**The simple answer: no.** However, the question remains if you want to have it so that you can bill through basic insurance. In this case, the answer would be yes. This would inevitably mean that you would only be able to care for clients via the basic insurance, since many supplementary insurances would then no longer apply. Despite the possible wish of your client. **What is the ZSR number?** The ZSR number is needed when a therapist wants to charge his/her services to the health insurance. It is valid for the vast majority of health insurances: If you have a ZSR number, you are also basically bound to always bill the basic insurance first. **Disadvantages of having a ZSR number for health care providers** - Tariff is predetermined by the basic insurance, no price flexibility or protection against inflation and competition. - Fixed, time-consuming and demanding additional administrative activities. - Clients cannot decide for themselves whether they also want to be billed via the supplementary insurance. - Limited self-determination in dependence on ordering physicians. **Advantages of ownership of ZSR number for service providers** - All clients with a diagnosis can receive long-term psychotherapeutic support. - A wide range of clients with moderate to severe stress find their way to your practice. - Tendency to receive a high number of inquiries. **Disadvantages for your clients (if you as a therapist have a ZSR number)**. - The decision whether she/he prefers to bill via supplementary insurance is no longer in her/his hands. - Early phase psychological interventions must be paid for by the patient. - Franchises in Switzerland tend to be high. Sessions must initially be paid for by the patient, despite diagnosis and order. - Diagnoses are generally necessary. This requires the presence of an illness, which can be potentially upsetting and stigmatizing for clients with mild symptoms. - Diagnoses are recorded in the client's health insurance file. Accordingly, she/he may be discriminated against and rejected if she/he changes supplemental insurance. - Access to psychological support may be delayed by several weeks because billing through basic insurance requires mandatory physician orders. **Advantages for your clients (if you as a therapist have a ZSR number)**. - Long-term psychotherapeutic support for medium to severe stress is covered by basic insurance. - Clients with medium and heavy burdens and low deductibles benefit quickly from social health protection. - Psychotherapy costs add up and can be added to the deductible within one year. At Aepsy, we work exclusively with self-pay patients and those who bill via supplementary insurance. It is important to us that we can accompany and support people before the onset of an illness without stigma and as quickly as possible. We want to encourage people to deal with their psyche early enough and to be in harmony with themselves - with the help of professionally trained psychologists and therapists.