How an alternative basic insurance model works
Under these models, you forgo a free choice of doctor and always turn to your chosen point of contact first. Thanks to these rules, premiums are cheaper.
Lower premiums, same service and a fixed point of contact. Switching to an alternative model of basic insurance has many advantages and comes with a few rules.
Under these models, you forgo a free choice of doctor and always turn to your chosen point of contact first. Thanks to these rules, premiums are cheaper.
You pay less in premiums, but there are a few restrictions attached. Here’s what happens if you go directly to another doctor, fail to report an emergency or don’t opt for generic medicine.
Does the person treating you (e.g. doctor, physiotherapist) want to refer you? Then ask your chosen medical practice or the telemedicine centre. This approval is necessary and will be passed on to CSS. Only then are we able to cover the costs. Who you should contact may vary depending on your basic insurance.
Are you chronically ill? Then your chosen medical practice or the telemedicine centre may issue an approval for an extended period of time – ensuring you receive the best support from the right professional.
For emergency treatment, please contact your chosen doctor's practice. If it cannot be reached, contact an emergency practice or hospital directly. Inform your contact person of the emergency treatment within 10 days.
You can also go directly to an eye doctor, gynaecologist, dentist or midwife. If a generic is available, your doctor will prescribe it whenever possible.
Go directly to your family doctor
All the benefits of a doctors’ network
Advice digitally or by phone
Ideal for high medical bills