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HEALTH INSURANCE

Five tips for getting cheaper health insurance in Switzerland

Swiss health insurance is notoriously expensive, but there are a few ways to cut the cost of the premiums.

Five tips for getting cheaper health insurance in Switzerland
Restricted choice of doctor can save you quite a bit of money. Photo by AFP

By now, you have received a letter from your insurance company, notifying you of the premium for 2021 – by law, carriers must announce the new rates to their clients no later than October 31st.

Because the differences in premiums from one insurer to another can vary, you could potentially save several hundred francs a year. So you could get the same benefits for less money.

Here are some other ways to cut the cost of your health policy, but keep in mind that if you want to cancel your current plan and switch to another one, you must notify your carrier, by registered post, by November 30th at the latest.

Health maintenance organisation (HMO)

Under this model, policyholders are required to consult a particular HMO practice. Two disadvantages of this alternative is a limited choice of doctors and you also need a referral to see a specialist.

However, the benefit is a premium reduction of up to 25 percent compared to the conventional insurance.

Family doctor model

Your family doctor, a general practitioner, will be designated by your insurance company and will be in charge of all your medical treatment.

He or she will refer you to a specialist if necessary. 

If you opt for this option, you could save 20 percent on your insurance.

READ MORE: How to change your health insurance carrier in Switzerland 

The Telmed alternative

If you choose this option, you have to call a telephone service and get a referral to a doctor or hospital.

This does not apply to medical emergencies and other exceptions, such as eye exams and annual gynecological check-ups.

Total savings could range between 15 and 20 percent. 

For both HMO and Telmed you can calculate your premiums here. 

Everything you need to know about health insurance in Switzerland

Increase your deductible

In Switzerland, the deductible (franchise) ranges from 300 to 2,500 francs.

The lower your deductible, the higher your premiums, and vice-versa.

If you are young, healthy, hardly ever get ill, and don’t take any expensive medications, then you can save substantially with the highest franchise.

Keep in mind, however, that if you choose the highest deductible and end up needing medical care, you will have to pay a greater proportion of the costs.

Pay the premiums in one lump sum

Most insurance carriers will give you a 2-percent reduction if you pay your premiums upfront rather than on monthly basis.

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HEALTH INSURANCE

EXPLAINED: Should I take out Swiss health insurance before or after the birth of my baby?

In Switzerland, you can choose between taking out health insurance for your baby either before or after the birth – but there’s a catch.

EXPLAINED: Should I take out Swiss health insurance before or after the birth of my baby?

In Switzerland, basic health insurance is mandatory even for the youngest among us.

Though it is generally recommended to register your baby with a health insurance prior to giving birth to save yourself the admin headache during recovery and bonding time, you can also take out health insurance after birth – though this could have financial consequences.

In any case, you should do this no later than three months after welcoming your baby.

When taking out basic health insurance after birth, your baby will be insured retrospectively from their birth. This also means that the premiums must be paid retrospectively up to the entire month of birth.

You must also inform your own health insurance of your new arrival. Note that your baby does not have to be registered with the same health insurance as you or your partner.

Are there any consequences to taking out basic health insurance for my baby after birth?

No, there are no financial consequences to taking out basic health insurance for your newborn following the birth, provided you do so within the necessary time frame.

What about supplementary health insurance?

While taking out basic health insurance will – hassle aside – play out the same way before and after the birth, this is not the case for (voluntary) supplementary health insurance.

In Switzerland, you are strongly recommended to register with a basic health insurance company during your pregnancy as this will enable you to take out supplementary health insurance for your baby at the same time. Some insurance companies, such as Concordia (100 francs), will even give you a so-called baby bonus.

Further to this, when registering your baby with a health insurance company for basic health coverage you will not be asked to provide any health check for your (unborn) baby.

However, when taking out supplementary health insurance after your child’s birth, the insurer will collect information about your baby’s health in the form of an extensive survey – similar to those adults in Switzerland have to fill out when registering with an insurance company.

This means that should your baby be born ill or with a disability, the insurance company can impose restrictions on the benefits they are to receive, or worse, refuse to sign a contract for your baby altogether.

According to a 2019 article by Swiss broadcasting company SRF, most Swiss supplementary health insurance companies will almost always reject a baby that is born with a disability as they consider them a ‘bad risk’.

You will also have to inform the insurance company of any illness or disability that has been detected during antenatal screening tests, in which case the insurer may again refuse to take your baby on.

However, note that the health insurance company is not allowed to request antenatal screening tests. Parents must only declare the results with the insurance if they have it.

In general, it is advisable to have your baby insured between the 4th and 8th month of your pregnancy.

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