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HEALTH INSURANCE

‘It’s absurd’: Switzerland to find out how much foreigners cost Swiss healthcare

Switzerland’s National Council has voted in favour of a motion that would allow patients' nationality to be collected so authorities can examine the benefits of health insurance.

'It's absurd': Switzerland to find out how much foreigners cost Swiss healthcare
MPs want to find out if foreigners use health insurance more often than Swiss. Image by Steve Buissinne from Pixabay

“For reasons of transparency, the nationality of insured persons must be considered as a variable to be analysed to examine the benefits payable by health insurance,” said deputy Cyril Aellen from the Radical Liberal party, one of the move’s instigators. 

The objective of this push is to find out if foreign residents cost the obligatory health insurance scheme more than the Swiss, although it is not clear at this point what purpose would this information ultimately serve.

Under the proposal, the Federal Statistical Office (FSO) would be responsible for this task on an annual basis.

But though the motion was accepted by 105 votes against 85, those opposed to the proposed measure have pointed out why it should not be implemented.

A discriminatory practice

“It is an absurd, time-consuming and discriminatory bureaucratic exercise, ” according to Social Democrat Brigitte Crottaz, who voted against the motion.

“Some MPs want to demonstrate that foreigners cost more to health insurance,” she added. “But nationality is not a significant factor in the field of health, unlike other factors such as age or gender.” 

Health Minister Elisabeth Baume-Schneider has also criticised the move.

“A million people have dual nationality in Switzerland. How will they be considered [for statistical reasons] — as Swiss or foreigners?” she asked.

“The amendment is not necessary because the FSO can already produce in-depth statistics on the costs borne by health insurance,” she added.

The motion will now pass on to the Council of States for further deliberation.

Car insurance tool

The field of health insurance is not the only area where nationality of the customer plays a role: the price of vehicle insurance premium often depends on the country the driver is from as well.

“Nationality is an important criterion for insurers in calculating the probability of a claim, even if it may seem unfair,” according to Adi Kolecic, mobility expert at Comparis consumer platform, which analysed how rates are based on the motorists’ origin.

“If statistics show that people who hold a certain citizenship tend to make more claims or be involved in more incidents than people of other nationalities, those statistics may influence the premiums charged.”

As a result of this approach, drivers from certain countries pay up to 74 percent more for their insurance than their Swiss counterparts.

READ ALSO: Why foreigners in Switzerland pay higher car insurance premiums 
 

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HEALTH INSURANCE

How much will your Swiss health insurance premiums increase by in 2025?

The cost of Switzerland’s obligatory health insurance is a source of constant worry for the country’s residents, as the rates have been increasing significantly for the past few years. What can you expect to happen in 2025?

How much will your Swiss health insurance premiums increase by in 2025?

At the end of September, the Federal Office of Public Health (FOPH) will announce the cost of health insurance for next year.

However, consumer platform Bonus.ch has already crunched the numbers and published its findings on September 10th.

Unfortunately, the news is not good for Switzerland’s consumers.

After an average increase in health insurance premiums of 6.6 percent in 2023 and 7.8 percent in 2024, the hike is likely to be between 7 and 12 percent, the site reports.

The reason for this continuing upward trend is that health insurance premiums are determined by the cost of healthcare in general — which have been soaring in recent years.

“This estimate of a further sharp increase in health premiums for 2025 is explained by the fact that healthcare costs will continue to rise for the remainder of 2024,” Bonus explained. “After a fairly stable first quarter, the second quarter tipped the scales into the red with an increase of 7.5 percent across Switzerland.”

Over the first six months of the year, therefore, “healthcare costs went up by 5.1 percent, representing an increase of more than 1 billion francs compared to 2023.”

Why have healthcare costs been skyrocketing in recent years?

Covid pandemic is not the only cause of the sharp increase, though it certainly played its part.

There is a variety of other reasons as well, including better (and costlier) technology, the increase in medical consultations, outpatient hospital services, as well as the rising prices of medications.

READ ALSO: The medications that are more expensive in Switzerland from July

What about insurance premiums in your canton?

The averages cited by Bonus are national, but they could well be higher (or, if you are lucky, lower) in your place of residence.

That’s because the federal government regulates financing of the health system, ensures the quality of care, as well as safety of drugs and medical devices, and promotes research and training.

It also supervises dozens of private carriers to ensure that they comply with the federal health insurance law, which prohibits discrimination based on age or health status, withholding necessary treatments, and other provisions guaranteeing that every policyholder gets the same quality of care.

FOPH is also responsible for approving premiums.

Cantons, on the other hand, are responsible for designing health care policies on their territories, licensing medical providers, coordinating hospital services, and — yes — setting healthcare premiums.

That is why while premiums will go up throughout Switzerland, residents of some cantons will have to pay more for healthcare than their counterparts in others.

Based on the figures for the first half of 2024, residents of Jura, Vaud, Glarus, Neuchâtel, Ticino, and Zurich will pay premiums that exceed the national average, according to Bonus’ calculations.

READ ALSO: Why do Swiss healthcare premiums vary so much per canton? 

How reliable are these figures?

Bonus based its numbers on the database of SASIS, a platform for medical statistics Switzerland.

Usually, this particular platform is fairly accurate.

However, a somewhat better outlook for next year’s premiums comes from Verena Nold, director of SantéSuisse, an umbrella group for Swiss health insurance providers.

In a recent interview with Swiss media, she said that an increase of 5 percent is more realistic.

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