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HEALTH INSURANCE

What to do if you haven’t yet received your Swiss health insurance card

Switzerland is late in issuing health insurance cards for new policy holders or those who have switched their providers at the end of 2022. What should you do if you need medical help before your new card arrives?

What to do if you haven’t yet received your Swiss health insurance card
Your Austrian health insurance will pay a portion of your salary if you're off sick for a longer period of time, and also manages your long-term care insurance if necessary. Image by Engin Akyurt from Pixabay

When you buy a health insurance policy in Switzerland from any of the dozens of approved providers, you will receive a credit card-sized card to be used as proof of insurance. Aside from your name, date of birth, and AHV / AVS number, the card also includes the name of your insurance company, client number, and the date of validity.

You will have to present this card each time you seek medical treatment that is included under the obligatory KVG / LaMal scheme.

Residents of Switzerland are allowed to change their compulsory health insurance coverage from one provider to another by November 30th, to go into effect from January of the following year.

The sharp increase in the cost of the health insurance in 2023 — 6.6 percent on average, but higher in some cantons — has prompted many people to look for cheaper options and change their carriers.

READ MORE: Millions of Swiss residents switch health insurance amid rising costs

This massive switch has caused a backlog in the production of new insurance cards, which means that many policy holders have not yet received theirs.

The cards for all insurance carriers are issued by a subsidiary of the Santésuisse health insurance association, whose spokesperson, Manuel Ackermann, said that the delay is caused by the “extraordinarily large number” — three times as many as in an average year — of switches.

He did not specify how much longer is needed to issue and send out all the cards.

What should you do if you haven’t yet received your card?

Say you need medical help, or another situation arises where proof of health insurance is needed — for instance, if you are applying for a new job or registering in a new municipality.

In such cases, you can present the insurance certificate letter your carrier has issued when you took up your policy.

While not having an insurance card is a minor inconvenience in Switzerland, where such a certificate can be used in the interim, it could be more of a problem when travelling in the European Union.

Under normal circumstances, if you fall ill in the EU, all you have do is present your Swiss card, which is equivalent to the European Health Insurance Card (EHIC). This way, you can be treated and the bill will go directly to your Swiss insurance company.

However, absence of the card could mean that hospitals in those countries may not recognise the insurance certificate alone, and require Swiss residents to pay for medical care on the spot.

While not an ideal situation, you can submit the bill, along with all the required documents such as details of your treatment, to your insurer in Switzerland.

READ MORE: Reader question: Can my Swiss health insurance refuse to pay my medical bills?

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For members

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

“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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