Helsana supplementary insurance and your preventive check-up
Helsana doesn’t reimburse preventive check-ups today. Check your own package in two minutes, and see which Swiss insurers do.
Assura
Atupri
AXA
Concordia
CSS
EGK
Groupe Mutuel
Helsana
KPT
ÖKK
Sanitas
SWICA
Sympany
VisanaYour journey to preventive healthcare gets easier from here
Get a personalized estimate
Submit your details to receive a clear estimate of your Helsana coverage.
Book your check-up
Pick a time and location that suit you to schedule your preventive check-up.
Receive your health report
Complete your check-up to get a detailed report along with your invoice.
Submit your invoice
Send the invoice to Helsana to be reimbursed for what’s covered.
Helsana’s supplementary packages
What each package pays back towards a preventive check-up. Reimbursement always depends on your individual policy, so use the checker above to see your own figure.
Helsana TOP
TOP is the entry point to Helsana’s supplementary outpatient cover. It sits on top of basic insurance and closes the everyday gaps: medicines that aren’t on the statutory lists, contributions towards spectacles and contact lenses, psychotherapy, health-promoting measures such as gym memberships, and rescue, transport and treatment costs abroad.
Helsana SANA
SANA is the complementary-medicine package. Alongside outpatient benefits it covers recognised alternative treatments, plus extras around pregnancy and preventive care that basic insurance leaves out. Members who work with a naturopath, osteopath or TCM practitioner usually hold SANA rather than TOP.
Helsana COMPLETA
COMPLETA combines the benefits of TOP and SANA, in several cases with more generous reimbursements: medical aids, spectacle lenses and contact lenses, treatments abroad including non-contract practitioners, and preventive measures such as check-ups. It is Helsana’s broadest single outpatient package and the one most members hold.
Helsana COMPLETA PLUS
COMPLETA PLUS is an extension that can only be taken out together with COMPLETA. It widens the same scope of cover with additional cost contributions for prevention, complementary medicine, spectacles and health promotion, so the ceilings you run into on COMPLETA move up.
Helsana PRIMEO
PRIMEO, taken out in combination with COMPLETA, is the package aimed at medical innovation and check-ups. It brings free choice of doctor for outpatient procedures, comfort benefits at recognised partner clinics, and contributions towards innovative diagnostic methods and preventive examinations.
Real-world examples
CSS
MRI and blood tests up to 50%, capped at CHF 1'000 per calendar year, depending on plan.
KPT Pulse
MRI up to CHF 1'500 per calendar year, depending on plan. Blood tests at 75%, up to CHF 4'000 per calendar year.
Visana
MRI and blood tests up to 90%, capped at CHF 600 per calendar year, depending on plan.
Atupri (Mivita)
MRI and blood tests up to 90%, capped at CHF 500 per calendar year, depending on plan.
AXA
MRI up to 75%, capped at CHF 500 per calendar year. Blood tests up to 75%, capped at CHF 1'000 per three calendar years. Caps vary by plan.
Groupe Mutuel
Up to 90% with prior approval. Request a pro forma to confirm the exact amount with Groupe Mutuel first.
SWICA
Imaging reimbursed per exam: heart CT calcium score CHF 470, breast MRI CHF 800, DEXA scan CHF 100. Full-body MRI is not covered. Blood tests up to CHF 150 per calendar year, including as part of a full-body check-up.
EGK-SUN
CHF 200 each towards Advanced MRI, Pro MRI and blood tests, per calendar year. Core MRI is not covered.
Ready for your check-up?
One visit. A clear picture. And a plan for what comes next