospital cost contribution. Find out more about the benefits covered by basic health insurance on the website of the Federal Office of Public Health (FOPH).
How the model works
Acceptance in the general practitioner model
In order to be accepted in the general practitioner model, you must choose a physical general practitioner or a tele-general practitioner.
- Choosing a general practitioner: refer to the list of general practitioners for a clear overview of the GPs that work together with ÖKK and are accepting patients. Please make certain in advance that patients are still being accepted.
- Choosing a tele-general practitioner: a tele-general practitioner is your first point of contact for health-related questions and will provide you with advice quickly, flexibly and digitally.
In the event of illness
- In any situation, you first contact your general practitioner or your tele-general practitioner (058 387 77 82) from the ÖKK list of general practitioners.
- If necessary, your (tele-)general practitioner will refer you to a specialist or a hospital.
- Exceptions: for paediatric, gynaecological, ophthalmological and dental treatment, you may consult a specialist directly without having to contact your tele-general practitioner first.
- 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 do not have to get in touch with your first point of contact. You can contact your nearest hospital or emergency doctor directly.
- Notify your (tele-)GP within twenty days after the emergency and discuss the next steps together.
- If these steps are taken, ÖKK will cover the costs of the emergency medical treatment.
Questions and answers (FAQ)
In the general practitioner model, your first point of contact is always your chosen GP or tele-GP. This is who you must turn to first when you have health-related questions or symptoms of illness. If necessary, that point of contact will then refer you to a specialist or hospital. This coordinated process can make your treatment more efficient.
Yes, you save up to 15.5 percent on your premiums with the general practitioner model. The savings potential depends on the region you live in, your age, your chosen deductible and whether or not you have accident cover. Get a non-binding calculation of your premium with our premium calculator.
You may make appointments with gynaecologists, dentists and ophthalmologists without seeing your general practitioner first. Emergency treatment is also an exception.
Under the general practitioner model, your GP is always your first point of contact. You also have to stick to the same first point of contact under the HMO model, but in this case it is a fixed network of doctors organised in an HMO group practice.
By opting for the general practitioner model ÖKK CASAMED GENERAL PRACTITIONER, you undertake to always contact your GP first when you have health problems. If you go to a specialist directly without a referral, ÖKK may transfer you to the standard basic insurance model, in which case you will lose your discount on the basic insurance premium.
Wish to remain insured in the GP model but cannot find a general practitioner? Choose a tele-general practitioner as your first point of contact. This way, you are guaranteed access to the general practitioner model. At the same time, you can change your (tele-)general practitioner during the year, with the change taking effect from the next month.
* The premium reduction depends on the premium region, age, deductible and accident cover.
Do you have any questions?
We will be happy to help you if you need further information or would like to arrange a no-obligation consultation.
