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Old 14.01.2015, 10:18
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State Doctors Surgery?

Does anyone know of any practices in and around Thalwil or Zurich where there are state doctors surgeries? Ive been violently sick for 24 hours. I have an EHIC but apparently i can only get reduced or free medical treatment with this, form a state surgery. If anyone knows of anything that may point me in the right direction please let me know. Thank you x
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Old 14.01.2015, 10:22
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Re: State Doctors Surgery?

Not exactly sure what you require but there is a medical service at the airport (Airport Medical center). You can just walk in and ask to be treated.
That´s where I went to (way back) when I was ill and only had foreign insurance.
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Old 14.01.2015, 10:26
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Re: State Doctors Surgery?

As an au pair your host family should have organised Swiss health insurance for you. Have they not done this? If not they're breaking the law.

"The host family has to take out an accident and health insurance for their Au Pair and has to cover the costs"

http://www.perfectway.ch/en/for-fami...formation.html

There's no such thing as state doctors' surgeries, it's all private care here. Go to the nearest hospital that has an emergency unit. Show them your card.
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Old 14.01.2015, 10:55
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Re: State Doctors Surgery?

We have found lots of information online and i spoke with several NHS staff over the phone about this issue before i left the UK. They were going to pay for my health insurance until i suggested the EHIC. Weve been to the city hall to register myself as a temp resident and i got my papers back last afternoon stating that my card will cover me for largely reduced or free medical treatment in Switzerland, by any state practice, providing that i give the city hall proof of my german lessons and the au pair contract. There ARE state provided surgeries.
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Old 14.01.2015, 11:20
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Re: State Doctors Surgery?

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and i got my papers back last afternoon stating that my card will cover me for largely reduced or free medical treatment in Switzerland, by any state practice, providing that i give the city hall proof of my german lessons and the au pair contract.
I wouldn't have thought that, but according to this page, EHIC is valid for au pairs.

http://www.thebestaupair.com/en/info...itzerland.aspx

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There ARE state provided surgeries.
No idea what you mean by that, but in Switzerland, the state doesn't pay for medical expenses; your insurer does. Not being European (yet), I don't know what EHIC covers, but a quick scan of their site seems to make it clear that it's not comprehensive insurance, and a quick scan of their website shows that it doesn't guarantee free "surgery".

http://ec.europa.eu/social/main.jsp?catId=509&langId=en
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A free card that gives you access to medically necessary, state-provided healthcare during a temporary stay in any of the 28 EU countries, Iceland, Lichtenstein, Norway and Switzerland, under the same conditions and at the same cost (free in some countries) as people insured in that country.
You're going to be unpleasantly surprised if you go into a hospital and expect free treatment, I suspect.

The good news is that if you've recently moved here, then you have up to 3 months to sign up (retroactively) for basic health insurance which cannot be refused. So you may still have the option of getting your treatment paid for if the EHIC service isn't going to cover it.
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Old 14.01.2015, 11:25
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Re: State Doctors Surgery?

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We have found lots of information online and i spoke with several NHS staff over the phone about this issue before i left the UK. They were going to pay for my health insurance until i suggested the EHIC. Weve been to the city hall to register myself as a temp resident and i got my papers back last afternoon stating that my card will cover me for largely reduced or free medical treatment in Switzerland, by any state practice, providing that i give the city hall proof of my german lessons and the au pair contract. There ARE state provided surgeries.
Am I the only one who is wondering why your employer, the family you are working for, is not helping you out here? If you are this ill, you certainly aren't able to work, and you could be contagious and infect the entire household. If you worked for me I would be taking you to a doctor and and getting you sorted out. The cost should not be the issue.

The au pairs I know all had Swiss health insurance.
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Old 14.01.2015, 11:31
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Re: State Doctors Surgery?

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There ARE state provided surgeries.
Not in Switzerland.

Even people on social aid have private insurance and use private doctors (I know several).

Tom
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Old 14.01.2015, 11:36
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Re: State Doctors Surgery?

Who was going to pay your insurance? Your host family? Well, they should because technically once you become a resident here the EHIC card from the UK is invalid. Which is why you need Swiss health insurance. It's mandatory for all residents here to have it.

I suppose cantonal hospitals can be classified as state, but there are no state doctors surgeries. Usually the EHIC only covers you for emergencies (i.e. hospital needed) so if you're down with the flu and need to see a doctor in his surgery I doubt he would accept your EHIC card.

My advice still stands. If you've been that sick for the last 24 hours the accident and emergency unit is the place to go.

Corbets, possibly, but it also says this on another link:

"Please note: when you move your habitual residence to another country, you should register with the S1 form instead of using the EHIC to receive medical care in your new country of habitual residence."

http://ec.europa.eu/social/main.jsp?catId=559

Don't know if moving for up to a year to another country counts as moving your habitual residence or not.

The way the card works is if you need emergency treatment the hospital abroad who provides it will bill your insurance company for the costs. That's what happened when my OH ended up in hospital in the UK while we were visiting. The hospital should get you to sign some forms and then they send it all off to your insurers. Mind you they were pretty slow about it all in the UK, took them 10 days to get the paperwork to him.
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Old 14.01.2015, 11:43
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Re: State Doctors Surgery?

Surely, your family has a GP they normally go to? This is where you should go. Must say I've never heard of EHIC being valid for an Au Pair, it's interesting.
Reading your link Corbets, I don't think it is clear. EHIC is for emergency treatment (which violent sickness would come under) but only for short term visits, no? In this case, it is irrelevant- just go and get looked after- and your EHIC should work as it is an emergency.

Just go, get better and if your family is not helping- get in touch again so you can get help to get out of there if necessary. Are they treating you well otherwise and keeping to legal hours. Have you started lessons? And the sort the insurance properly with them- if you have an accident whilst looking after the kids, or whatever- you may well not be covered.


All this for when you are better, ok?
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Old 14.01.2015, 11:43
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Re: State Doctors Surgery?

It's possible that a state surgery is a Cantonal hospital, or any non private clinic, but without a relationship with a physician or Swiss health insurance, you're probably best off to go to the nearest hospital/ emergency room. I suppose that if the OP is young and healthy and here for a limited time (6 months or so), it might have seemed to make sense to go the EHIC (or whatever) route - certainly is less expensive. Except that being an au-pair is not like being on vacation.

When my father in law visited us from Holland, he had a heart issue and went directly to the hospital (this was part of the Bern hospital network - he went to Muensingen). He was admitted for a couple of days and covered under Dutch insurance. However, if you're living here - even temporarily as an au-pair, it might make more sense to have Swiss insurance.

I'm also mystified as to why the host family isn't helping with this. They're employing you.

At this point, go to the nearest emergency room (A&E or whatever you call it in the UK).
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Old 14.01.2015, 11:56
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Re: State Doctors Surgery?

Triemli.

Do you have a work permit? This will be the confirmation of whether you can stay with EHIC - the people issuing your permit will know.

When did you register? How long have you been here?
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Old 14.01.2015, 12:08
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Re: State Doctors Surgery?

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Surely, your family has a GP they normally go to?
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Do you have a work permit? This will be the confirmation of whether you can stay with EHIC - the people issuing your permit will know.

When did you register? How long have you been here?

Based on her previous posts she arrived here on January 2nd to work for a Belgian family who just relocated to Switzerland so they are possibly just as clueless as she is about the whole system.


The best thing to do in my opinion would be to go to the nearest hospital A&E department. They will sort out here immediate problems and then she can sort out the rest when she's better. The EHIC will certainly cover that and she's well within the timeframe to obtain Swiss health insurance should she need it.

It's highly possible that given her recent arrival that the permit application hasn't been processed yet. The gemeinde should be the first port of call once she's well again.
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Old 14.01.2015, 12:19
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Re: State Doctors Surgery?

There is no such thing as state doctors, state hospitals. Doctors are all independent. The EHIC only covers emergency treatment during a temporary stay in the country (typically tourism, business trips). It does not cover treatment for long-term residents.
I would suggest you try and get an appointment with a GP. He/she will bill you for the services. Alternatively try a medical centre, where you'll have multiple doctors practicing and where they may be better equipped to deal with walk-in cases. A medical centre will also bill you in the same way (same tarifs).
I would avoid going to the emergency services of a hospital, unless you find nothing else. The nearest thing to state hospitals are cantonal hospitals.
I don't know how claiming the costs works on the EHIC, but check that out later.
Once you've got yourself fixed up, sort your health insurance situation out.
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Old 14.01.2015, 13:49
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Re: State Doctors Surgery?

The GP Doctors of Thalwil have an 24h emergency service.
Call 0848 888 350 to make an appointement.
http://www.aerzte-thalwil.ch/?MAIN_RUB_ID=5

if no appointement can be made:

The nearest public hospital with an 24h emergency unit is the See Spital in Horgen.
http://www.see-spital.ch

Get well soon.
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Old 14.01.2015, 14:05
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Re: State Doctors Surgery?

I think that you are crazy relying on the EHIC. It only entitles you to "reduced cost" treatment… so if you had a nasty accident, you could still end up with a massive bill.

As well as the EHIC, you need either UK travel insurance (which technically shouldn't be valid, as you are now a resident of Switzerland, not the UK) or Swiss health insurance, which your employing family should pay and then you are fully covered.
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Old 14.01.2015, 18:25
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Re: State Doctors Surgery?

Of course there are state hospitals!

Every Kantonsspital, every Universitätsspital (in cities with universities), every Stadtspital are state (aka canton) or city owned and are operated by the state! Others are financially supported by the canton.

So in Zurich you find the Universitätsspital where you also find a GP practice office, or the Stadtspital Triemli, or the Waidspital.

All hospitals in canton of Zurich are to be found here: http://www.gd.zh.ch/internet/gesundh...it_unfall.html

Important to know are that you cannot go to a so-called private hospital (well, you can, but then you have to pay more) as long as you are not half-privately or privately insured, since they provide more ammenities, such as the Pyramide, Klinik im Park and the Hirslanden in Zurich!

Any other hospital is called public and fully insured by the basic insurance (excluding your standard contribution).
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Last edited by Sublime; 14.01.2015 at 18:35.
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Old 14.01.2015, 19:23
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Re: State Doctors Surgery?

Indeed - there was a reason I mentioned Triemli. Been a customer but also dated a nurse who worked in the A&E
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Old 14.01.2015, 19:31
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Re: State Doctors Surgery?

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Of course there are state hospitals!
Yes, but the OP didn't ask about hospitals.

Tom
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Old 14.01.2015, 20:00
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Re: State Doctors Surgery?

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Yes, but the OP didn't ask about hospitals.
But catandmouse did.

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There is no such thing as state doctors, state hospitals.
And some hospitals also provide consulting services, such as the Universitätsspital, like a physician's office!

Last edited by Sublime; 14.01.2015 at 20:49.
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Old 14.01.2015, 20:20
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Re: State Doctors Surgery?

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Important to know are that you cannot go to a so-called private hospital (well, you can, but then you have to pay more) as long as you are not half-privately or privately insured, since they provide more ammenities, such as the Pyramide, Klinik im Park and the Hirslanden in Zurich!
Hirslanden as well as many other private hospitals accept patients with basic insurance ("allgemein versichert").
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