Prosthetic Appliances, Hearing Aids and Breathing Devices

Prosthetic Appliances (other than Dental)

Subject to Prior Authorization of the Medical Advisor reimbursement is at 80% of the accepted cost estimate accepted by the Executive Committee for consultation with the Medical Adviser. The Supplementary Plan is NOT applicable.

Please note that heal and sole fittings purchased in a pharmacy or a specialized store are NOT reimbursed.

 

Made-to-measure orthopedic arch supports

Reimbursed at 80% subject to a maximum of CHF 200 per annum and limited to one pair per annum, subject to a valid medical prescription. Prior Authorization is NOT necessary and the Supplementary Plan is NOT applicable.

 

Lumbar Support and Joint Support

Lumbar support Belts and neck braces (minerva jackets) as well support appliances for joints are reimbursed at 80% with a maximum ceiling of CHF 300 per item, subject to a valid medical prescription. Prior Authorization is NOT necessary and the Supplementary Plan is NOT applicable.

 

Manual Wheel Chair

Subject to a valid medical prescription expenses are reimbursed at 80% with a maximum ceiling of CHF 3,500 per lifetime. Expenses for purchasing new wheelchairs, after expiration of the CHF 3,500 credit, and repairs are subject to the approval of the medical advisor. The Supplementary Plan is NOT applicable.

 

Hearing Aids

Expenses for hearing aids are reimbursed if and only if the use of the device is certified as necessary by an Otologist.

Since 01.04.2021, Prior Authorization of the Medical Advisor is no more necessary.  Please claim directly with the bill, the audiogram together with the Otologist's prescription.

Reimbursed at 80% of the accepted cost estimate up to maximum ceiling of CHF 2,600 per hearing aid/per ear for ONE appliance every FIVE years.

There is NO reimbursement for costs associated with breakage and replacement.

 

Breathing Device (NCPAP)

Since 01.04.2021 Prior Authorization of the Medical Adviser is no more requested.

The initial trial period is covered at 80% up to a maximum period of 6 months.

Purchase following the trial period, also subject to Prior Authorization, is then reimbursed at 80% with a maximum ceiling of CHF 2,800 every FIVE years.

Please note that maintenance costs for said equipment may be reimbursed, but the amount will be deducted from the five year credit limit.