This model is particularly interesting if you are looking for a new family doctor. It allows you to choose a doctor from one of the OptiMed lists: this doctor then becomes your first point of contact. You must always consult this doctor first in all medical matters.
If your doctor refers you to a specialist, you will need to send a referral voucher to Groupe Mutuel.
This document can be sent very easily from your Customer Area or by email to prestations@groupemutuel.ch
You can go directly to the doctor of your choice or to a specialist in the following cases:
SIf you wish, you can receive medical advice by telephone or videoconference, using the platform www.soignez-moi.ch, regardless of who your family doctor is. Thanks to OptiMed, these teleconsultations are deductible-free(1) .
And if you haven't chosen our telemedicine partner Medgate as your family doctor, you can still call them for free medical advice over the phone, 24/7 on 0848 803 308 (8 cts./min.)(1) .
(1) New benefits available from 1 January 2025.
Here is a concrete example of how the OptiMed model can be used
First point of contact
Carla had been feeling exhausted for several weeks. She makes an appointment with her long-standing family doctor, with whom she has developed a relationship of trust.
Treatment
Carla's doctor is aware of her situation and quickly identifies the cause of her symptoms. He adapts her medication and refers her to a specialist.
Letters concerning your insurance model will be sent to you and a transfer to the standard basic insurance model may be made, in accordance with the terms and conditions of insurance. The reduction applied to your premiums will unfortunately no longer be granted until the end of the year in question, but you will benefit from a free choice of doctor.
If your family doctor is a member of this network (information available on the lista OptiMed Geneva), you can benefit from exclusive advantages:
Do you have any questions about OptiMed? Our specialist advisers are here to help.
When you join a health network model, you choose your general practitioner from the list corresponding to the chosen model (OptiMed). You will need to consult this doctor first in the event of a medical problem. If necessary, the doctor will refer you to a suitable specialist.
By opting for a health network system, you will benefit from high quality medical care and help to contain rising health costs. This will allow you to benefit from a discount on your insurance premium!
The compulsory insurance (AOS/OKP) covers a maximum of six nutritional advice sessions per medical prescription. If additional sessions are required, the prescription can be renewed.
Yes, anyone legally resident in Switzerland must take out compulsory health insurance within three months of taking up residence or being born. If the person in question does not sign up on their own or if they are not signed up by their legal representative within this period, they will be automatically registered by the canton or commune of residence.
In the event of an unjustifiable delay in signing up to the insurance, interest on arrears will be charged by the insurer.
