2020
HEALTH CARE PROVIDERS APPROVED BY THE CHIS
Hospitalisation The choice of establishment, sector of care and type of room have an important impact on the reimbursement rates of in-patient treatment (hospitalisation). All aspects of hospital care concerned: doctors, surgeons, anaesthetists, laboratory tests, radiology, examinations, etc. The table below provides a summary of the different cases.
Maximum Reimbursement Payment of Establishment Sector of care Out-of-pocket Additional costs rate invoice Expense (FCA1)
Public By Third-Party 100 % 0 CHF (public ward) Administrator Public hospital Private or semi- Any supplement private 1 for a single-bed General rule 3000 CHF By Third-Party (80%, 90% or 100% ward is wholly (included in FCA1) Administrator Approved according to FCA) at the expense All private hospital2 of the Member
Non-approved All 80% Unlimited By the Member private hospital (excluded from FCA1)
The following pages indicate the status of some hospitals:
Public hospitals in Switzerland page 2 Public hospitals in France page 3 Approved private hospitals in Switzerland page 4 Approved private hospitals in France page 5
Outpatient care Only care provided by medical practitioners (physicians and auxiliaries assisting in the treatment) qualified and licensed by the competent national authority to exercise in the State in which the treatment is provided can be reimbursed. In the local area, CERN has made tariff agreements with some of them.
Preferred out-patient care providers in France and Switzerland page 6
In case of doubt If you want to find out more about the status of a care provider, don’t hesitate to contact UNIQA. [email protected] 72730 (from within CERN) or +41 22 767 27 30
1 The General Rule, defined in the CHIS Rules, is a progressive reimbursement rate at 80 %, 90% or 100% according to the cumulated annual costs borne by the member (FCA - frais à la charge de l’assuré). 2 Approved private hospitals: a. In Switzerland - any hospital that has concluded a tariff agreement with CERN. b. Outside Switzerland - any hospital that has a tariff agreement with the national security scheme and applies similar tariffs to CHIS members.
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Approved Public Hospitals in Switzerland (local area only)
Note: all public hospitals are approved. The list below is not exhaustive and lists only public hospitals in the local area. Please contact UNIQA to know the status of any hospital not in this list.
Hospital, clinic or medical Canton Website Location(s) Activity Areas network (prefix with www.)
HUG - Hôpitaux hug-ge.ch GENEVA All Universitaires de Genève
GENEVA
Convalescence Clinique de Joli-Mont hug-ge.ch/joli-mont GENEVA Medical or surgical treatment follow-up
LAUSANNE, CHUV - Centre Hospitalier PRANGINS, chuv.ch All Universitaire Vaudois PRILLY, YVERDON-les-BAINS VAUD
Hôpital ophtalmique All ophthalmologic care, Jules-Gonin ophtalmique.ch LAUSANNE including emergencies (CHUV) Refractive surgery
Internal medicine Clinique Genevoise Psychosomatic medicine VALAIS cgm.ch CRANS-MONTANA de Montana Rehabilitation Pain treatment
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Approved Public Hospitals in France (local area only)
Note: all public hospitals in France are approved. The list below is not exhaustive and lists only public hospitals in the local area. Please contact UNIQA to know the status of any hospital not in this list.
Hospital, clinic or medical Department Website Location(s) Activity Areas network (prefix with www.)
General healthcare services Centre Hospitalier CONTAMINE Surgery Alpes-Léman ch-alpes-leman.fr sur ARVE Intensive care (CHAL) Maternity and paediatrics
General healthcare services Surgery Centre Hospitalier Annecy ANNECY ch-annecygenevois.fr Intensive care HAUTE-SAVOIE Genevois (CHANGE) SAINT-JULIEN EN Maternity and paediatrics (74) GENEVOIS Psychiatry Hospitalisation at home
General medicine Surgery Hôpitaux du Léman THONON Geriatrics hopitauxduleman.fr (Georges Pianta) LES BAINS Maternity and paediatrics Psychiatry Hospitalisation at home General healthcare services Surgery Centre hospitalier de BOURG Oncology ch-bourg-en-bresse.fr Bourg-en-Bresse EN-BRESSE Intensive care Maternity and paediatrics Geriatrics AIN Rehabilitation (01) Centre hospitalier HAUTEVILLE Convalescence chph.org d’Hauteville LOMPNES Geriatrics Addictions
General medicine Centre hospitalier du www.ch-hautbugey.fr OYONNAX Surgery Haut Bugey Maternity unit
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Approved Private Hospitals in Switzerland
Note: this list is exhaustive i.e. only the private hospitals listed below are approved.
Hospital, clinic or medical Canton Website Location(s) Activity Areas network (prefix with www.)
General healthcare services Clinique beaulieu.ch CHAMPEL Surgery GENERALE BEAULIEU Maternity General healthcare services Clinique des GRANGETTES grangettes.ch CHENE-BOUGERIE Surgery Maternity Surgery Dermatology Gastroenterology Clinique LA COLLINE lacolline.ch GENEVA Gynaecology Orthopaedics Urology GENEVA Psychiatry Convalescence Clinique de www.clinique- CHATELAINE Medical or surgical treatment MAISONNEUVE maisonneuve.ch follow-up Clinique du GRAND https://www.grand- Psychiatry VEYRIER SALEVE saleve.ch/ Convalescence and oncology General healthcare services Surgery Maternity Hôpital de LA TOUR la-tour.ch MEYRIN Gynaecology Cardiology Sports medicine Functional rehabilitation Clinique BOIS-BOUGY bois-bougy.ch NYON Convalescence Geriatrics VAUD Cardiovascular rehabilitation Functional rehabilitation Clinique LA LIGNIERE la-ligniere.ch GLAND Psychiatry Internal medicine Psychiatry Clinique LA METAIRIE lametairie.ch NYON Psychotherapy Addictions GENOLIER GENOLIER, FRIBOURG, Multiple Various, depending on Swiss Medical Network genolier.net NEUCHÂTEL, SION and locations location (GSMN)3 others
3 Clinics of the GSMN : Clinique de Genolier (VD), Clinique de Montchisi (VD), Clinique de Privatklinik Valmont (VD), Clinique Générale St-Anne (FR), Clinique de Valère (VS), Hôpitale de la Providence (NE), Obach (SO), Privatklinik Villa Im Park (AG), Privatklinik Bethanien (ZH), Privatklink Lindberg (ZH), Clinica Sant’Anna (TI), Clinica Ars Medica (TI).
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Approved Private Hospitals in France (local area only)
Note: in France, most private hospitals are approved, as they have a tariff agreement with the national security scheme and applies similar tariffs to CHIS members. The list below is therefore not exhaustive and lists only some agreed private hospitals in the local area. Please contact UNIQA to know the status of any hospital not in this list.
Hospital, clinic or medical Department Website Location(s) Activity Areas network (prefix with www.)
General healthcare services Surgery Clinique Générale clinique-generale.net ANNECY Maternity and paediatrics d’Annecy Oncology Radiology
Surgery Clinique d'Argonay generale-de-sante.fr PRINGY Medicine HAUTE-SAVOIE (74) General healthcare services Surgery Hôpital Privé Pays de Intensive care generale-de-sante.fr ANNEMASSE Savoie Maternity and paediatrics Ophthalmology Gastroenterology
Clinique des Vallées cdv-inicea.fr VILLE-LA-GRAND Psychiatry
AIN General healthcare services Clinique Dr. Convert clinique-convert.fr BOURG-EN-BRESSE (01) Surgery
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Preferred outpatient care providers In France and Switzerland
Note: CHIS Members benefit from a tariff agreement.
Area Name of the provider Website Location(s) Activity Areas (prefix with www.)
Ophthalmology, including GE Clinique de l'Œil - Onex monoeil.ch ONEX outpatient surgery
Centre Chirurgical de l'Œil - Ophthalmology, including VD monoeil.ch LAUSANNE Lausanne outpatient surgery
All ophthalmologic care, Hôpital ophtalmique Jules- VD ophtalmique.ch LAUSANNE including emergency service Gonin (CHUV) Refractive surgery
Health care services, Policlinique médicale VD pmu-lausanne.ch LAUSANNE including emergency universitaire (PMU) consultations
Outpatient surgery Permanence Médico- Health care services, GE Chirurgicale de gmed.ch GENEVA including emergency Chantepoulet consultations
GE, VD, and PLAN LES OUATES Nursing services at home SITEX sitexsa.ch nearby France LAUSANNE Hospitalisation at home
GE and Healthcare dispensed at PRESTISERVICES presti-services.ch VESSY nearby France home
GENEVA (5) Switzerland UNILABS unilabs.ch VAUD (6) Laboratory analyses elsewhere (13)
Fondation Vaudoise pour le VD brust-screening.ch LAUSANNE Breast cancer screening Dépistage du Cancer du Sein
Fondation Genevoise pour le GE brust-screening.ch GENEVA Breast cancer screening Dépistage du Cancer du Sein
Long-term care home with AIN (01) Le Clos Chevalier lecloschevalier.com ORNEX Alzheimer and short-stay units
Fondation Genevoise pour le GE swisscancerscreening.ch GENEVA Colorectal cancer screening Dépistage du Cancer
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Preferred outpatient care providers In France and Switzerland
Note: CHIS Members benefit from a tariff agreement.
Area Name of the provider Website Location(s) Activity Areas (prefix with www.)
GE Medical Center GENEVA Multidisciplinary www.magellan.ch VD Magellan VAUD medical practices
GE Pure Clinic VERSOIX Multidisciplinary VD Centre médical et https://pureclinic.ch/ MARTIGNY medical practices VS dentaire elsewhere
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Approved pharmacies In France and Switzerland
Note: Members undergoing treatment involving exceptionally expensive pharmaceutical expenses may benefit from a direct payment agreement between CERN and certain pharmacies. Please contact UNIQA directly for further information.
Name of the Website Area Location(s) Activity Areas provider (prefix with www.)
AIN Pharmacie de la pharmaciedelapoterie.epharmacie.pro/ FERNEY-VOLTAIRE Pharmacy (01) Poterie
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