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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?
Photo by Omar Lopez on Unsplash

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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For members

HEALTH INSURANCE

Why will Zug cut its residents’ health insurance premiums?

People in Switzerland have become reluctantly accustomed to seeing the cost of their obligatory health insurance go up each year. But the canton of Zug is planning to reverse this trend.

Why will Zug cut its residents' health insurance premiums?

The estimated 130,000 residents of Zug are among the luckiest people in Switzerland.

Not only are their tax rates lowest in the country, but their health insurance will also cost — at least temporarily — less than elsewhere.

That is because their government has decided to use surpluses in their public coffers to significantly reduce health insurance premiums paid by the local population.

What will happen?

“In recent years, Zug’s public finances have developed very favourably,” the canton announced on July 11th. “Part of the surplus generated will flow directly back to the population.”

The aim is for the canton to cover “almost all of the costs” — 99 percent— of inpatient hospital treatment for Zug patients in 2026 and 2027, at the cost of 220 million francs.

“This will mean that the 2026/2027 premiums for compulsory health insurance in the canton will be around 18 percent lower on average.” 

The Health Insurance Act stipulates that the cantons cover at least 55 percent of residents’ hospital bills.  Almost all the cantons base their calculations on this minimum amount.

In Zug, however, the canton’s share will be increased to 99 percent for two years. The remaining 1 percent will be paid for by health insurers, authorities said.

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

How will this lower the premiums?

“If the canton covers 99 percent of the costs for inpatient health services for two years, health insurers will have to take this into account when calculating premiums for 2026 and 2027,” according to the press release.

“The average premium will then be around 18 percent lower, or around 700 francs per person per year.”

This is, however, a general estimate, with the actual reduction based on the insurance model, age group, and health insurance company.

The details of this measure must be worked out by spring 2025, so that the premiums can be reduced accordingly for 2026/2027.

What will happen then?

The cuts will be in place until 2028, when the cantonal financing of hospital care will be made uniform across Switzerland, if approved by a referendum.

The cantonal parliament will decide whether or not to continue this policy based on the outcome.

Is Zug the only generous canton?

It is the only one so far to lower health insurance rates.

However, bucking the trend seen in many states around the world, all Swiss cantons reported more or less significant budget surpluses in 2022, and some in 2023 as well.

Local populations have, or will, benefit from this windfall.

Geneva, for instance, recorded a budget surplus of nearly 1.4 million francs and will put this money to a good use from August 2024.

Specifically,  it will cut taxes, especially for the middle class, and also offer free  rides on its public transport network to young people up to the age of 24.

READ ALSO: Geneva to cut taxes and make public transport free for young people 

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