General Reimbursement Rule defines the reimbursement rates according to the costs borne by the insured member* (referred to hereinafter by the French acronym FCA) cumulated by the Member over a calendar year.
Reimbursement rates are the following:
| Cumulated Costs Borne by the Member (FCA) | Reimbursement rate |
|---|---|
| up to 500 CHF inclusive | 80% |
| over 500 CHF up to 3 000 CHF inclusive | 90% |
| 3 000 CHF | 100% |
*FCA represents the part of the expenses not reimbursed by the CHIS, up to the applicable ceiling if relevant, for the benefits covered by the General Reimbursement Rule.
FAQ category