Functional rehabilitation treatments include physiotherapy, kinesitherapy, chiropractic, osteopathy, etiopathy, occupational therapy (ergotherapy), diathermy, ultrasounds, infrared, hydrotherapy, inhalations and fangotherapy.
Podiatry sessions can also be covered if this is approved in advance by our Medical Adviser.
First and foremost, it is imperative to note that for any claim to be considered for reimbursement, the doctor's prescription must specify the following:
- Number of sessions
- Length of suggested treatment
- Should this period exceed 6 months, the treating physician must reassess the treatment after six months and issue a new prescription
Failure to provide this information will result in the claim not being reimbursed.
Functional rehabilitation treatments are reimbursed at 80% up to a maximum of CHF 70.- per session.
The Supplementary Plan is applied only from the 31st session onwards.
Reasonable and customary charges for the medical practitioner’s home visit are reimbursed at 80% if the insured person is unable or cannot leave the premises due to circumstances.
In addition, the following treatments are reimbursed under the same terms and conditions:
- Acupuncture and mesotherapeutic treatments for functional rehabilitation only if performed by a medical doctor
- Long-term functional rehabilitation treatments
Please note that unless otherwise approved by the Medical Adviser a maximum of one session per day will be considered for reimbursement irrespective of ailments, sessions, time duration or cost in any 24-hour period.