Insurance documents from EGK Simply explained
To ensure that you always have an overview, you will find all the important information about your documents here.
Policy: Your personal insurance certificate
The policy is the basis of your health insurance. It specifies which benefits have been agreed, for which persons and under what conditions. You will receive the policy when you take out the insurance and whenever you make changes to the contract.
Policy structure
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Insurance details
Contact details such as reference, telephone number and email address -
Policyholder
Your personal details and the insured persons -
Information about the insured person
Insured person's details Date of birth, insurance number, validity and reason for issue -
Premium overview
An overview of your chosen basic insurance, model and any supplementary insurance policies as well as your choice of deductible and the current monthly premiums
Benefit statement: Statement of remunerated healthcare services
After you have used medical services, you will receive a benefit statement. It shows which costs have been submitted, what EGK covers and what you may have to pay from your own pocket, for example in the form of a deductible or excess.
Structure of the benefit statement
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Overview of benefits for the current year
Overview per person -
Bank details of the insured person
Reimbursements are paid to this accoun -
Insured person
For whom the statement was issued -
Treatment and provider
Type of treatment, date and provider of treatment -
Costs submitted
The total amount invoiced -
Remuneration by EGK
Amount assumed by EGK -
Insured person's co-payment
The share you have to pay after subtracting the deductible and excess
Premium statement: Overview of your insurance premiums
The premium statement lists the insurance premiums due for a specific period. It shows the composition of your premium, which discounts were credited and by when the amount has to be paid.
Structure of the premium statement
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Statement period
Period for which the premium is invoiced -
Premium components
Breakdown by basic insurance and supplementary insurance -
Amount to be paid and payment details
The amount to be paid and the due date including IBAN, reference number and QR payment slip. -
Other offers
Overview of optional supplementary benefits or additional services
Submit supporting documents
Submit supporting documents from 2026
You can send in your bills, refund vouchers and receipts via the app, customer portal or by post.
Please submit your Tardoc reimbursement receipts along with the attached sheet containing the QR code.
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You can submit your receipts using the myEGK app (Scan function). The app is available free of charge in the App Store and Google Play Store.
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You can also upload your receipts via the myEGK.ch customer portal. To do this, click on the "Submit documents" function and upload the desired files.
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Send your receipts to our Service Centre:
EGK-Gesundheitskasse
Service Center
Postfach 1
8012 Zürich -
There are two types of payment under the Swiss health insurance system: "tiers garant " and "tiers payant"
- Tiers garant: You receive the invoice directly from the service provider.Please submit the refund receipts to us and pay the bill to the service provider. You will receive a benefits statement showing the amount you get from us after deduction of the deductible and franchise.
- Tiers payant: Service providers bill the health insurance funds directly.We pay the bill directly to the service provider. You will receive a statement of benefits from us with your cost sharing (deductible and franchise).
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You will receive a copy of the invoice from your doctor. This serves as your information.
- The service providers are obliged to send a copy of the invoices to the patients for control purposes. Please do not submit these.
- Control of the invoice copies. Learn more about Tarmed bills here (German).
Simple, online and directly in the myEGK portal
With myEGK, you can manage everything relating to your health insurance quickly and conveniently.
