Sodalis Gesundheitsgruppe

What Sodalis Gesundheitsgruppe does

Sodalis Gesundheitsgruppe is a Swiss regional health insurer founded in 1920 and headquartered in Visp, Canton Valais, operating under the regulated Swiss sickness fund (Krankenkasse) model. The company provides mandatory basic health insurance under KVG/LAMal through four managed-care variants — Medica (free physician choice), Medicasa (family doctor model), Telmed (telephone triage), and Digimed (digital-first triage via the Medgate application) — alongside a portfolio of voluntary supplementary insurance products covering hospital upgrades (Spitalversicherung), alternative medicine and outpatient extras (Sana/Sana Plus), dental (Denta), daily allowances (Moneta), accident/death/disability (UTI/KTI), patient legal protection, and travel. It also serves businesses through collective insurance (Kollektiv) and a Zermatt-specific Kollektiv-Krankenpflege offering. Approximately half of the Oberwallis population is estimated to be insured with Sodalis, making it the dominant local carrier in the Upper Valais region.

The company's distribution is anchored by 12 physical branch offices spanning Visp, Brig-Glis, Lax, Naters, Saas-Fee, Simplon Dorf, Stalden, Staldenried, Susten, Unterbäch, Wiler, and Zermatt, complemented by an online customer portal (web.sodalis.ch/portal), a premium calculator tool, and the Viridi wellness content platform offering workouts, podcasts, and health inspiration. Technology integrations include the Medgate telemedicine platform (powering the Digimed model) and Medicall for emergency medical transport coordination abroad. Revenue is generated through regulated, recurring subscription premiums on both mandatory basic insurance (compulsory under Swiss law) and voluntary supplementary lines, with billing available monthly, quarterly, semi-annually, or annually — annual payment receives a 1% discount and semi-annual 0.5%. The company is FINMA-supervised, holds ISO 9001 and GoodPriv@cy data protection certifications, and has received Comparis recognition for ethical customer communication.

Name

Sodalis Gesundheitsgruppe

Legal name

sodalis gesundheitsgruppe

Website

https://sodalis.ch

Company type

Private

Founded year

1920

Operating status

Operating

Headcount range

11–50 employees

Short description

Sodalis Gesundheitsgruppe is a Swiss regional health insurer founded in 1920, serving approximately half of the Oberwallis (Upper Valais) population with mandatory basic and supplementary health insurance, corporate collective plans, and wellness services via 12 branches and digital channels.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114)

SIC

Accident & Health Insurance (6321)

akta.pro industry

PRIMARYHLAEADAK

Medigap Provider Network & Contracting Support (as applicable)

Healthcare & Life Sciences/Health Insurance & Managed Care/Medicare Supplement (Medigap) & Medicare Cost Plans

SECONDARYFSAIAFAE

Large Group Health Insurance (Mid-Market & National Accounts)

Financial & Insurance/Insurance — Life & Health/Group Health Insurance (Employer-Sponsored)

Keywords

• Health insurance services
• Basic health insurance
• Supplementary health insurance
• Accident insurance coverage
• Daily allowance insurance

Headquarters

HQ city

Visp

HQ country

Switzerland

HQ region

Europe

Offices12 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Infrastructure, Technology or R&D

Revenue model

1. Mandatory Basic Health Insurance (KVG/LAMal): Compulsory health insurance premiums from private individuals. Premiums vary by age, residence region, insurance model (Medica, Medicasa, Telmed, Digimed), and deductible chosen. This is the primary revenue stream following Swiss healthcare regulations.
2. Supplementary Insurance (VVG/LCA): Optional supplementary insurance products including Sana/Sana Plus, Spitalversicherung (hospital), Denta (dental), Moneta (daily allowance), UTI/KTI (accident/death/disability), and travel insurance. These products generate additional recurring premiums with voluntary enrollment.
3. Collective/Business Insurance: Group health insurance solutions for businesses including collective sick pay insurance (Kollektiv-Krankentaggeld), accident insurance (UVG), and company health plans for Zermatt region.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Sodalis Gesundheitsgruppe is a Swiss health insurance provider (Krankenkasse) operating in the Oberwallis (Upper Valais) region, offering compulsory basic health insurance under KVG/LAMal across four managed-care models (Medica, Medicasa, Telmed, Digimed) plus voluntary supplementary insurance under VVG/LCA covering hospital upgrades, dental, daily allowance, accident/disability, legal protection, and travel. The company serves both private individuals and businesses through 12 regional branch offices, an online customer portal, and collective/group plans for employers.

Product overview

Sodalis Gesundheitsgruppe is a Swiss health insurance provider operating in the Upper Valais region, offering a comprehensive portfolio of mandatory basic insurance (Grundversicherung) and voluntary supplementary insurance (Zusatzversicherung) products. The basic insurance is available through four distinct models: Medica (free physician choice), Medicasa (family doctor model), Telmed (telemedicine model), and Digimed (digital model via Medgate). Supplementary offerings include Sana/Sana Plus for enhanced outpatient benefits, Spitalversicherung for hospital coverage in multiple ward classes, Moneta for daily allowances, Denta for dental care, UTI/KTI for disability and death coverage, Patienten Rechtsschutz for legal protection, and Reiseversicherung for travel coverage. The company also provides the viridi wellness program, an online customer portal, premium calculator, and business client services including collective insurance solutions.

Differentiator

Problem solved

Functional benefit

Brands

• viridi: Wellness and fitness platform offering health tips, workouts, podcasts, and inspiration for healthy living.
• Medica
• Medicasa
• Telmed
• Digimed
• Sana/Sana Plus
• Moneta
• Denta
• UTI
• KTI
• Ospita
• sodalis extra

Products and services

• Medica Basic insurance model offering free choice of doctor without restrictions, allowing policyholders to consult any physician or specialist at any time.
• Medicasa Family doctor model where policyholders select a primary care physician from a predefined list who serves as the first point of contact and refers to specialists as needed.
• Telmed Telemedicine model requiring policyholders to first contact a medical advice center by phone before receiving a diagnosis and referral to appropriate care.
• Digimed Digital insurance model where the first contact for medical issues is the Medgate application, which determines next steps via video, chat, or in-person consultation.
• Sana/Sana Plus Supplementary insurance model providing enhanced coverage for alternative medicine, check-ups, eyeglasses, home help, psychotherapy, and other outpatient services beyond basic insurance.
• Spitalversicherung Hospital insurance offering free choice of hospital and ward type, with options for general, semi-private, private, or flexible coverage levels.
• Moneta Daily allowance insurance providing income replacement in case of illness or accident, with coverage available for both employees and self-employed individuals.
• Denta Dental insurance providing coverage for dental treatments and examinations across four classes with up to 75% reimbursement up to CHF 3,000 per calendar year.
• UTI (Unfalltod Invalidität) Accident death and disability insurance providing capital coverage up to CHF 300,000 for death and disability due to accident.
• KTI (Krankheit Tod Invalidität) Illness death and disability insurance providing capital coverage up to CHF 500,000 for death and disability due to illness.
• Patienten Rechtsschutz Patient legal protection insurance covering legal costs and disputes related to medical treatment and healthcare services.
• Reiseversicherung / Gästeversicherung Travel and guest insurance providing coverage for medical emergencies and related expenses while traveling abroad.
• Ospita Supplementary hospital insurance specifically designed for residents of the Zermatt region, providing local hospital coverage with regional terms.
• Kollektiv Collective/group health insurance solution for businesses, offering employee sickness and accident coverage with various deductible and benefit options.

Named customers2 records

Segments6 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Four partnerships are on record, tiered core and minor.

• MedicallcoreTechnology or IntegrationMedicall provides emergency medical transport coordination and assistance services for sodalis policyholders. When medically necessary transport or rescue is required abroad, Medicall must be contacted in advance for organization and coverage.
• MedgatecoreTechnology or IntegrationMedgate provides the digital platform for sodalis's Digimed insurance model, enabling telemedicine consultations via video or chat as the first point of contact for medical issues.
• ValrandominorGTM or Marketing PartnerHiking program partnership offering discounts and special offers for sodalis policyholders to encourage fitness and preventive health activities.
• SQS (Swiss Association for Quality and Management Systems)coreOthersSQS provides certification services for ISO 9001 quality management and data protection standards, validating sodalis's compliance with international quality and privacy standards.

Scale indicators3 records

Recent moves3 records

Expansion highlights5 records

Broad incumbents

• Helsana: Helsana is among Switzerland's largest health and accident insurers, providing KVG basic insurance plus a broad supplementary portfolio. Comparable to Sodalis in product structure (basic + supplementary) but operating nationally with greater economies of scale.
• Groupe Mutuel: Groupe Mutuel is a Swiss mutual insurer offering KVG basic insurance, supplementary coverage, and corporate group solutions. It is particularly relevant as a fellow regional-rooted insurer with strong group (collective) insurance products analogous to Sodalis's Kollektiv offerings.
• CSS Versicherung: CSS is one of the largest Swiss health insurers offering mandatory basic insurance (KVG) and supplementary coverage to individuals and businesses across Switzerland. It is the most direct national incumbent competing against Sodalis for Oberwallis residents who may switch from a regional to a national provider.
• SWICA: SWICA is a major Swiss health insurer known for strong managed-care models, telemedicine integration, and corporate health plans. It competes with Sodalis on Telmed/Digimed-equivalent product positioning and offers similar supplementary insurance products.
• Visana: Visana is a Swiss health insurer with Bern-region roots that has expanded nationally. Comparable to Sodalis as a regional-origin insurer that scaled outside its original geography, making it a useful scale-up trajectory reference.
• Sanitas: Sanitas is a Swiss health insurer offering basic and supplementary insurance along with digital health services. It competes with Sodalis for tech-forward policyholders and on managed-care/digital product lines.
• Concordia: Concordia is a long-established Swiss health insurer operating nationally with both basic and supplementary insurance. Relevant as a comparable traditional, multi-product Swiss insurer with similar regulatory positioning to Sodalis.

Others

• Medgate: Medgate is a Swiss telemedicine provider that powers the Digimed product via Sodalis's partnership. Listed as an ecosystem participant rather than a direct competitor; the partnership is core to Sodalis's digital insurance model.

Regional players

• KPT: KPT (Krankenversicherung PT) is a Swiss health insurer headquartered in Bern. While it operates nationally, KPT has historically positioned itself as a regionally focused insurer, making it structurally analogous to Sodalis's regional-insurer model.

Emerging players

• Atupri: Atupri is a Swiss health insurer recognized for digital-first product design and customer experience. Comparable to Sodalis as an emerging threat on the digital insurance model (Digimed/Telmed) side, particularly for younger Oberwallis customers.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/sodalis.gesundheitsgruppe
• LinkedInlinkedin.com/company/sodalis-gesundheitsgruppe

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Sodalis Gesundheitsgruppe