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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

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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