News from CHIS

New contract between CERN and UNIQA

Following a competitive call for tender, the consortium UNIQA Switzerland and UNIQA Austria has been awarded the contract for providing third-party administrative services for CERN’s Health Insurance Scheme. The contract will enter into force on 1st January 2015 for an initial period of 5 years, renewable by CERN for a further period of 5 years.

This means that the Third-Party Administrator of the CHIS remains the same as before. While the services remain essentially the same, certain improvements are foreseen under this new contract.  Some of these will impact the members directly and positively, while others will improve the supervision of the Scheme by CERN’s administration. More details will be provided in the next CHIS Bulletin.

Approved Hospitals in Geneva: new in 2014

In 2014, CERN has concluded new agreements with the following care providers in Geneva:

·       Clinique des Grangettes – approved from January 2014 to end 2015
·       Clinique la Colline – approved from July 2014 to end 2016

We remind you that the choice of establishment, of sector of care and of type of room- have an important impact on the reimbursement rates of in-patient treatment (hospitalisation). The table below provides a summary.

The complete and up-to date list of Approved Providers in Switzerland is available on the CHIS website.

For more information, do not hesitate to contact the UNIQA Office by mail or by phone 72730.

*FCA : Frais à Charge de l’Assuré / Costs borne by the insured member, French acronym FCA.

New Information Note on Ex Gratia Payments

The Information Note IN5 describing the procedure to request an ex gratia payment (see CHIS Rules, Art. VII 4.06) has been published and is now available on the CHIS website.

The CHIS Information Notes specify the application of the CHIS Rules and they also provide useful guidance. Members of the CHIS are thus invited to take due note of the information they contain.

HR Department
tel. 74125