Independent insurance broker and financial adviser in Euratsfeld+43 7474 23456 · helm@sichermithelm.at
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Private health insurance

More choice for your health.

Outpatient, hospital and dental cover: the decisive factors are benefits, limits, excesses, medical underwriting and long-term affordability.

Health is personal.Cover should match need, budget and life situation.
Real client cases

Advice that considers long-term costs.

For one young family, comparing two savings contracts with the same monthly premium showed a surrender-value difference of around EUR 1,320 after five years.

View all real cases
EUR 1,320difference after five years
several hoursof individual advice
cost & benefitassessed together

Results depend on the contract, risk and individual case.

Hospital

Hospital and private ward

Review hospital choice, doctor choice, room standard, direct billing, excess and territorial scope.

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Dental

Dental treatment and prosthetics

Compare benefit schedules, reimbursement percentages, annual limits, waiting periods and treatments.

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Combination

Combine benefits sensibly

Outpatient, hospital and dental cover do not always need the same level.

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Families

Children and families

Consider early entry, newborn options and long-term affordability.

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Application

Medical underwriting

Prepare health questions, reports, loadings, exclusions and acceptance decisions carefully.

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Advice, not brand promotion

We do not publish blanket insurer recommendations.

Products and underwriting rules change. Current wording and individual circumstances matter.

Court decisions

Health disclosures, medical necessity and exclusions explained clearly.

Selected Supreme Court decisions with practical relevance to private health insurance.

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OGH 7 Ob 3/21y

Medically necessary treatment

In private health insurance, the insured event begins with medically necessary treatment for illness or accident consequences. Medical necessity and treatment purpose are central.

Official RIS decision →
OGH 7 Ob 111/18a

Cosmetic treatment and exclusions

The Court reviewed an exclusion for cosmetic treatment, operations and their consequences. Medical indication and contractual exclusion must be distinguished carefully.

Official RIS decision →
OGH 7 Ob 216/20w

Answer health questions carefully

Pre-contract health information requires great care. The policyholder generally bears the burden of showing an absence of fault for an incorrect or incomplete answer.

Official RIS decision →
OGH 7 Ob 69/00y

Frequency as well as severity may be material

For health-risk assessment, not only the severity of one illness but also the frequency of treatment or recurring complaints may be material.

Official RIS decision →
Our team

Personal support from advice to claims handling.

Meet the team
Herbert Helm MBA

Herbert Helm MBA

Insurance broker, financial adviser and personal contact

Sylvia Laslo

Sylvia Laslo

Back office, policy administration and client service

Corinna Wartecker

Corinna Wartecker

Claims management and client support

Lara Gschöpf

Lara Gschöpf

Client service, organisation and digital communication

Gerhard Kofler

Gerhard Kofler

External expert for liability, property and accident insurance

Personal advice

Compare cover clearly.

Herbert Helm MBA
Herbert Helm MBA
Insurance broker
+43 7474 23456
helm@sichermithelm.at
Frequently asked questions

Clear answers before you decide.

View all questions
What is outpatient cover?

Depending on the tariff it may reimburse private doctors, diagnostics, therapies, medication, aids and preventive care.

What matters in hospital cover?

Private ward, doctor choice, room standard, excess, direct billing and territorial scope.

Why does medical underwriting matter?

Pre-existing conditions may affect acceptance, loadings, exclusions or decline. Complete disclosure is essential.

Directions to our office

Visit us in Euratsfeld.

Our office is located at Saliterweg 8, 3324 Euratsfeld. The interactive Google map is loaded only after your explicit consent.

SICHER mit HELMSaliterweg 8, 3324 Euratsfeld, Österreich