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HEALTH INSURANCE

Can a Swiss hospital refuse urgent medical care to a foreigner?

What medical treatment are foreigners entitled to if they fall ill in Switzerland?

Can a Swiss hospital refuse urgent medical care to a foreigner?
You will be given emergency care, regardless of your nationality. Photo by Alexander Grey on Unsplash

The answer to this question depends on whether you are a resident of Switzerland, or someone just passing through the country.

In the first case, you are required to have Swiss health insurance, regardless of whether you are a Swiss or foreign national. This means you will be provided with emergency as well as any non-urgent care you may need. 

Even the most basic insurance policy — KVG in German and LaMal in French and Italian — is quite comprehensive and includes coverage for illness, medications, tests, maternity, physical therapy, preventive care, and many other treatments.

A notable exception is the ambulance.

Health insurance will contribute a certain amount to the cost of emergency transportation, but only if it really is a medical necessity — a serious accident or a life-threatening situation. If, however, the patient could have travelled to the hospital by private car or public transport, basic health insurance will pay nothing (though supplementary policies might).

READ MORE: What isn’t covered by Switzerland’s compulsory health insurance?
 

What if you are not a resident but a visitor?

“Nationals of other countries must have sufficient insurance to cover the costs of treatment in Switzerland”, according to the Federal Office of Public Health (FOPH).

If you are from an EU / EFTA state and have the European Health Insurance Card (EHIC), “you are entitled to receive medical care that is considered essential, given the type of treatment and the expected length of stay in Switzerland”, FOPH said

“Essential care” means emergencies as described above, rather than non-urgent treatments that can be safely postponed until you return home.

That determination will be made by a medical professional.

Tourists from third nations, on the other hand,  must have an adequate health insurance policy covering the costs of essential medical treatment.

However, if you are from a country subject to a Schengen visa, “you must take out private medical insurance providing minimum coverage of EUR 30,000”. FOPH said.

What happens if you don’t have any health insurance at all?

In case of a true medical emergency, you will not be denied care; you will be stabilised, but will have to return to your country for follow-up treatment. Also, you will be presented with a bill when you leave the hospital.

Now, if you come to Switzerland specifically with the intention of getting medical treatment, you can of course make an appointment with a doctor of your choice, but you will have to settle you bill immediately after the consultation.

Whether your own insurance policy from your country will refund charges incurred in Switzerland depends on what kind of arrangement you have with your carrier — but this is not the Swiss hospitals’ problem.

READ MORE: Do foreign students in Switzerland need to get a Swiss health insurance policy?

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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. 

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