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HEALTH INSURANCE

Is the high cost of Swiss private health insurance worth it?

When it comes to hospitalisations, Switzerland has different levels of health insurance, which range from basic to premium, the latter being the private coverage. What is it and do you need it?

Is the high cost of Swiss private health insurance worth it?
You'll get a a room like this (and other perks too) if you splurge on private health insurance.Photo by Martha Dominguez de Gouveia on

The best way to describe these levels is to compare them to hotels: the basic insurance is a two or three-star hotel — it has everything you need but without any extras.

Private insurance, on the other hand, entitles you to a five-star accommodation.

Another way to look at it is this: basic insurance is like flying Economy: you get a seat and you get to your destination just fine, but your comfort level may be lacking. In First-Class however, you want for nothing.

The difference between the various options outlined here is the price. It’s not so much what you prefer, but what you can afford.

The basic insurance

Basic insurance — KVG in German and LaMal in French and Italian —  is compulsory in Switzerland.  It is quite comprehensive and includes coverage for illness, medications, tests, maternity, physical therapy, preventive care, and many other treatments.

It also covers accidents for those who do not have accident insurance through their workplace.

Basically, whatever the doctor orders is covered by KVG / LaMal, at least partially.

It also gives you the right to choose your doctor and see a specialist without a referral, unless you took out one of the cheaper and more restrictive versions of the plan.

Overall, however, you will be given a high level of care.

The only difference between this and plans mentioned below is that if you need to be hospitalised, you will likely be put in a room with several other patients.

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

Complementary insurance

In addition to KVG / LaMal, some people also buy a complementary insurance, which offers them additional benefits that the basic plan doesn’t cover.

This includes all types of alternative treatments like acupuncture, massage, foot reflexology, osteopathy, Chinese medicine, and other treatments.

This type of insurance may also cover (though party) your dental costs, gym memberships and other perks, all of which are described in this article:

Acupuncture to rolfing: What your Swiss health insurance gets you (if you pay more)

It could also include a semi-private room in a hospital (depending on the kind of supplemental policy you purchase ), and the possibility to buy an upgrade to a private room.

Private insurance

This type of coverage, on top of the basic and supplemental one, is the very best you can have: the five-star hotel / First Class on the plane analogy mentioned above.

While with the basic insurance you can only be treated in public hospitals (that shouldn’t worry you though; they are very good in Switzerland), a private plan entitles you to be treated in a private clinic, where you will be put up in a private room and receive many other additional perks as well, such as choice of gourmet meals, slippers and bathrobe, and general pampering that you will most likely not get in a general ward of a public hospital.

Even more importantly, you can choose a clinic located outside your canton (which is not possible with KVG / LaMal, except for emergencies), and choose the doctor to treat you.

Given these choices, why would you not choose a private plan on top of your basic one?

In one word, cost.

As you know, premiums for the basic insurance are high, and especially so this year, when they rose by 6.6 percent on average and even more in some cantons.

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

This means that on average, and depending on your age, residence, and the deductible you chose, you probably pay between 300 and 500 francs a month for your KVG / LaMal.

Paying for private coverage on top of that will add another 500 francs at least to your monthly premium, and that is something that many people just can’t afford.

Whether or not this is feasible (and desirable) for you depends on whether you are happy flying Economy or absolutely want to sit in First Class.

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For members

HEALTH INSURANCE

In which Swiss cantons is most income spent on health insurance?

For many people in Switzerland, the obligatory health insurance premiums represent a significant financial burden. But how much you will pay depends on where you live.

In which Swiss cantons is most income spent on health insurance?

The price of the compulsory health insurance (KVG / LaMal) has been an ongoing topic of discussions for years, as costs keep climbing and no relief is in sight.

But this has become even more pertinent now, as Swiss voters will weigh on two initiatives relating to health insurance premiums on June 9th (read more about it below).

Everyone agrees that insurance rates are high and that they account for a big chunk of many people’s budgets.

But how big exactly?

As so many other things in Switzerland, the cost of health insurance is determined by cantons, which means residents of some areas will pay higher premiums than others.

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

So where in the country are you likely to spend the biggest portion of your salary on health insurance?

This is the picture that emerges based on figures from the Federal Office of Public Health (FOPH) and research carried out  by Ecoplan independent political and economic consultancy:

Families

A typical family (‘typical’ for this particular study) with two young, pre-school-age children and a net income of 97,992 francs a year, will spend the biggest chunk of their income (16.5 percent) on health insurance in Basel-City.

Next are Neuchâtel (14.9 percent) and Bern (13.2 percent).

On the other hand, in Zurich, Switzerland’s (and the world’s) most expensive city, that proportion is 12.2 percent — still high, but lower than in a number of other cantons.

As a comparison, that rate in the canton of Graubünden is only 6 percent.

 Single individual

The research looked at a 24-year-old unmarried person who earns 47,500 francs net.

Their health insurance premiums amount to 8.8 percent in Neuchâtel, followed by 8.2 in Basel-Country, and 8 percent in Vaud — all three, the highest in Switzerland.

If that person lived in Basel-City, on the other hand, their premiums would represent  only 4 percent of income.

Pensioners

For the retiree living alone and receiving a net income of 33,750 francs, social assistance and supplementary benefits cover the costs of the premiums.

READ ALSO: Is Swiss health insurance cheaper or even free for pensioners?

What do we learn from this study?

Primarily, that how much of your income is spent on health insurance is determined by your place of residence — not exactly a major revelation, but the figures are interesting nevertheless.

Keep in mind, however, that these numbers are approximate, and a lot depends on each person’s circumstances — that is, the exact salary and family situation, as well as the kind of co-pay deductions their insurance plan has.

What’s on the agenda for the June 9th referendum?

Two initiatives related to the cost of health insurance will be voted on:

  • ‘Premium relief initiative calling for no more than 10 percent of income to be spent on health insurance premiums 
  • ‘Cost brake initiative for lower health insurance premiums
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