Services for medical doctors and case managers

Among other services, the insurance medicine arm of the Swiss Insurance Association offers standardised forms to cover various topics. Medical doctors, case managers, medical insurance officers and other interested parties can download those forms and reports here to support their daily work.

Since January 2024, medical reports in the event of a claim can be viewed via the link ASA | SIA (medforms.ch). The SIA's personal insurers have created a solution with electronic forms to facilitate collaboration between doctors and insurers. With MedForms, you can complete the required form both via the ASA | SIA link (medforms.ch) and directly in the usual practice software and submit it very easily.

Obtaining medical reports is subject to the following rules:

• No power of attorney is needed under the Federal Act on Accident Insurance (UVG): medical reports are sent directly to the insurer and in most cases to the insurance specialist in charge (UVG art. 54a).
• No power of attorney is needed under the Health Insurance Act (KVG): medical reports are sent to the medical officer of the health insurer in charge (KVG art. 57)
• In all other cases, powers of attorney are necessary (supplementary insurance to the UVG and/or KVG under the Federal Act on Insurance Contracts (VVG), liability insurance) for the medical report to be sent directly to the insurer. In most cases, these reports will be addressed to the insurance specialist in Charge.

When dealing with complex issues, cooperation is a must. For this reason, we aim for quality improvements in insurance medicine. The exchange of views through Swiss Insurance Medicine is of essential importance to us.