Approved therapists, therapies and care facilities
You can find below the most frequent questions and answers relating to refunds of your medical invoices.
Click on your subject of interest.
Approved therapists, therapies and care facilities
Your doctor must send us a coverage request, either by post to:
Groupe Mutuel, Rue des Cèdres 5, 1919 Martigny
or by email to: prestations@groupemutuel.ch.
We will assess our contribution to costs based on your insurance plan and request.
The compulsory insurance (AOS/OKP) covers a maximum of nine physiotherapy sessions per medical prescription. The first session must take place within five weeks following the medical prescription. A new medical prescription is required if the number of sessions is extended.
The compulsory insurance (AOS/OKP) covers a maximum of nine occupational therapy sessions per medical prescription. The first session must take place within eight weeks following the medical prescription. A new medical prescription is required if the number of sessions is extended.
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.
Compulsory health insurance (AOS/OKP) covers:
- Psychiatric treatment by a psychiatrist
- Until 31.12.2022: Delegated psychotherapy by a psychologist under the responsibility of a psychiatrist who issues the invoice
- From 01.07.2022: Sessions provided by independent psychotherapists or psychologists, as well as by organisations of psychotherapists or psychologists, who have a cantonal licence to practice under the AOS/OKP.
You can find out more about the cost of psychotherapy treatments on our page dedicated to therapies.
Some supplemental insurance plans cover:
- Psychotherapy carried out by an independent psychotherapist or psychologist, as well as by organisations of psychotherapists or psychologists, who are not authorised to practice under the AOS/OKP but are recognised by Groupe Mutuel.
Contact us to request a review of the extent of your coverage.
Yes, if you have diabetes and under certain conditions. Basic health insurance covers podiatry sessions prescribed by a doctor, under the following conditions:
- Sessions are provided by an organisation of podiatrists, by a recognised independent podiatrist or employed in a hospital establishment. The number of sessions (four or six per calendar year) is defined based on the indications of the attending doctor. For the treatment to continue to be covered, the prescription must be renewed every calendar year.
- Treatment must be administered by nurses, care and home help facilities or nursing homes (EMS).
For more information on the coverage of podiatry treatments, please visit our dedicated pages on therapies.
- Cataract surgery:
Outpatient cataract surgery as well as a standard intraocular lens are covered by the compulsory health insurance (AOS/OKP).
However, if your doctor implants a lens with additional functionalities, the price difference is not covered by the compulsory health insurance (AOS/OKP) or by supplemental insurance (LCA/VVG).
- Glaucoma surgery:
Outpatient glaucoma surgery as well as an intraocular implant are covered by the compulsory health insurance (AOS/OKP).
- Combined cataract and glaucoma surgery:
Outpatient glaucoma surgery as well as a standard lens and an intraocular implant are covered by the compulsory health insurance (AOS/OKP).
However, if your doctor implants a lens with additional functionalities, the price difference is not covered by the compulsory health insurance (AOS/OKP) or by supplemental insurance (LCA/VVG).
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