What is the reimbursement rule for hospitalisation?
On a general ward in a public hospital, 100% of the costs will be reimbursed.
The costs of hospitalisation on a semi-private ward in an approved clinic or a public hospital will be covered in accordance with the General Rule.
In a non-approved clinic, 80% of the costs will be reimbursed, with no limit on the costs borne by the member (no FCA accumulation).
In all cases, the supplement for a private ward is borne by the member.
| Establishment | |||||
|---|---|---|---|---|---|
| Common division (cantonal hospitals) | Semi-private division | Private division | Semi-private division | Private division | |
| Choice of practitioners (surgeon, obstetrician) | No | Yes | Yes | Yes | Yes |
| Number of beds | 2 to 8 beds | Max. 2 beds | 1 bed | Max 2 beds | 1 bed |
| Reimbursement of medical treatment costs | 100% | General Rules | General Rules | 80% | 80% |
Semi-private | Not applicable | General Rules | General Rules | 80% | 80% |
| Private accommodation (1st class) | Not applicable | Difference between 2nd and 1st class at member's sole expense | Not applicable | Difference between 2nd and 1st class at member's sole expense |