After an insured event

Prepare a claim file: healthcare and health insurance

Reimbursement depends on the type of cover, insurance model and records reviewed by the insurer. This page provides no medical advice; it only helps preserve documents and a timeline without exposing health data.

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Careful immediate steps

  1. In a medical emergency, contact the appropriate health professionals or emergency services first and follow their instructions.
  2. Identify without assuming whether basic, supplementary, accident insurance or several bodies may be involved.
  3. Keep originals, make working copies and record a neutral timeline of treatment, bills and contacts.

Temporary checklist

Records to gather without sending them here

Tick what you have prepared. The list stays on this screen and does not establish any entitlement.
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Start with records already available.

Records to gather without sending them here

Facts to preserve

  • Dates and place of care and the provider involved
  • Illness or accident as recorded in documents, without interpretation
  • Amounts billed, paid and already reimbursed
  • Timeline of requests and replies received

Check in the policy

  • Model rules for the first point of contact or referral
  • Basic, supplementary or accident cover actually being claimed
  • Deductible, co-payment and possible policy limits
  • Prior approval, treatment abroad and applicable exclusions

Important limitation

Never delay necessary care to complete a file. Do not publish medical records here. The insurer decides under the law, policy and information it is lawfully entitled to review.

Official sources

ClairAssur.ch

Prepare future cover

The checklist organises the current event. A separate comparison can review future needs without changing how the current claim is handled.

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