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HEALTH

Health premiums set to rise steeply next year

Despite negative inflation in Switzerland, householders will have to pay substantially more for heath care next year, the health insurance association Santésuisse has warned.

Health premiums set to rise steeply next year
Photo: homestreet.ch

Santésuisse director Verena Nold told Swiss national radio SRF insurance premiums would rise by three to four per cent but could be even higher in some cantons.

Premiums in 2015 rose 3.5 per cent over 2014 levels.

“In cantons that have a lot of specialists, i.e. the urban centres of Geneva, Zurich, Basel and Bern, people should reckon on a bigger increase than in the rural cantons,” Nold told SRF.

She said the reason was the growing number of specialists who charged ever higher amounts per patient.

Specialists including urologists and radiologists were charging for consulting medical files, she said. In the past two years costs in this area had grown by 140 million francs.

Another factor driving up premiums was that hospitals were offering more treatments on an outpatient basis, meaning that overnight stays were reduced.

These costs were being transferred to insured persons, Nold said, as the cantons did not finance outpatient treatment. 

Health insurance is compulsory in Switzerland. On arrival in the country people must take out a policy within three months.

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HEALTH

How difficult is it to change your doctor in Switzerland?

If you already have a GP doctor in Switzerland but, for some reason, need or want to switch, how easy is it to do so?

How difficult is it to change your doctor in Switzerland?

There are a number of reasons why you may want to leave your GP and find a new one.

Maybe you don’t like their bedside manner, are not happy with the medical care, or are simply moving away and need to find someone closer to your new home.

Whatever the reason, whether or not you can easily switch from one doctor to another depends on the kind of health insurance you have.

Different models, different rights

If you have the ‘standard’ — and typically the most expensive — type of the obligatory health insurance (KVG / LaMal), then you are free to switch your GPs at will, and you don’t have to inform the insurance carrier of the switch.

However, if you have opted for one of the cheaper insurance models, then your right to switch doctors may be limited:

Family doctor model’

It is the most popular in Switzerland (and 20 percent cheaper than standard insurance policy premiums).

Under this model, you have a family doctor who will manage your care — that is, treat you or send you to specialists if needed (with the exception of gynecologists and eye doctors, who don’t require a referral).

You can’t, however, change doctors at will, unless your insurance company approves the switch.

Telemedicine model

If you have opted for the Telemed formula, you must call a health hotline set up by your insurance company.

They will give you a referral to a doctor or hospital based on your symptoms.
 
Heath Maintainance Organisation (HMO)

Under this model, policyholders are required to consult a particular HMO practice. Two disadvantages of this alternative is a limited choice of doctors and you also need a referral to see a specialist.

So the only option that gives you the right to switch doctors with no hassle is the standard one, with the family doctor model also possibly allowing you to do so, under certain circumstances.

The way Telmed and HMO are set up, however, switching doctors is not possible. If that option is important to you, then you will have to switch to the (more expensive) standard insurance.

The only exception to the above restrictions are emergencies, when you need urgent medical treatment.

Assuming you have the standard model, how do you go about changing?

The process is pretty simple: you can find physicians in your area either through recommendations from people you know (which is the best way to ensure you will not be getting an ‘anonymous’ doctor) or, if no recommendations are available, then through the OneDoc platform, which lists which doctors are taking new patients and where.

You can then make an appointment directly online.

When you do so, ask your current physician’s office to transfer your file to the new doc.

You don’t need to explain the reasons for the switch.
 
READ ALSO: The essential Swiss websites you need to use for health matters 
 

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