The VVG+ fee structure has been developed to comply with FINMA requirements aimed at separating the portion of medical fees covered by social insurance (KVG/LAMal) from that corresponding to the «added value» linked to supplementary insurance benefits (VVG/LCA). Based on data collected by Swiss Medical Network (SMN), VVG+ establishes a weighted average of fees by pathology and DRG. This structure makes it possible to bill added value in the form of points, leaving doctors free to negotiate the value of these points. Adapted each year, VVG+ guarantees dynamic pricing in line with medical developments.
Everything you need to know - at a glance
In the VVG+ FAQ section, registered doctors will find quick and clear answers to the most frequently asked questions about using our platform and support tools. Whether it's a question of registering, integrating VVG+ or support in the event of disputes with insurance companies, we can provide you with the information you need to work efficiently and with complete legal certainty.
VVG+: a solution for efficiency and transparency
Why is it necessary to separate KVG and VVG benefits?
FINMA regulations require a clear distinction to be made between compulsory and private services. This protects the tariff regulations (art. 44 KVG/LAMal) and ensures that billing is transparent for both patients and insurers.
A typical VVG+ procedure
- Invoicing: On receipt of the operative report and discharge letter, the hospital codes the stay in order to allocate a SwissDRG lump sum to the case.
- Control: The system automatically allocates the share of the social insurance fee to the operating doctor, anaesthetist and/or assistant and automatically invoices the medical added value for each doctor.
- Payment: The establishment's invoice and the medical fee are sent directly to the insurance company for payment. This structure simplifies checks with the insurer and optimises the speed of payment to the doctor.
What are the benefits of VVG+ for my practice?
- Time savings: less administrative work thanks to automated processes.
- Legal certainty: compliance with all legal provisions and protection against billing errors.
- Fair remuneration: clear and accurate billing for your services.
- Dispute resolution: support in the event of disputes with insurers by an independent commission.
How does VVG+ ensure transparency?
VVG+ draws up statements that are understandable to both insurers and patients. The separation of compulsory and private services ensures that all parties involved understand exactly what they are paying for.
What happens in the event of an insurance dispute?
Our platform provides a central point of contact for resolving disputes. The VVG+ commission examines contentious cases and ensures that the agreements reached between doctors and the paritarian organisations are respected.