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Individual product details: Benefits overview and contractual provisions.
Supplementary outpatient insurance protects patients from high medical expenses. It is voluntary and covers supplementary methods of treatment and investigation that are not covered, or only partially covered, by basic health insurance. For example, the costs of alternative medicine or contributions to gym membership or glasses.
Our supplementary outpatient insurance offers three different models: ACTIF, PLUS und COMPLET. Each model includes different benefits that take account of your personal preferences.
Good to know: About 90 percent of our customers opt for COMPLET.
Summary of our Healthcare products. Detailed information on benefits can be found in the benefits overview.
Under our supplementary outpatient insurance, we refund the following benefits to you in accordance with the applicable General Insurance Conditions (GIC) and Supplementary Insurance Conditions (SIC):
Maximum cost share:
for prescription glasses or contact lenses.
Note: Children and young people up to the age of 18 receive a contribution to their prescription glasses or contact lenses through their basic health insurance.
| Recognized forms of health promotion/sporting activities | Annual reimbursement | |
Gym membership lasting at least six months, as long as the provider is listed in the Fitness center search. The gym membership must start after the insurance commences. |
ACTIF COMPLET |
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| Sports clubs (Active membership of a sports club for “Olympic sports”, floorball and/or orienteering), annual swimming and climbing memberships | ACTIF COMPLET |
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| Exercise classes from certified providers listed in the Fitness Guide (in German) or certified by Qualicert or Qualitop (both in German). Swimming schools must be recognized by aQuality or Swiss Aquatics. | ACTIF COMPLET |
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| Maximum amount reimbursable per year for the above activities | ACTIF COMPLET |
Maximum cost share:
for benefits provided by psychotherapists without basic insurance registration.
Notes:
Maximum cost share:
This subsidizes the costs of preventive and health-promoting treatment from recognized psychologists to improve mental health. Members of the following professional associations are recognized by AXA:
You will find members of the associations here:
Note: In the event of mental illness, the benefits are provided under mandatory basic insurance and cannot be covered by AXA.
Therapies – maximum cost share:
for therapies recognized by AXA.
Medical massages – maximum cost share:
for medical massages recognized by AXA.
Note: Treatments must be carried out by:
All specialists recognized by AXA can be found in the Therapist search.
Supplementary outpatient insurance closes key gaps in basic health insurance cover. After all, compulsory health insurance covers only a portion of outpatient benefits.
Benefits typically included in supplementary outpatient insurance are costs of preventive examinations and complementary medicine, and of glasses, contact lenses, gym membership, and medical massages.
Outpatient treatment means procedures for which you do not have to stay overnight in a hospital. With inpatient treatment, you spend at least one night in a hospital. Supplementary outpatient insurance therefore covers services provided outside of the hospital environment.
The cost of inpatient treatment that is not covered by basic health insurance can be insured under supplementary hospital insurance.
We pay a share of the cost of various alternative healing methods, including those provided by naturopaths.
Find out more in our list of recognized therapeutic methods of complementary medicine.
Complementary or alternative medicine often helps when conventional medicine can go no further. We present the five most popular methods and explain when they can help and which ones health insurers will pay for.
Psychological problems? We can help – from finding the right expert to preparing for your first consultation with your doctor or directly with a therapist.
If you start looking into health insurers, you’ll soon come across the words “deductible,” “excess”, and “health insurance premium.” We’re here to explain what you need to know.
