FAQ
General questions
If the information needed cannot be found on these pages, please contact:
- The Third-Party Administrator uniqa@cern.ch, if you have questions concerning the application of the CHIS Rules,
- The CHIS manager at chis.manager@cern.ch, if you have remarks or suggestions on general CHIS policy.
Initially, ask for an explanation from UNIQA or from the CERN Administration, depending on who made the challenged decision.
If you are not satisfied by the explanation, try to reach an amicable settlement of the dispute in accordance with the provisions of Chapter XIV section 2 of the CHIS Rules.
Only if the procedure of amicable settlement has failed, can an appeal procedure be opened.
The procedure for settlement of dispute is detailed in Chapter XIV of the CHIS Rules.
Your insurance number is printed on the front of your insurance card. This number also corresponds to your CERNid and consists of 5 or 6 characters, plus an extension:
CERNid followed by .0 = Principal Member (xxxxxx.0)
CERNid followed by .20 = Spouse (xxxxxx.20)
CERNid followed by .1 = 1st child (xxxxxx.1)
CERNid followed by .2 = 2nd child (xxxxxx.2)
CERNid followed by .3 = 3rd child (xxxxxx.3) ...
You can also find your CERNid on your CERN access card above the expiration date.
In Switzerland, the difference lies in the accommodation and the doctors who will take care of you.
On a general ward, you will stay in a room with several beds (between two and eight), depending on availability. You cannot choose your medical practitioners (surgeon, obstetrician, etc.). In the case of public hospitals, the CHIS reimburses 100% of the costs associated with a stay on a general ward.
On a semi-private ward, you will stay in a room with two beds. You can choose your medical practitioners (surgeon, obstetrician, etc.), provided that they are recognised by the hospital or clinic. In the case of a public hospital or an approved private clinic, the costs of hospitalisation on a semi-private ward are reimbursed by the CHIS according to the General Rule.
The same conditions apply to hospitalisation on a private ward as to hospitalisation on a semi-private ward, but you will stay in a room with one bed and the room supplement will be entirely at your own expense.
Please note that, in a non-approved clinic, 80% of hospitalisation costs will be reimbursed, with no limit on the costs borne by the member (no FCA accumulation).
Establishment | Approved | Not-Approved | |||
---|---|---|---|---|---|
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 |