SHARE
COPY LINK
For members

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.

Member comments

Log in here to leave a comment.
Become a Member to leave a comment.
For members

HEALTH INSURANCE

‘It’s absurd’: Switzerland to find out how much foreigners cost Swiss healthcare

Switzerland’s National Council has voted in favour of a motion that would allow patients' nationality to be collected so authorities can examine the benefits of health insurance.

'It's absurd': Switzerland to find out how much foreigners cost Swiss healthcare

“For reasons of transparency, the nationality of insured persons must be considered as a variable to be analysed to examine the benefits payable by health insurance,” said deputy Cyril Aellen from the Radical Liberal party, one of the move’s instigators. 

The objective of this push is to find out if foreign residents cost the obligatory health insurance scheme more than the Swiss, although it is not clear at this point what purpose would this information ultimately serve.

Under the proposal, the Federal Statistical Office (FSO) would be responsible for this task on an annual basis.

But though the motion was accepted by 105 votes against 85, those opposed to the proposed measure have pointed out why it should not be implemented.

A discriminatory practice

“It is an absurd, time-consuming and discriminatory bureaucratic exercise, ” according to Social Democrat Brigitte Crottaz, who voted against the motion.

“Some MPs want to demonstrate that foreigners cost more to health insurance,” she added. “But nationality is not a significant factor in the field of health, unlike other factors such as age or gender.” 

Health Minister Elisabeth Baume-Schneider has also criticised the move.

“A million people have dual nationality in Switzerland. How will they be considered [for statistical reasons] — as Swiss or foreigners?” she asked.

“The amendment is not necessary because the FSO can already produce in-depth statistics on the costs borne by health insurance,” she added.

The motion will now pass on to the Council of States for further deliberation.

Car insurance tool

The field of health insurance is not the only area where nationality of the customer plays a role: the price of vehicle insurance premium often depends on the country the driver is from as well.

“Nationality is an important criterion for insurers in calculating the probability of a claim, even if it may seem unfair,” according to Adi Kolecic, mobility expert at Comparis consumer platform, which analysed how rates are based on the motorists’ origin.

“If statistics show that people who hold a certain citizenship tend to make more claims or be involved in more incidents than people of other nationalities, those statistics may influence the premiums charged.”

As a result of this approach, drivers from certain countries pay up to 74 percent more for their insurance than their Swiss counterparts.

READ ALSO: Why foreigners in Switzerland pay higher car insurance premiums 
 

SHOW COMMENTS