Category: Faq
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My Spouse has his/her own primary health insurance. Can I use the CHIS as a supplementary health insurance?
Yes. CHIS serves as supplementary insurance for those who are members of another adequate primary health insurance scheme. (e.g. Swiss LAMal insurance, French social security, etc.). If the reimbursement under another primary insurance scheme is subject to an annual deductible, the deductible is not reimbursed by the CHIS. Where medical expenses have been partly paid…
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What is a primary health insurance?
A primary health insurance Scheme is any Health Insurance provided by the national system of a Member State of the Organisation (e.g. Swiss LAMal insurance, French social security, etc.). It can also be the health insurance provided by an international organisation based in Switzerland. These primary health insurances are considered adequate if it cover the…
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In which cases do I need prior approval or opinion from the Third-Party Administrator?
You need a prior approval by the Third-Party Administrator for: For all these benefits, it is necessary to submit a written request for prior approval to the Third-Party Administrator, UNIQA, at least 14 calendar days before the medical expenses are incurred, except in the case of cures and convalescence cures where the notice period is…
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What is the LAA accident insurance?
Any person performing a salaried activity for more than 8 hours a week in Switzerland is covered by an accident insurance (LAA) scheme, which covers damage sustained in the event of an illness or accident of an occupational or private nature. LAA insurance provides more comprehensive coverage of occupational and private accidents than the CHIS.…
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My spouse’s income or pension is originally expressed in a currency other than the Swiss franc. In which currency should I report his income?
You must declare the income or pension in the original currency. You can declare several amounts in different currencies by adding an income source (e.g. an income and a subsistence allowance). The official exchange rate in force at CERN on the effective date of your declaration will be used to produce the conversion into Swiss…
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My spouse is an Associate Staff Member (MPA). What income should I report?
For spouses who are associated members of the personnel, it is therefore necessary to declare the income received from the home institute, as well as any subsistence allowance paid during the period of association with CERN. The various incomes must be declared in a single document.
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I am a Technical, doctoral or administrative student. Do I have a medical insurance with CERN?
Membership of the CERN health insurance scheme (CHIS) is compulsory* for technical, doctoral or administrative student. CHIS provides for reimbursement of a major portion of reasonable and customary expenses resulting from medical treatment within the conditions specified in its Rules, incurred by its Members. *Unless the students are subject to compulsory health insurance in Switzerland…
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I am leaving CERN, and I am a beneficiary of a deferred pension. Can I remain a member of the CHIS ?
You may remain a Main Member of the CHIS for an indefinite period if you submit your application to the Third-Party Administrator UNIQA Office at CERN within 30 calendar days of the end of your contract. UNIQA will inform you about the monthly contribution. However, if you choose not to remain a Main Member of…
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Is there a time limit for submitting claims for reimbursement of medical expenses?
Yes, the time limit is twelve (12) months . Indeed, claim for reimbursement of medical expenses must be submitted within 12 months from the date of emission on the invoice. However, we advise you to submit your claims for reimbursement of high medical expenses without delay in order to facilitate the checks carried out (correct…
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Do I need a medical prescription to receive a treatment by medical auxiliaries?
Yes. Acts performed by medical auxiliaries: nurses, physiotherapists, psychologists, speech therapists, etc., must be performed in accordance with a medical prescription. However, acts performed by osteopaths, etiopathy therapists and chiropractors may be reimbursed without a medical prescription, up to a maximum of five sessions per calendar year. To find out more about treatment covered by…