THE MEDICAL INSURANCE IN SWITZERLAND 

From birth or arrival in Switzerland, you have three months within which to obtain compulsory health insurance. During this period you are already insured. You are free to choose a health insurance company on the list of authorised companies (LAMAL). In exceptional cases, you are not required to take out insurance. The purpose of Medical insurance is to cover, to the extent of the chosen policy, the costs of medical, hospital and pharmacy expenses in case of illness, including pregnancy and childbirth. 

 

Every insured person pays a monthly premium to the insurance company. The amount of the premium varies from insurer to insurer and from canton to canton. Children up to the age of 18 pay lower premiums. People on low incomes may be entitled to a premium reduction.

If you require treatment, you will have to pay part of the costs. Your share is made up of a deductible, the retention fee and a contribution to the cost of a hospital stay.

The deductible (often referred to in Switzerland as the "franchise") is the amount (CHF 300 for adults; children up to the age of 18 do not pay a deductible) that you have to pay towards your treatment costs every year. Only after this amount has been reached does the insurance company start to pay out. If you want to reduce your premium, you are free to increase your deductible.

Even after the deductible has been exceeded, you still have to pay 10 per cent of any treatment costs. However, this charge, often referred to as a "retention fee", amounts to a maximum each year of CHF 700 for adults and CHF 350 for children.

The hospital contribution amounts to CHF 15 per day spent at the hospital. Children, young adults in education or training and women whose maternity benefits are fully covered do not pay any hospital contribution.

 

Swiss health insurers offer premiums for health insurance (LAMAL) and a selection of supplementary insurance. The range of offers includes both compulsory basic insurance products and supplementary private-law insurance. In addition to the services of ambulatory, hospital and complementary medicine, the scope of services also includes alternative insurance option

 

The main Swiss health insurers are:

1) Groupe Mutuel

> Download their benefits here 

 

2) Helsana Insurance

> Download their benefits here

 

3) Groupe CSS Assurances

> Download their benefits here

By downloading the links above, you can:

1) Compare different insurers

2) Choose services according to your needs

 

For more information or to get a quote for you and your family members, please contact our broker MicroGestion at their serviceline on +4122 796 15 50 or by e-mail by clicking on the link here

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