VEKA (public)

Page tree


1 Insurance card query web service

1.1 Foreword

The insurance card centre offers a query module as a web service containing data from insurers that have given their consent to be included.

The contractual terms and conditions can be found in the licence agreement and the guidelines. The main purpose of this document is to provide a technical overview of the web service.

The web service operates with a single query method. The input parameters comprise XML-coded fields defined in the agreement. The query method returns the response fields (return values) defined in the agreement. Technical descriptions can be found in the appendix to the agreement. The actual data exchange happens in the SOAP body, where data are sent to the insurance card centre and returned in the response structure. In some cases, the request values are copied and supplemented with values from the insurance card centre.

Access to the web server is protected using SSL. The server asks for a client certificate. If no certificate is sent with the request, the query cannot be carried out.

The web service also asks for a user ID and password. The request is only processed if the subject of the certificate matches the user and the user ID and password are correct.
The web service is described in WSDL:

The correct connection parameters and certificate are sent to you separately.

With regard to implementation, it must be borne in mind that no abbreviations are accepted for the namespaces in the body. If abbreviations are used, the web service cannot process the input parameters, so error messages are returned stating that not all parameters have been filled in.

In version 1.2, the field basic_insurance_military_delay (military insurance) was removed because the insurers deemed it unnecessary. 
In addition, the master data tables in section 2.5 as well as section 2.2 and the error messages were expanded 
to include return codes 15 and 16.

A new feature in version 1.3 is that official details from the Central Compensation Office (CCO) are returned, namely the first and last names, date of birth and gender.

The CCO attributes have been placed in their own node as the CCO is the data source, not the insurance card centre. In order to maintain parallel operation, the attributes are still delivered in the same place as before up to 31 December 2015.

A new feature in version 2.0 is the cantonal blacklist. The data source here is the respective canton. The list is only displayed if the service provider making the query is registered with SASIS AG’s list of defaulting premium payers (LSP).

For more information, please see https://www.lsp-online.ch.

The blacklist is always queried in up-to-date  form. No history is kept.

In version 2.1, additional fields for the expanded cover record are included and described in section typeRES_patient.

1.2 Endpoint

The insurance card web service endpoint is as follows:
https://www.versichertenkarte.ch/queryws_1_0/VeKa_Query_1_0.asmx 



1.3 Graphical representation

1.3.1 Request

1.3.2 Response structure



→ Master data are available for the blue cross (see image below):


   

1.3.3 Example of a complete SOAP request

Request structure

Response structure

<soap:Envelope xmlns:soap="http://www.w3.org/2003/05/soap-envelope" xmlns:veka="http://www.vekacenter.ch/veka_query/">

                <soap:Header/>

                <soap:Body>

                <veka:VeKa_Request>


                <veka:requestDate>2013-08-13T00:00:00</veka:requestDate>

                   <veka:questioners>

                                <veka:questioners>Abfragedienst-Name</veka:questioners>

                                <veka:user>User-Name</veka:user>

                                <veka:password>********</veka:password>

                                <veka:language>D</veka:language>

                   </veka:questioners>


                <veka:provider>

                                <veka:ZSR>T000001</veka:ZSR>

                </veka:provider>


                <veka:insurance/>   


                <veka:patient>

                                <veka:card_id>80756012340000000527</veka:card_id>


                <!--Behandlungsdatum (Schadensdatum):-->

                                <veka:treatment_date>2013-08-13</veka:treatment_date>


                </veka:patient>

                </veka:VeKa_Request>

  </soap:Body>

</soap:Envelope>

<soap:Envelope xmlns:soap="http://www.w3.org/2003/05/soap-envelope"

xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">

   <soap:Body>

      <VeKa_Response xmlns="http://www.vekacenter.ch/veka_query/">

         <returnCode>0</returnCode>

         <returnMessage/>

         <requestDate>2013-08-13T17:19:48.5267901+02:00</requestDate>

         <request_ID>109783678</request_ID>

         <version>

            <version_no>1.3.0.2</version_no>

            <version_date>2013-03-26T18:15:00+01:00</version_date>

         </version>

         <biller/>

         <provider>

            <ZSR>T000001</ZSR>

         </provider>

         <patient>

            <validFrom>2009-01-01T00:00:00</validFrom>

            <validUntil>2014-06-30T00:00:00</validUntil>

            <cardValidFrom>2009-01-01T00:00:00</cardValidFrom>

            <cardValidUntil>2014-06-30T00:00:00</cardValidUntil>

            <language>D</language>

            <insurance>

               <ean_party>7600000000000</ean_party>

               <BAG_insurance_id>1234</BAG_insurance_id>

               <name>sanacur (Testversicherer)</name>

               <description>Servicecenter</description>

               <phone>012 345 67 89</phone>

               <e_mail>info@sanacur.ch</e_mail>

               <name1>Irgendeine Versicherung</name1>

               <name2/>

               <address>

                  <street>Strasse 1</street>

                  <postbox>Postfach. 1234</postbox>

                  <zip>8099</zip>

                  <city>Zürich</city>

                  <countrycode>CH</countrycode>

               </address>

               <dateofimport>2010-03-03T18:29:59.783</dateofimport>

            </insurance>

            <basicData>

               <card_id>80756012340000000527</card_id>

               <assured_id>52</assured_id>

               <unique_id>7569999999472</unique_id>

               <familyname>Devon</familyname>

               <givenname>Ann</givenname>

               <birthdate>1987-02-14T00:00:00</birthdate>

               <gender>female</gender>

               <address>

                  <street>Sonnenpark 20b</street>

                  <postbox/>

                  <zip>8051</zip>

                  <city>Zürich</city>

                  <countrycode>CH</countrycode>

               </address>

            </basicData>

            <KVG>

               <basic_insurance>

                  <Code>1</Code>

                  <Text>Deckung OKP gems KVG</Text>

               </basic_insurance>

               <basic_insurance_model>

                  <Code>1</Code>

                  <Text>Standard-Modell gemäss KVG</Text>

               </basic_insurance_model>

               <basic_insurance_description/>

               <basic_insurance_region>ZH</basic_insurance_region>

               <basic_insurance_accident>

                  <Code>0</Code>

                  <Text>Keine Unfalldeckung gemäss KVG</Text>

               </basic_insurance_accident>

               <basic_insurance_data_locked_insured>false

               </basic_insurance_data_locked_insured>

               <basic_insurance_benefit_delay>false</basic_insurance_benefit_delay>

               <basic_insurance_product>

                  <Code>1</Code>

                  <Text>Testprodukt OKP 1</Text>

               </basic_insurance_product>

            </KVG>

            <drugs>

               <drugs_Hors_Liste>

                  <Code>0</Code>

                  <Text>Keine Deckung für Medikamente gemäss Hors Liste</Text>

               </drugs_Hors_Liste>

               <drugs_Hors_Liste_accident>

                  <Code>1</Code>

                  <Text>Unfalldeckung für Medikamente gemäss Hors Liste</Text>

               </drugs_Hors_Liste_accident>

               <drugs_complementary>

                  <Code>0</Code>

                  <Text>Keine Deckung für Medikamente Komplementärmedizin</Text>

               </drugs_complementary>

               <drugs_complementary_accident>

                  <Code>0</Code>

                  <Text>Keine Unfalldeckung für Medikamente Komplementärmedizin</Text>

               </drugs_complementary_accident>

               <drugs_benefit_delay>false</drugs_benefit_delay>

            </drugs>

            <hospital>

               <hospital_unit>

                  <Code>3</Code>

                  <Text>Private Spitalabteilung VVG</Text>

               </hospital_unit>

               <hospital_model>

                  <Code>30</Code>

                  <Text>Einzelzimmer mit freier Arztwahl</Text>

               </hospital_model>

               <hospital_accident>

                  <Code>0</Code>

                  <Text>Keine Unfalldeckung für Spitalversicherung gemäss VVG</Text>

               </hospital_accident>

               <hospital_benefit_delay>false</hospital_benefit_delay>

            </hospital>

            <vvg_product>

               <Code>1</Code>

               <Text>Prod VVG 1</Text>

            </vvg_product>

            <treatment_date>2013-08-13T00:00:00</treatment_date>

         </patient>

         <ZAS>

                      <official_familynames>Devon-Miller</official_familynames>

            <official_givennames>Annemaria</official_givennames >

            <official_birthdate>1987-02-14T00:00:00</official_birthdate>

            <official_gender>female</official_gender>

         </ZAS>

         <canton>

            <isZsrInBlacklistActive>true</isZsrInBlacklistActive>

            <blacklist>

               <canton_name>SH</canton_name>

               <validFrom>2014-01-01T00:00:00</validFrom>

               <validUntil>2014-01-20T00:00:00</validUntil>

            </blacklist >

            <blacklist>

               <canton_name>TI</canton_name>

               <validFrom>2014-01-05T00:00:00</validFrom>

            </blacklist >

         </canton>

      </VeKa_Response>

   </soap:Body>

</soap:Envelope>



1.4 Web service responses (return values)

All responses that are currently generated are listed below. This list is not fixed; new responses will be added as necessary.

Ok = 0

The query could not be carried out.

NoMatch = 1

No matches

ToMuchMatches = 2

No unique match: please use the 20-digit insurance card number to find a unique match.

NoEnoughInformationForQuery = 4

The request structure has not been filled in correctly (mandatory fields left empty, fields not filled in correctly).

UserDoesntMatchCertificate = 5

The user and certificate do not match.

UserPasswordNotFound = 6

The user ID and password are not correct.

NoCertificate = 7

Login without valid certificate (intercepted by web server)

UserLocked = 8

The user is blocked.

ZSRNotForProvider = 9

The requesting paying agent does not have permission for the certificate.

BAGNrLocked = 10

A match was found, but the ZSR or provider does not have permission from the insurer.

NoFurtherRightsForQuery= 11

No match was found with the current rights.

WrongCity= 12

A match was found, but the town/city entered does not match the one recorded by the insurance card centre.

ZSRNotForUser = 13

The user does not have permission for the requested ZSR number (provider).

CardNotValid = 14

The requested card number was found, but the card is no longer valid (new card issued, card blocked or insurance cancelled).

NewCardInInsurance = 15

The requested card number is no longer active, but an active card number with the same insurer was found.

OtherInsurance = 16

The requested card number is no longer active, but an active card number with another insurer was found.

UnknownError = 999

Unknown error, please see return message (usually a program error)



2 Detailed description of nodes

2.1 Introduction

Since each insurer is responsible for its own data, it is possible that certain information may not be available to certain service providers or may not be supplied by the insurer. Where this is the case, the corresponding nodes are hidden, and this is reflected in the response from the server.

2.2 General data types

Description

Restriction

Contains EAN-number.

String: (20[0-9]{11}|76[0-9]{11})

Description

Restriction

Contains FOPH-number.

Integer von 1 bis 9999

Description

Restriction

Contains card-number.

String, (80756[0-9]{15}|80438[0-9]{15})

Description

Restriction

Contains a character string.

String max. length 2 characters

Description

Restriction

Contains a character string.

String max. length 20 characters

Description

Restriction

Contains a character string.

String max. length 40 characters

Description

Restriction

Contains a character string.

String max. length 100 characters

Description

Restriction

Contains a social security number.

String, (756[0-9]{10})

Description

Restriction

Contains a paying agent register number.

String, ([A-Z][0-9]{6})

Description

Restriction

Contains the query language.

String(1), (D/F/I)

Description

Restriction

Contains the gender.

String, Enumeration (male/female)


2. 3 request of insurance card

2.3.1 Insurance card request structure

Description

Element

Description

requestDate

In this tag the request date is hand over to the client.

questioners

See element «questioners» (typeQRY_questioners)

biller

See element «biller» (typeQRY_biller)

provider

See element «provider» (typeQRY_provider)

insurance

See element «insurance» (typeQRY_insurance)

patient

See element «patient» (typeQRY_patient)



Element

Description

questioners

Request submitted by: provided by insurance card entre

user

User: provided by insurance card centre

password

Password: provided by insurance card centre

language

Response language (D for German, F for French, I for Italian)



Element

Description

ean_party

EAN

ZSR

ZSR

invoice_id

Invoice number

invoice_date

Invoice date



Element

Description

ean_party

EAN

ZSR

ZSR



Element

Description

ean_party

EAN

BAG_insurance_id

FOPH number

name

Name



Element

Description

card_id

Card number from insurance card centre

assured_id

Insurance number

unique_id

Social security number

familyname

Last name

givenname

First name

birthdate

Date of birth

gender

Gender

zip

Postcode of patient’s place of residence

treatment_date

Date treatment started


2. 4 Response of insurance card

2.4.1 Insurance card response structure

Element

Description

returnCode

See “Example of a complete SOAP request – Response structure”

returnMessage

See “Example of a complete SOAP request – Response structure”

requestDate

Date of server request

request_ID

Unique request number

version

Query module version

biller

See “biller” request structure (typeRES_biller)

provider

See “provider” request structure (typeRES_provider) 

patient

See 

  • “patient” request structure (typeRES_patient)
  • “patient/basicData” request structure (typeRES_basicData)
  • “patient/insurance” request structure (typeRES_insurance)
  • “patient/KVG” request structure (typeRES_basic_insurance_KVG)
  • “patient/drugs” request structure (typeRES_drugs)
  • “patient/hospital” request structure (typeRES_hospital)
  • “patient/vvg_zvs” request structure (typeRES_vvg_zvs)

ZAS

Official attributes of the returned OASI number See (typeRES_ZAS)

Restrictions:

  • These attributes are not returned if they are not covered by a contractual agreement.

These data are not provided for roaming requests.

canton


Reports from the canton on the requested OASI number; see (typeRES_canton)

Restrictions:

  • This node is only returned if the service provider has signed up to the LSP reporting process.

Further information is provided under https://www.lsp-online.ch or https://www.sasis.ch.



Element

Description

ean_party

EAN

ZSR

ZSR

invoice_id

Invoice number

invoice_date

Invoice date



Element

Description

version_No

2.0.0.0

version_date

Date of the version



Element

Description

ean_party

EAN

ZSR

ZSR

message

Each insurer can provide any insured person with reports or information in combination with the service provider or its partner type as defined in the SASIS paying agent register.

Element

Description

message_query

Server response for special situations concerning insurance on date in question

validFrom

Date from which cover applies

validUntil

Date until which cover applies

cardValidFrom

Start date printed on insurance card

cardValidUntil

End date printed on insurance card

language

Insured person’s language (D for German, F for French, I for Italian, E for English, R for Romansh)

insurance

Insurance: see (typeRES_insurance)

basicData

Master data: see (typeRES_basicData)

KVG

Basic insurance under Health Insurance Act (HIA): see (typeRES_basic_insurance_KVG)

drugs

Medicines: see (typeRES_drugs)

hospital

Supplementary hospital cover: see (typeRES_hospital)

vvg_zvs

Supplementary insurance under Insurance Contract Act (ICA) with special insurer: see (typeRES_vvg_zvs)

vvg_product

All ICA products insured person has with insurer

treatment_date

Treatment date



Element

Description

message_query

Server response for special situations concerning insurance on date in question

card_id

Card number

assured_id

Insurance number

unique_id

Social security number

familyname

Last name

givenname

First name

birthdate

Date of birth

gender

Gender

Address

Patient's home address: see (typeRES_Address)

official_familynames (up to 31/12/2015)

Official last name(s) according to CCO

official_givennames (up to 31/12/2015)

Official first name(s) according to CCO

official_birthdate (up to 31/12/2015)

Official date of birth according to CCO

official_gender (up to 31/12/2015)

Official gender see (typeGender)



Element

Description

ean_party

Insurer’s EAN

BAG_insurance_id

Insurer’s Federal Office of Public Health (FOPH) licence number

name

Insurer’s name

description

Contact: title

phone

Contact: phone number

e_mail

Contact: e-mail address

name1

Contact: name 1

name2

Contact: name 2

address

Contact: address: see (typeRES_Address)

dateofimport

Date of last import from insurer



Element

Description

message_query

Server response for special situations concerning insurance on date in question

basic_insurance

Basic insurance: see (Basic Insurance GV)

basic_insurance_model

Basic insurance model: see (Basic insurance model GV-modell)

basic_insurance_description

Description of basic insurance

basic_insurance_region

Patient's home canton: see (canton of residence)

basic_insurance_accident

Basic insurance accident cover: see (Basic insurance accident cover GV-Unfall)

basic_insurance_data_locked_insured

The insured person has blocked the data for online queries.

basic_insurance_remark

Remarks on basic insurance

basic_insurance_benefit_delay

Tiers garant (yes/no)

basic_insurance_product

HIA products insured person has with insurer: see (Basic insurer's products GV-Prod)



Element

Description

message_query

Server response for special situations concerning insurance on date in question

drugs_Hors_Liste

Unlisted medicines: see (unlisted medicines Medi-HL)

drugs_Hors_Liste_accident

Unlisted medicines accident: see (unlisted medicines accident cover Medi-HL)

drugs_complementary

Complementary medicines: see (complementary medicines Medi-KM)

drugs_complementary_accident

Complementary medicines accident: see (complementary medicines accident cover Medi-KM-Unfall)

drugs_remark

Remarks on medicines

drugs_benefit_delay

Cover interruption



Element

Description

message_query

Server response for special situations concerning insurance on date in question

hospital_unit

Hospital ward: see (hospital ward under ICA ABT)

hospital_model

Hospital model: see (hospital ward model under supplementary insurance ZV-modell)

hospital_accident

Hospital accident insurance: see (accident cover under supplementary insurance for hospital ward ZV-Unfall)

hospital_akutsomatik

Reimbursement/blocking of special acute care services: see (restriction on hospital cover ZV-Akut)

hospital_psychiatry

Reimbursement/blocking of special psychiatric services: see (restriction on hospital cover ZV-Psych)

hospital_list

Hospital list model: see (restrictions hospital cover  ZV-Liste) for list types

hospital_remark

Remarks on hospital

hospital_benefit_delay

Cover interruption



 

Element

Description

ambulant_private

message_query

Server response for special situations concerning insurance on date in question

ambulant_private

Private outpatient

ambulant_private_accident

Private outpatient accident cover

ambulant_private_accident_add1

Private outpatient additional field 1 (online block)

ambulant_private_accident_add2

Private outpatient additional field 2

ambulant_private_accident_add3

Private outpatient additional field 3

ambulant_private_accident_add4

Private outpatient additional field 4

ambulant_private_remark1

Private outpatient remark 1

ambulant_private_remark2

Private outpatient remark 2

therapy_alternative

therapy_alternative

Alternative therapies

accident_therapy_alternative

Alternative therapies accident

accident_therapy_alternative_add1

Alternative therapies additional field 1 (online block)

accident_therapy_alternative_add2

Alternative therapies additional field 2

accident_therapy_alternative_add3

Alternative therapies additional field 3

accident_therapy_alternative_add4

Alternative therapies additional field 4

therapy_alternative_remark1

Alternative therapies remark 1

therapy_alternative_remark2

Alternative therapies remark 2

EUP

hospital_unit_eup

Hospital ward special insurance EUP

hospital_model_eup

Hospital model special insurance EUP

insurance_accident_eup

Accident cover special hospital insurance EUP

hospital_special_add1_eup

Additional hospital field 1 special insurance EUP

hospital_special_add2_eup

Additional hospital field 2 special insurance EUP

hospital_special_add3_eup

Additional hospital field 3 special insurance EUP

hospital_special_add4_eup

Additional field 4 EUP (online block)

remark1_eup

Special hospital insurance EUP remark 1

remark2_eup

Special hospital insurance EUP remark 2

KLV

basic_insurance_amb_klv

Basic outpatient insurance under Health Insurance Benefits Ordinance (HIBO) / ICA

basic_insurance_stat_klv

Basic inpatient insurance under HIBO / ICA

name_basic_insurance_klv

Name of basic insurance under HIBO / ICA

basic_insurance_accident_klv

Basic insurance accident cover under HIBO / ICA

basic_insurance_klv_add1

Basic insurance under HIBO additional field 1 special

basic_insurance_klv_add2

Basic insurance under HIBO additional field 2 special

basic_insurance_klv_add3

Basic insurance under HIBO additional field 3 special

basic_insurance_klv_add4

Basic insurance under HIBO additional field 4 (online block)

basic_insurance_klv_remark1

Basic insurance under HIBO remark 1

basic_insurance_klv_remark2

Basic insurance under HIBO remark 2

drugs_prevention

drugs_hors_liste_prevention

Unlisted medicines prevention

drugs_complementary_prevention

Complementary medicines prevention

Gatekeeper

ZSR

Gatekeeper’s ZSR number

name1

Gatekeeper’s last name

name2

Gatekeeper’s first name

Free_text

Free_text4

Free text 04

Free_text5

Free text 05

Free_text6

Free text 06

Free_text7

Free text 07

Free_text8

Free text 08

Free_text9

Free text 09

Free_text10

Free text 10



Element

Description

street

Street

postbox

postbox

zip

Post code

city

City

countrycode

Country



Element

Description

Code

Master data ID

Text

Master data value in response language: see (typeQRY_questioners)



Element

Description

isZsrInBlackListActive

Flag that indicates if the ZSR is mentioned in the blacklist

blacklist

Is a list of type typeRES_blacklist



Element

Description

canton_name

Official two-letter abbreviation of canton: see (Canton of residence)

remark

Canton’s remark

valid_from

Date on which OASI number was added to blacklist

valid_until

If this is empty, the OASI number is still on the list.



Element

Description

official_familynames

Official last name(s) according to CCO

official_givennames

Official first name(s) according to CCO

official_birthdate

Official date of birth according to CCO

official_gender

Official gender (see typeGender)


2. 5 Master date

2.5.1 Basic insurance (GV)

ID

Basic insurance under HIA

00

No compulsory health insurance cover under HIA

01

Compulsory health insurance cover under HIA

complete list


2.5.2 Basic insurance model (GV-MODELL)

ID

Type of basic insurance model under HIA

00

No basic insurance

01

Standard model under HIA

02

GP model under HIA

03

HMO model under HIA

04

List model under HIA

05

Telemedicine model under HIA

06

Pharmacy model

99

Special model under HIA (precise description in remark field)

complete list


2.5.3 Canton of residence (KANTON)

ID

Bezeichnung Wohnkanton für KVG-Deckung

00

Keine Grundversicherung

AG

Aargau

AI

Appenzell Innerrhoden

AR

Appenzell Ausserrhoden

BE

Bern

BL

Basel-Landschaft

BS

Basel-Stadt

FR

Freiburg

GE

Genf

GL

Glarus

GR

Graubünden

JU

Jura

LU

Luzern

NE

Neuenburg

NW

Nidwalden

OW

Obwalden

SG

St. Gallen

SH

Schaffhausen

SO

Solothurn

SZ

Schwyz

TG

Thurgau

TI

Tessin

UR

Uri

VD

Waadt

VS

Wallis

ZG

Zug

ZH

Zürich

99

Ausland

FL

Fürstentum Liechtenstein

Full list as on car number plates, excluding FL

2.5.4 Basic insurance accident cover (GV-UNFALL)

ID

Basic insurance accident cover

00

No accident cover under HIA

01

Accident cover under HIA

Complete list


2.5.5 Unlisted medicines (MEDI-HL)

ID

Unlisted medicines cover

00

No cover for unlisted medicines

01

Cover for unlisted medicines

02

Restricted cover for unlisted medicines

Complete list


2.5.6 Unlisted medicines accident cover (MEDI-HL_UNFALL)

ID

Unlisted medicines accident cover

00

No accident cover for unlisted medicines

01

Accident cover for unlisted medicines

Complete list

2.5.7 Complementary medicines (MEDI-KM)

ID

Complementary medicines cover

00

No cover for complementary medicines

01

Cover for complementary medicines

02

Restricted cover for complementary medicines

Complete list


2.5.8 Complementary medicines accident cover KM (MEDI-KM-UNFALL)

ID

Complementary medicines accident cover

00

No accident cover for complementary medicines

02

Restricted accident cover for complementary medicines

01

Accident cover for complementary medicines

Complete list


2.5.9 Hospital ward under ICA  (ABT)

ID

ICA hospital ward

00

No ICA hospital ward

01

General ward anywhere in Switzerland

02

Semi-private ward under ICA

03

Private ward under ICA

04

Fixed-sum insurance under ICA

05

Private ward worldwide under ICA

06

Private ward in Europe under ICA

Complete list


2.5.10 Hospital ward model under supplementary insurance (ZV-MODELL)

ID

Type of ICA hospital model (comfort and choice of doctor)

10

Multi-bed room with no free choice of doctor (ABT=01)

20

Two-bed room with free choice of doctor (ABT=02, 01)

30

Single room with free choice of doctor (ABT=03, 02, 01)

40

Choice of ward on admission (ABT=01, 04)

50

Two-bed room with no free choice of doctor (ABT=01)

60

Single room with no free choice of doctor (ABT=01)

70

Multi-bed room with free choice of doctor (ABT=01, 04)

00

No ICA hospital cover (ABT=00)

Complete list


2.5.11 Accident cover under supplementary insurance for hospital ward (ZV-UNFALL)

ID

Hospital insurance accident cover

00

No accident cover as part of hospital insurance under ICA

01

Accident cover as part of hospital insurance under ICA

Complete list


2.5.12 Restriction on hospital cover (ZV-AKUT)

ID

Acute care restriction (not including personal restrictions)

01

No acute care restriction under ICA

02

Acute care restriction under ICA (e.g. maternity)

00

No acute care cover under ICA

Complete list


2.5.13 Restrictions on hospital cover (ZV-PSYCH)

ID

Psychiatric care restriction (not including personal restrictions)

01

No psychiatric care restriction under ICA

02

Psychiatric care restriction under ICA (limited amount and duration)

00

No psychiatric care cover under ICA

Complete list


2.5.14 Restrictions on hospital cover (ZV-LISTE)

ID

Hospital list restriction (not including personal restrictions)

01

No hospital list restriction under ICA (public/private hospitals anywhere in Switzerland)

02

Hospital list restriction under ICA (insurer’s hospital list)

00

No hospital list cover under ICA

Complete list


2.5.15 Basic insurer's products (GV-PROD)

ID

Basic insurance product name

01

Product X

02

Product Y

2.5.16 Supplementary insurer’s products (ZV-PROD)

ID

Supplementary insurance product name

01

Product X

02

Product Y

  • No labels