Eyes and visual aids: insured benefits

For better vision and healthy eyes: when it comes to eyes, Helsana covers the following benefits.

Basic insurance*

  • Spectacle lenses and contact lenses**: CHF 180.67 per calendar year for insured persons up to the age of 18
  • Spectacle lenses and contact lenses**: CHF 180.67 per calendar year in the event of a disease-related change in visual acuity (refraction)
  • Contact lenses**: CHF 271 every two calendar years if contact lenses lead to a significant improvement compared to glasses
  • Contact lenses**: CHF 632.34 per eye in the event of irregular astigmatism, keratoconus or diseases and injuries of the cornea
  • Outpatient cataract surgery: CHF 400 per eye for a standard lens provided it is billed according to Tarmed. If the service provider bills at a flat-rate charge, the cost of the standard lens is included in the flat-rate charge
  • Scanning laser ophthalmoscopy: 100% of the costs in the case of hard-to-treat glaucoma
  • Refractive surgery using an intraocular lens: 100% of the costs following cost approval in the event of anisometropia of more than 10 dioptres in combination with keratotomy
  • Laser or surgical keratotomy: 100% of the costs following cost approval in the event of anisometropia of more than 3 dioptres that cannot be corrected by glasses as well as chronic contact lens intolerance

* Cost contributions minus excess and deductible

** Reimbursement only if limitations are met in accordance with list of aids and equipment

More about basic insurance Medical aids and equipment list (MiGeL) (in German)

TOP supplementary insurance

  • Spectacle lenses and contact lenses: 90% of the costs up to a maximum of CHF 150 per calendar year
  • Correction of myopia starting at 8 dioptres: 75% of the costs up to a maximum of CHF 3,000 per calendar year for refractive surgery
More about TOP

COMPLETA supplementary insurance

  • Spectacle lenses and contact lenses: 90% of the costs up to a maximum of CHF 300 per calendar year
  • Correction of myopia starting at 8 dioptres: 75% of the costs up to a maximum of CHF 4,500 per calendar year for refractive surgery
More about COMPLETA

COMPLETA PLUS supplementary insurance***

  • Spectacle lenses, spectacle frames and contact lenses: 90% of the costs, up to a maximum of CHF 200 per calendar year, that exceed the benefits of COMPLETA. 
  • Laser vision correction: 100% of the costs up to a maximum of CHF 500 per eye and calendar year
  • Correction of myopia starting at 8 dioptres: 100% of the excess from COMPLETA for refractive surgery

*** Can only be taken out in combination with COMPLETA

More about COMPLETA PLUS

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