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HEALTH INSURANCE

Health insurers eye higher costs for the ‘lazy’

Swiss health insurers could demand higher premiums from customers who live sedentary lifestyles under plans to monitor people’s health through wearable digital fitness devices.

Health insurers eye higher costs for the 'lazy'
Digital tools such as the Fitbit could be used to monitor customers' activity. Photo: Yoshikazu Tsuno/AFP

CSS, one of Switzerland’s biggest health insurers, said on Saturday it had received a “very positive” response so far to its pilot project, launched in July, which is monitoring its customers’ daily movements.

The MyStep project, developed in conjunction with the University of St Gallen and the Federal Institute of Technology (ETH) Zurich, is using digital pedometers to track the number of steps taken by 2,000 volunteers until the end of the year, synchronizing that data with an online portal on the CSS website.

The project, the first of its kind in Europe by an insurer, “should reveal whether and how insurance companies can introduce an appropriate offer tailored to customers’ needs,” Volker Schmidt, head of technology at CSS, said in a statement.

The pilot also aims to discover to what extent insured people are willing to disclose their personal data, and whether self-monitoring encourages them to be more active in everyday life, pushing them to take 10,000 steps a day.

“So far the response has been very positive”, Schmidt told newspaper Blick on Saturday.

At the moment digital tools can only legally be used with those taking out supplementary insurance, but Schmidt feels such technology could also benefit Switzerland’s compulsory basic insurance.

“Given the increased cost of healthcare, we will inevitably have to promote individual responsibility in order to strengthen solidarity between insured people,” he told the paper.

The implication is that people who refuse to be monitored will be subject to higher premiums, said Blick.

Peter Ohnemus of Dacadoo, a company specializing in collecting health data, agrees that digital tools could be useful to insurers and push people to take responsibility for their health.

“There’s no solidarity if someone who does a lot of sports and takes care of their health has to pay the same high premiums as someone who smokes, drinks and drives and does not play sports,” he told Blick.

Fitness wristbands such as Fitbit are just the beginning of a revolution in healthcare, believes Ohnemus.

“Eventually we will be implanted with a nano-chip which will constantly monitor us and transmit the data to a control centre,” he said.

Obesity in Switzerland now costs the health service eight billion francs a year, according to figures from the Federal Office of Public Health, rising from 2.7 billion in 2002.

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LIVING IN SWITZERLAND

Which Swiss insurance policies are essential… and which ones don’t you need?

Switzerland’s insurance providers offer dozens of various coverage options to the country’s residents. How can you know which ones you really need and which are redundant — or overlapping?

Which Swiss insurance policies are essential... and which ones don't you need?

You may have heard it said that Swiss are such happy people because they have insurance against every possible (and even unlikely) hazards. They just don’t like to leave anything to chance.

One such example is the ‘hole-in one’ golf insurance, which is explained in detail here

It is therefore fair to say that while some policies are good to have, others are useless for most people.

How do you distinguish between the ones you need and don’t?

First let’s have a look at insurance that you must have, so it is not a matter of choice but of law:

  • Basic health (KVG / LaMal) and accident insurance
  • Auto / vehicle insurance
  • Buildings insurance (in most cantons)

These articles  provide more information about these obligatory coverages:

Now let’s move to insurance policies that are not mandatory but worthwhile to have:

First, household contents insurance

It is a good insurance to have and here’s why:  it will protect your personal property in your home or rented apartment against fire, water, theft, and other damages.

Personal liability insurance

This policy kicks in when you or anyone living under the same roof who is included in your coverage, causes damage to another person or their possessions. 

For instance, you accidentally spill coffee on an expensive rug in someone’s house, causing damage to it which requires either professional cleaning or replacement.

Of if your child kicks a ball into a neighbour’s yard and breaks the gate, that too would be covered by a liability insurance.

In other words, any time you or a member of your household (including your dog) damages or destroys someone’s property, your liability insurance will cover it in most cases.

Note that often the two insurances — household contents and personal liability — are combined, so check to avoid buying overlapping coverages.

Travel insurance

If you never leave home, then you probably don’t need to spend money on this insurance.

But for everyone else, it is a good idea.

You can benefit in two ways from this type of insurance: one, it will refund costs of your trip if you have to cancel due to illness, death in the family, or other reasons that prevent your from travelling on an already booked trip.

Secondly, if you have an accident while travelling abroad, basic health insurance may not fully cover the costs incurred. Depending on the country you are in and the treatment you need, it can be very expensive.

It covers medical emergencies and rescue costs abroad. And, it also pays for medically necessary repatriation to Switzerland. Basic insurance only covers transport to the nearest hospital.

Legal insurance

Most people in Switzerland have it, but it is really up to you to decide whether you want to buy this policy or not.

It covers attorney and other associated fees if you undertake court action against someone, are sued, or simply need legal advice.
There are two different types of legal protection insurance — one specifically for traffic accidents and the other for all other matters. Sometimes they are combined.

Typically, this insurance covers costs of legal representation associated with contract disputes, employment, loans and debts, healthcare, housing, retail purchases, and travel.

It is one of those insurances that most people will likely never need, but if they suddenly do, it can save loads of money.

READ ALSO: Why you need ‘legal protection insurance’ in Switzerland 

Complementary health insurance

If you are satisfied with the coverage of the basic insurance, and are not into any ‘extra’ treatments, then you probably don’t need this policy.

Many people in Switzerland do take it out simply because it offers services that are not covered by KVG / LaMal, such as alternative medicine and wellness treatments. 

Even more importantly, it will pay (though only partially) for dentists and eyeglasses, the (uninsured) costs of which can add up to quite a lot.

By the same token, you don’t really need a private option on your health insurance if you are happy with the treatments and level of care offered by the basic model.

Both are nice to have (if you can afford them) but you don’t absolutely need them.

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

What about insurance you probably won’t need?

According to Moneyland consumer platform, you can do without these coverages: 

Mobile phone insurance

It is not so much the matter of not needing to protect your smartphone, but the fact that any damage to it is likely already covered by your household contents insurance.

Car passenger insurance

Passenger insurance is offered as an optional supplement for mandatory third-party liability car and motorcycle insurance.

According to Moneyland, “it is normally not worth getting this insurance because passengers who live in Switzerland are already insured against accidents – either through their mandatory health insurance or through their employer-based accident insurance.

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