Hospital list: hospitals without a tariff contract
Before your planned hospital stay, please use our hospital lists to check whether Sympany recognises your hospital or whether a non-contractual situation will affect your supplementary hospital insurance. You can find information about your supplementary hospital insurance and the special conditions that apply for you in your policy. You can find your policy in mySympany.
Answers to the most frequently asked questions can be found below.
What are “unrecognised hospitals”?
If you have private or semi-private supplementary hospital insurance from Sympany, you can be treated in any hospital in Switzerland – provided we have concluded a tariff contract with them. Unfortunately, tariff negotiations sometimes break down and we are temporarily unable to conclude a tariff contract with some hospitals. If this is the case, Sympany does not recognise these hospitals and we may not cover the costs of stays in these hospitals, or only cover part of the costs.
Maximum tariff list
For inpatient treatment in the semi-private ward of the following hospitals, Sympany only covers costs up to a certain upper limit. This applies exclusively to insured persons with the following supplementary hospital insurance policies:
- hospita semi-private and hospita flex semi-private with a policy start date before 1 January 2022 (the Special Terms and Conditions 2021 apply)
- private supplement for inpatient treatment
- flex kolping
- kombi
| Canton | Hospital |
|---|---|
| AR | Berit Klinik |
| Klinik Gais | |
| Spital Herisau SVAR | |
| BE | Inselspital, Bern (area of rehabilitation) |
| Spital Belp | |
| BS | Universitäre Psychiatrische Kliniken Basel |
| GE | Clinique Genevoise de Montana |
| Clinique de Joli-Mont | |
| Hôpital Beau-Séjour | |
| Hôpital de la Tour (the additional medical services provided by the affiliated doctors are remunerated in accordance with the contractual agreement) | |
| Hôpital des Trois Chênes | |
| JU | HJU - Hôpital du Jura |
| Unités jurassiennes de psychiatrie hospitalière | |
| LU | Cereneo Schweiz Weggis |
| SH | Psychiatriezentrum Breitnau |
| Spitäler Schaffhausen | |
| TG | Klinik Seeschau |
| TI | Clinica Fondazione Varini |
| Ospedale Malcantonese | |
| VD | Clinique La Source (the additional medical services provided by the affiliated doctors are remunerated in accordance with the contractual agreement) |
| Fondation Rive-Neuve | |
| ZH | ADUS Klinik |
| Privatklinik Schlössli | |
| Uroviva Klinik |
You will find the details of your supplementary hospital insurance on your policy and in mySympany.
Negative list
Sympany cannot assume any costs for inpatient treatment in the private and semi-private wards of the following hospitals. This applies exclusively to insured persons with the following supplementary hospital insurance with a policy start date from 1 January 2022 (the Special Terms and Conditions 2022 apply):
- hospita comfort
- hospita flex
- hospita global
- hospita private
- hospita private accident
- hospita semi-private
| Canton | Hospital | Category |
|---|---|---|
| AR | Berit Klinik | Listed on the cantonal list of hospitals |
| Klinik Gais | Listed on the cantonal list of hospitals | |
| Spital Herisau SVAR | Listed on the cantonal list of hospitals | |
| BE | Inselspital, Bern (area of rehabilitation) | Listed on the cantonal list of hospitals |
| Spital Belp | Listed on the cantonal list of hospitals | |
| BS | Universitäre Psychiatrische Kliniken Basel | Listed on the cantonal list of hospitals |
| GE | Clinique Genevoise de Montana | Listed on the cantonal list of hospitals |
| Clinique de Joli-Mont | Listed on the cantonal list of hospitals | |
| Hôpital Beau-Séjour | Listed on the cantonal list of hospitals | |
| Hôpital de la Tour (the additional medical services provided by the affiliated doctors are remunerated in accordance with the contractual agreement) | Listed on the cantonal list of hospitals | |
| Hôpital des Trois Chênes | Listed on the cantonal list of hospitals | |
| JU | HJU - Hôpital du Jura | Listed on the cantonal list of hospitals |
| Unités jurassiennes de psychiatrie hospitalière | Listed on the cantonal list of hospitals | |
| LU | Cereneo Schweiz Weggis | Listed on the cantonal list of hospitals |
| SH | Psychiatriezentrum Breitnau | Listed on the cantonal list of hospitals |
| Spitäler Schaffhausen | Listed on the cantonal list of hospitals | |
| TG | Klinik Seeschau | Listed on the cantonal list of hospitals |
| TI | Clinica Fondazione Varini | Listed on the cantonal list of hospitals |
| Ospedale Malcantonese | Listed on the cantonal list of hospitals | |
| VD | Clinique La Source (the additional medical services provided by the affiliated doctors are remunerated in accordance with the contractual agreement) | Listed on the cantonal list of hospitals |
| Fondation Rive-Neuve | Listed on the cantonal list of hospitals | |
| ZH | ADUS Klinik | Listed on the cantonal list of hospitals |
| Privatklinik Schlössli | Listed on the cantonal list of hospitals | |
| Uroviva Klinik | Listed on the cantonal list of hospitals |
Not affected are:
- inpatient treatment in the general ward of a hospital on the cantonal list of hospitals
- outpatient treatment
- the above-mentioned supplementary hospital insurances with a policy start date before 1 January 2022 (the Special Terms and Conditions 2021 apply)
- all other supplementary hospitalisation insurances
You will find the details of your supplementary hospital insurance on your policy and in mySympany.
Additional medical services in affiliated hospitals
Sympany covers the supplementary insurance benefits provided by affiliated doctors if they have joined a billing model recognised by Sympany and have concluded a collective agreement with Sympany.
If affiliated doctors have not concluded a collective agreement with Sympany, costs may not be covered or may only be covered in part. Please obtain information before planning a hospital stay.
Hospitals without cost coverage
Sympany does not cover the costs of hospitals that are not on any cantonal list of hospitals or that are not contractual hospitals. Neither from basic nor supplementary insurance:
| Canton | Hospital | Category |
|---|---|---|
| GE | Nouvelle Clinique Vert-Pré | Not on the cantonal list of hospitals |
| VD | Clinique La Prairie | Not on the cantonal list of hospitals |
| Laclinic Montreux | Not on the cantonal list of hospitals | |
| Clinique Bon Port Biotonus | Not on the cantonal list of hospitals | |
| Clinique MV SANTÉ Beaumont SA | Not on the cantonal list of hospitals |
Questions and answers about hospitals without a tariff contract
The term “additional benefits” refers to all benefits in excess of the benefits offered by basic insurance. They are divided into three categories:
- Additional clinical services: for example, free choice of hospital throughout Switzerland, free choice of appointment (preferred appointment), flexible treatment planning, individual visiting times, expanded range of medications and therapies, additional care services, etc.
- Additional medical services: free choice of doctor (e.g. chief physician, senior physician, attending physicians), longer ward rounds, etc.
- Hospitality/comfort: larger selection of menus, mini bar, TV, transport services, parking space, wellness services, etc.
Like all health insurance providers, Sympany regularly holds tariff negotiations with all hospitals. The services and the costs for additional benefits vary from hospital to hospital. We take a close look at what services a hospital offers and whether the price is justified. The quality, service and price must be right for our policyholders – and billing must be transparent.
Sometimes our price expectations are too far apart or the prices requested for the additional benefits in the private and semi-private ward are not justified or incomprehensible. In this case, no tariff contract will be concluded until we can reach an agreement. Non-contractual status is the last step, which we and the hospitals both want to avoid as far as possible. But there's a lot of money at stake, namely your premiums. That is why we are committed to ensuring that prices are fair.
It’s hard to predict. One thing is certain: both the hospitals and Sympany will want to end the non-contractual situation as soon as possible. However, as tariff negotiations fail because the parties have very different ideas about price, it can take several months to find a solution.
If no collective agreement is concluded with a large, important hospital that lots of our policyholders visit, we will proactively inform our customers.
In most cases, however, this will be what happens: In the case of planned hospital stays, the hospital will get an approval of coverage from Sympany in advance. If you would like to go to one of the planned hospitals, we will of course inform you of the non-contractual situation.
You have several options:
- We can help you find another suitable hospital.
- You can choose a general ward instead of a semi-private/private ward.
- You cover the additional costs yourself.
As a rule, you will have received an approval of coverage from Sympany before you are admitted to hospital. This will, of course, still be valid. If you do not have an approval of coverage or if you are not sure, please contact us.
Don’t worry – you will get all the medical services you need in hospital. Basic insurance covers the costs and the stay in the general ward (minus co-payment).
Good to know: The hospitals are obliged to inform you of the non-contractual situation. You can then decide whether you will stay on a general ward or whether you want to cover the additional costs for the semi-private or private ward yourself.
