Basic Health Insurance

Understanding mandatory health insurance coverage in Switzerland

Basic Health Insurance in Switzerland

Basic health insurance is mandatory for all residents in Switzerland. It provides essential medical coverage and is regulated by the Federal Health Insurance Act (KVG). All insurance providers must offer the same basic benefits, but premiums can vary significantly.

Find the Right Basic Insurance Plan

Compare basic health insurance options to find the best premium rates and coverage for your needs.

What is Basic Health Insurance?

Basic health insurance covers essential medical treatments and services that are medically necessary. It is designed to ensure that all residents have access to quality healthcare regardless of their financial situation.

Medical consultations and treatments
Hospital stays and surgeries
Prescription medications
Laboratory tests and diagnostics
Emergency medical care
Maternity care and childbirth

Key Features

  • Mandatory for all residents
  • Same benefits across all providers
  • Community-rated premiums
  • No health screening required
  • Cannot be denied coverage

What Does Basic Insurance Cover?

Basic health insurance provides comprehensive coverage for essential medical services, ensuring you have access to necessary healthcare when you need it.

Medical Care

Coverage for outpatient medical services and treatments.

Doctor consultations and specialist visits
Preventive care and vaccinations
Diagnostic tests and imaging
Prescription medications
Physical therapy and rehabilitation
Mental health services

Hospitalization

Coverage for inpatient hospital care and surgical procedures.

Hospital stays and room costs
Surgical procedures and anesthesia
Intensive care treatment
Medical equipment and supplies
Follow-up care and rehabilitation
Emergency room services

Understanding the Cost Structure

Basic health insurance costs consist of several components that determine your total healthcare expenses.

Monthly Premium

The monthly premium is the amount you pay to your insurance provider for basic coverage. Premiums vary by canton, age, and insurance provider.

Annual Deductible

The deductible is the amount you must pay for medical services before your insurance starts covering costs. You can choose between CHF 300 and CHF 2,500.

Co-Payment

After meeting your deductible, you pay 10% of medical costs up to a maximum of CHF 700 per year for adults and CHF 350 for children.

Important Considerations

When choosing and using basic health insurance, there are several important factors to keep in mind.

Your Obligations

As a policyholder, you have certain responsibilities to maintain your coverage.

Pay premiums on time
Report changes in personal circumstances
Choose a deductible level
Provide accurate health information
Use approved healthcare providers

Switching Insurance Providers

You can switch your basic insurance provider annually, but there are specific deadlines and requirements.

Submit cancellation by November 30th
New coverage starts January 1st
No health screening required
Same benefits guaranteed
Premium differences may apply