Pregnancy and baby: enter a new phase with confidence and security!
Pregnancy brings with it a mix of emotions: great excitement about the future, with some worries thrown in. Questions arise, including when you are arranging insurance. Sympany wants you to enjoy your pregnancy in the most carefree way possible.
Benefits and cost contribution: mothers have special rights
Mums-to-be don't pay any franchise or deductible for a whole range of benefits at Sympany. During a normal pregnancy, birth and the mother's recovery period, basic insurance pays the statutory maternity benefits. These include
- seven check-ups
- two ultrasounds
- a contribution towards antenatal courses
- obstetrics by a doctor and midwife at home or in hospital
- breastfeeding support
- and hospital care for healthy newborns.
From the 13th week of pregnancy until eight weeks after the birth, no cost contribution is charged for illness-related treatments either (including complications). For pregnant women aged 35 and over, we pay for an amniocentesis.
An exclusive benefit for mothers and children: No matter which Sympany basic insurance model you choose, you can always contact your gynaecologist or paediatrician directly – no need for a referral.
Supplementary benefits? Best to plan early
If you want to have children, it's best to plan your personal insurance before you fall pregnant, so you can cross it off the to-do list. This is particularly important if you want a high level of cover under supplementary insurance because, during pregnancy, it is not usually possible to obtain higher insurance protection. Important information: supplementary insurance operates a waiting period of 270 days for insurance benefits arising from treatments relating to pregnancy.
The baby has arrived. Congratulations!
In the supplementary insurance, the premium for your newborn will be free in the month of birth. Insurance cover starts from birth. In addition, newborns receive a discounted premium for basic insurance.
Our recommendation for mothers
When planning a family, consideration should also be given to insurance. Basic insurance can only be changed in specific time frames. If you want to take advantage of supplementary benefits for mothers, you must take out the supplementary insurance before you are pregnant. Sympany recommends the following products:
casamed family doctor
The basic insurance where your family doctor becomes your most trusted adviser.
plus supplementary protection
Contributions for preventative measures, alternative medicine and medications not covered by statutory insurance.
hospita flex
Supplementary hospital insurance: when you’re admitted, you choose the general, semi-private or private ward.
FAQs
Should I register my baby with Sympany before the birth?
This isn't necessary. Sympany guarantees parents that their baby will be accepted unconditionally onto the well-established supplementary insurance plans hospita general, plus, dental, capita illness and capita accident without a risk assessment for up to three months after birth.Want more? If you would like higher insurance cover for your baby, you should register your child before the birth.
I am pregnant. Can I adjust my insurance protection?
In principle, you can adjust your insurance protection during pregnancy. However, for supplementary insurance there is a waiting period of 270 days for insurance benefits arising from treatments relating to pregnancy. Please therefore take out the insurance you require early on, to avoid any gaps in your cover.
How do I go about obtaining the breastfeeding allowance?
After ten weeks of breastfeeding, Sympany pays a breastfeeding allowance of CHF 250. The breastfeeding allowance is paid automatically when supplementary outpatient insurance is taken out with Sympany. Sympany also pays for three breastfeeding support sessions under the basic insurance. Hire of a breast pump is also reimbursed at the statutory rates. Your first check-up after the birth is deemed to be a pregnancy-related benefit. Tip: Always check that your doctor has written “maternity” on the invoice. If not, write it on yourself.
Money-saving tips that add to the pot
Multi-year discount – 10%
Enjoy a 10% discount on outpatient and supplementary hospital insurance when you take out a three-year insurance policy. Valid for new policies and when switching to a model with higher insurance cover.
Premium exemption from the third child
For the third and each child thereafter, supplementary medical insurance is free up to the age of 18 if both older siblings are under 26, hold at least the same level of cover at Sympany and share the same household. The premium exemption does not apply to the capita illness product.
Premium reduction
Individuals and families on a low income are entitled to a reduction in their health insurance premiums in their canton of residence. Read more >
Family discount – up to 30%
Children under the age of 19 are eligible for the family discount if one parent has at least the same level of cover as the child and shares the same household. The family discount is granted on supplementary medical insurance.
Children’s discount – up to 75%
Sympany grants children and young people under the age of 19 a basic insurance premium discount of up to 75%.
Get a discount
Sympany awards a discount to customers who pay their yearly or six-monthly premium in advance. Customers enjoy a 2% discount when paying yearly and a 1% discount when paying every six months.
If you pay your yearly or six-monthly premium in advance, Sympany can reduce the processing time and save on administrative costs. We pass this saving directly onto you as a discount.
Please contact our Customer Services if you would like to receive a discount by paying your premium on a yearly or six-monthly basis in future.
Our premium-saving models
Sympany offers you five different models for your basic health insurance for you to choose from. In the case of these Managed Care models, always get in touch with a pre-determined contact first when you’re ill, for example a pharmacist, your family doctor, the HMO practice or the Medgate telemedical centre.
If you choose a Managed Care model, you will receive a discount so that you pay much less in premiums than for the free choice of doctor model:
- Pharmacy model casamed pharm, up to 15% discount
- Telemedicine model callmed 24, up to 14% discount
- HMO model casamed hmo, up to 17% discount
- Family doctor model casamed family doctor, up to 12% discount
- Telemedicine/HMO model flexhelp24, up to 17% discount (only available with Kolping Krankenkasse AG)
Increase your franchise
This is the amount that you have to pay from your own pocket for your healthcare every year. The health insurance pays 90% of the expenditure above this amount, while your excess is 10%.
The excess is prescribed by law and is up to CHF 700 per year for adults or CHF 300 per year for children.
You choose your own franchise. The rule is: the higher the franchise, the lower the premium. Our tip: choose a franchise that you can easily pay at any time together with the excess.
You have a choice of the following franchises:
| Adults | |||||
|---|---|---|---|---|---|
| 300.– | 500.– | 1'000.– | 1'500.– | 2'000.– | 2'500.– |
| Children* | |||||
| 0.– | 200.– | 400.– | 600.– | ||
* Vivao Sympany AG, Kolping Krankenkasse AG