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Glasses and contact lenses

With the appropriate insurance plan, Sanitas covers part of the costs.

What happens if the prescription for your current glasses is no longer accurate and you urgently need a new pair? Or if you’d like to switch to contact lenses? No problem! Our supplementary insurance plans close the gaps in your mandatory basic insurance.


Basic insurance

For children up to age 18, your basic insurance pays up to CHF 180 per year for glasses / contact lenses, subject to deductible and copayment. An ophthalmic prescription is required.


Supplementary insurance

Classic

The Classic supplementary insurance plan pays up to CHF 300 every three calendar years for adults and up to CHF 200 per year for children up to age 18 for glasses or contact lenses. This also applies to purchases made abroad.

To the Classic product site

 

Jump

The Jump supplementary insurance plan pays up to CHF 200 every three calendar years for glasses or contact lenses. This also applies to purchases made abroad.

To the Jump product site

 

Family

The Family supplementary insurance plan pays up to CHF 300 every three calendar years for adults and up to CHF 200 per year for children up to age 18 for glasses or contact lenses. This also applies to purchases made abroad.

To the Family product site

 

Diversa

The Diversa supplementary insurance plan pays up to CHF 200 every three calender years for adults and the same amount once per calendar year for children up to age 18 for glasses or contact lenses. This also applies to purchases made abroad.

Wincare supplementary insurance plans (PDF)

Basic insurance used to cover part of the costs for not only my child but also for me. When did this change?

This benefit was cut on 1 January 2011 when the Swiss Federal Council amended the Health Insurance Ordinance.

Do I need a prescription for benefits covered by supplementary insurance plans?

No, you don’t need a prescription to claim benefits covered by supplementary insurance.

If I don’t claim benefits within the defined period, can they be carried over to the next period?

No, benefits not claimed within the defined period can’t be carried over to the next period.

Does supplementary insurance also cover the cost of contact lens accessories?

Supplementary insurance pays part of the costs for glasses and contact lenses. Additional products such as contact lens solution, lens cases, etc. are not covered.

Does supplementary insurance also cover the cost of frames?

Yes, supplementary insurance covers part of the cost of frames. Basic insurance does not provide any cover.

Do the benefits apply to eye tests performed by opticians?

No, only treatment by ophthalmologists, provided that they bill according to the KVG/LAMal tariff.

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