Information for psychotherapists

At SWICA, everything revolves around its customers' wellbeing rather than their illness, and we therefore support a wide range of therapeutic services, including psychotherapy. For SWICA, it is important to work with the various psychotherapy service providers as partners and actively engage in dialogue with them. SWICA will work with you to provide your patients with the support and care they need to recover.

Following a change in the law, SWICA is committed to ensuring a smooth transition in its cover for psychotherapy services from supplementary insurance to basic insurance and will assist psychotherapists in the process. Read more about it here.
SWICA contributes to the cost of treatment by self-employed psychotherapists under the COMPLETA TOP and OPTIMA supplementary insurance plans.
If the conditions for cover are met, SWICA pays 90% of the cost of treatment under the COMPLETA TOP supplementary insurance plan, up to CHF 50 per session. SWICA covers 90% of the cost, up to CHF 25 per session under the OPTIMA supplementary insurance plan.
No. Mandatory insurance will not begin to cover psychotherapy services until 1 July 2022. Until 30 June 2022, psychotherapy by self-employed therapists is covered under supplementary insurance.
  • A SWICA-recognised psychotherapist must administer the treatment.
  • The therapy must be prescribed by a doctor.
  • The therapy must meet the criteria of cost-effectiveness, appropriateness and efficacy.
To be a recognised psychotherapist, you must be on the santésuisse list. Registration, and thus recognition by SWICA, is personal and non-transferable. The services cannot be delegated and must be delivered personally by the registered or recognised individual.
SWICA usually requests a progress report from the referring doctor. SWICA pays the TARMED rate for the production of this report.

The cost of the report is also covered if SWICA requests the report from the psychotherapist directly.

SWICA does not cover the cost of reports which the referring doctor requests from the therapist.

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Basic insurance will cover the cost of psychotherapy services, less any relevant deductible and excess.
Starting on 1 July 2022, psychotherapy services will be covered primarily under mandatory insurance.
tarifsuisse is currently negotiating the rates for SWICA. Please contact tarifsuisse directly for further details.
The cost of services delivered by delegated psychotherapists can be billed for up to six months after the change comes into effect, i.e. until 31 December 2022. After that date, the delegation model is no longer valid.
We assume that it will be possible to bill the cost of psychotherapy services covered under mandatory insurance directly to SWICA (Tiers payant). Further details on this are pending.
  • The therapist must have a paying agent reference no. (PAR no.) for mandatory insurance.
  • The therapy must be prescribed by a doctor.
  • The therapy must meet the criteria of cost-effectiveness, appropriateness and efficacy.
SASIS will issue the PAR no. to psychotherapists starting on 1 April 2022. For more information, see www.sasis.ch.
  • A cantonal psychotherapist licence in accordance with Art. 24 of the Psychology Professions Act (PsyA).
  • A federal qualification in psychotherapy or a recognised foreign qualification from a further education programme in psychotherapy, or three years of clinical experience of which at least 12 months must have been spent working in a psychotherapeutic/psychiatric institution
Yes. Under Art. 11b of the Healthcare Benefits Ordinance (KLV), services can only be billed under basic insurance if they are prescribed by a doctor.
A doctor’s prescription is valid for 15 sessions. After 30 therapy sessions, the doctor must submit a progress report to the health insurer for review.
In crisis situations, SWICA will cover up to ten evaluation and therapy sessions based on a doctor's referral. A crisis is defined as a situation in which the patient has a serious, newly diagnosed illness or faces a life-threatening situation.
The application for cover for long-term therapy must come from the referring doctor and must be based on the current progress report. The psychotherapist must report to the referring doctor before the referral or cover note expires.

Contact in case of questions

Do you have questions or concerns that are not addressed here? Our employees are there for you and would be glad to help.

Contact form

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