SHARE
COPY LINK

HEALTH INSURANCE

Swiss MPs backtrack on plans to hike out-of-pocket health care costs

In a surprise move, Swiss MPs have voted against plans that would have seen some people paying a greater share of their own healthcare expenses.

Swiss MPs backtrack on plans to hike out-of-pocket health care costs
File photo: Depositphotos

Almost everyone who lives in Switzerland must take out basic compulsory health insurance, which generally costs several hundred Swiss francs a month.

However, policy holders can choose what level of out-of-pocket expense they are liable for by selecting their ‘franchise’, or ‘deductible’ as it is also known.

Read also: What you need to know before you take out Swiss health insurance

Under this system, the minimum franchise is 300 Swiss francs (around €265) and the maximum franchise is 2,500 francs.

If you have a ‘300-franc’ franchise, for example, your insurer will start paying towards costs as soon as your health care bill hits 300 francs.

People with a lower franchise pay higher monthly premiums but the upside is that their health insurance provider starts chipping in towards costs sooner.

But in a controversial move, Swiss MPs recently voted to raise the minimum franchise for compulsory basic health insurance from the current 300 francs to 350 francs.

The planned changes would have seen people forced with this level of cover to pay at least 350 francs out of their own pocket, rather than the current 300 francs.

The proposal was part of a mechanism that would have seen health insurance franchises pegged more closely to real healthcare costs to the system.

The aim of the plan put forward by the Swiss government was to try and bring down spiralling health care costs by discouraging people from unnecessary doctor's visits or medical treatments.

Switzerland has some of the highest per capital health care costs in the world and there has been intense political discussion over the last year about how to bring these costs down.

However, in a new vote on Friday, MPs voted against the 50-franc rise, meaning the minimum franchise will now remain at 300 francs after all.

The surprise move came after the conservative Swiss People’s Party (SVP) – the largest party in the lower house – changed its tune.

It had previously approved the increase but then last week it came out against the plan, arguing it was a “band aid” solution to the problem of health care costs. The party said the whole system needed an overhaul.

Commentators said the SVP’s about-face on a move that would be unpopular with voters was made with one eye on national elections in Switzerland later this year.

The Socialists (SP), who rejected the proposal from the outset, had previously warned they would launch a referendum to try and have the changes overturned.

Member comments

Log in here to leave a comment.
Become a Member to leave a comment.

HEALTH INSURANCE

Could glasses and contact lenses soon be covered by Swiss health insurance?

The Swiss health system is ranked among the best in the world, but some essentials, like glasses, aren't automatically covered by health insurance. That could soon change, however

Could glasses and contact lenses soon be covered by Swiss health insurance?

Green Party Federal Councillor Katharina Prelicz-Huber revealed in an interview with newspaper 20 Minuten this week that the Federal Parliament had tabled a motion to include prescription glasses and contact lenses in Switzerland’s mandatory health insurance scheme. 

Prelicz-Huber stated: “The purpose of compulsory health insurance is to provide the services you need to get or stay healthy,”

The motion forms part of the legislation that will be voted on during the 2024 summer session of the Federal Council. 

Proposed changes 

According to Switzerland’s peak optician body, 4 in 5 Swiss wear glasses or contact lenses at some point. 

It’s no surprise that statistics repository, Statista, projects the Swiss eyewear industry to be worth €1.37 billion by 2028. 

Currently, glasses and contact lenses are covered for up to 180 francs for children until age eighteen, if they are proscribed by a doctor.

Adults can also claim money back for glasses and contact lenses – however, they must be suffering from one of a short list of specific conditions such as keratoconus – where the cornea is distorted – or severe myopia, otherwise known as near-sightedness.

They must also have been specifically prescribed them by a doctor or optometrist. 

Otherwise, supplemental optical insurance must be purchased in Switzerland to ensure you can recoup the cost. 

Under the Green Party proposal, glasses, contact lenses, and other visual aids would be covered, regardless of age. 

Rising premiums prompt opposition 

Not everybody agrees with the proposal. 

The right-wing SVP has already spoken out against it, with Federal Councillor Diana Gutjahr arguing: “If we seriously want to slow down the burdensome and constantly rising health costs for the benefit of the population, we [must] show the political will not to constantly expand the benefits of compulsory health insurance.”

A spokesman for the the health insurance advocacy group Santesuisse, Matthias Müller, echoed Gutjahr, claiming that insurance constitutes “financing for extraordinary events such as illness.”

“If almost everyone benefits from a certain service, it is no longer an insurance benefit.”

A date for the vote has yet to be announced. 

SHOW COMMENTS