Setting up Swiss health insurance — your first 90 days as a new arrival.

New residents usually have 3 months to arrange Swiss basic health insurance. The important work happens earlier: registration date, accident cover, franchise, model, and whether supplementary should be applied for now or left alone.

Book your first Swiss insurance review

Free · 45 minutes · In English · With Robert or Hans

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45 minutes with Robert. Free.

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New to Switzerland: what has to happen first?

Deadline

You usually have 3 months.

Swiss basic health insurance is mandatory for residents. The federal rule is three months after taking up residence. In practice, bring your registration paperwork and we verify the exact canton timeline.

If arranged on time, basic coverage is retroactive.

First move

Set up basic before optimising.

Basic insurance gets you compliant. After that, the real choices are franchise, model, accident coverage, family setup, and whether supplementary makes sense.

Clean window

Review supplementary early.

Supplementary insurance is medically underwritten. The simpler your documented situation, the cleaner the application. We check whether it is worth applying now or skipping it.

Bring these six facts to the first review.

The first consultation should not start with product names. It should start with the facts that decide the legal deadline, the premium architecture, and whether optional cover is still worth applying for.

Fact Why it matters What to bring
Registration date Confirms the 3-month deadline we need to work against Bring Gemeinde/canton registration confirmation
Accident coverage Employees over 8 hours/week are usually covered by employer accident insurance Bring employment contract or HR confirmation
Family members Every resident needs their own basic policy; children are separate Bring spouse/child arrival and registration dates
Franchise and model Controls premium and access path to doctors Tell us your expected doctor usage and GP needs
Supplementary timing Optional, underwritten, and harder after health events Bring any existing medical context honestly
International cover Some people need exemption or IPMI review instead of domestic setup Bring current policy if you may be exempt

This is the setup table we use before comparing insurer names.

The first 90 days — what has to happen, when.

The federal-law sequence for a newcomer is straightforward. The decisions inside it are not. Here is the timeline most expat households we work with follow — the deadlines that bind, the windows that matter, and the calls that pay off long-term.

Day 1–7

Cantonal registration (Anmeldung)

Keep the Gemeinde or canton paperwork. We use it to verify the federal 3-month insurance deadline against the canton.

Day 7–30

The first review

We sequence insurer, franchise, model, accident cover, and supplementary timing before any Swiss medical events make the decision messier.

Day 14–30

Supplementary application (if applicable)

If it fits, apply before the first Swiss GP visit or claim. Supplementary insurance is underwritten under Art. 4 VVG.

Day 30–90

Application, acceptance, verification

Basic acceptance is mandatory under KVG. Then we check card, AHV, payment setup, Hausarzt network, and whether anything needs follow-up before the deadline closes.

Day 90+ · If missed

Cantonal assignment

If no basic insurance is registered in time, the canton can assign coverage and add a penalty surcharge under Art. 5 KVG.

What's mandatory, what's optional.

Two contracts, two laws, two different rules. Most newcomers conflate them. Federal-law clarity first; the choice architecture follows.

Basic — KVG

Mandatory. Federal benefits identical.

Required for every Swiss resident under Art. 3 KVG. Catalogue of covered medical care identical at every insurer (Art. 25 KVG). 50+ Swiss basic insurers; you choose freely (Art. 41 KVG). Children pay a reduced premium; family Franchise cap available under Art. 64 §4 KVG.

  • Cantonal premium tariff approved annually by BAG
  • Six legal Franchise tiers (Art. 64 KVG)
  • Annual cancellation right by 30 November (Art. 7 KVG)
  • Acceptance is mandatory — no underwriting

Supplementary — VVG

Optional. Underwritten individually.

Hospital supplementary (semi-private, private, worldwide). Outpatient supplementary (complementary medicine, prevention, dental). Travel and emergency abroad. All underwritten individually (Art. 4 VVG); apply before any conditions develop.

  • Apply within first 30 days for cleanest underwriting
  • Health questionnaire references treatment "in Switzerland and abroad"
  • Past condition → exclusion, surcharge, or rejection
  • The clean window closes after the first Swiss medical event

Mandatory is mandatory; optional is genuinely optional. We say "don't take the supplementary you don't need" more often than the market suggests we should.

Four decisions. Made in your first month. Locked in for years.

Every architecture decision interacts with every other. Get the canton wrong and the premium math changes. Get the Franchise wrong and the wrong model becomes "optimal." Get the timing wrong and the supplementary you wanted becomes the supplementary that excludes you. We sequence these in the first review.

Decision 01

Insurer

Federal benefits identical (Art. 25 KVG). Choice runs on premium, model availability per canton, claim-handling reputation, and supplementary product range. Most newcomers default to the largest insurer in their canton; the largest is rarely the cheapest.

SWICA contract-read · Sanitas contract-read

Decision 02

Canton-dependent factors

Your address determines premium tariff (Art. 49a KVG cantonal funding split; Art. 61 KVG premium-calculation principles). Within a canton, premium regions exist (Zürich Region 1 vs Region 2; Bern Region 1 vs 2 vs 3). Cantonal subsidies (IPV) vary materially. The address is mostly fixed at relocation; we model the implications.

Decoding canton, region, premium →

Decision 03

Franchise

Six legal adult tiers under Art. 64 KVG: 300, 500, 1,000, 1,500, 2,000, 2,500. Children: 0, 100, 200, 300, 400, 500, 600. The right tier depends on actual care usage and the household's risk appetite. We routinely see newcomers default to 300 — it is the most expensive option and rarely the right one for a healthy adult.

The Franchise reframe →

Decision 04

Model

Standardmodell, Hausarzt, HMO, Telmed, Pharmed. 8–18% premium variance across models within the same insurer. English-language model availability varies materially by canton. Hausarzt requires committing to a network GP — verify availability in your area before signing.

Swiss health insurance models explained →

Pre-existing conditions — the clean window.

Most newcomers arrive with one structural advantage they do not realise. The Swiss supplementary underwriting questionnaire (Art. 4 VVG) asks about medical history. For someone arriving from the UK, US, Germany, or elsewhere, the medical history exists on home-country systems Swiss insurers do not query. What the insurer sees is the questionnaire you complete. Honest disclosure is required by federal law. But — most newcomers we meet have a cleaner application window in their first 90 days than they will ever have again.

Apply before Swiss claim history starts to accumulate.

The rule is not to hide history. The rule is to answer correctly before new Swiss events complicate underwriting.

01

What the questionnaire asks

Hospitalisations, surgeries, medication, mental-health treatment, chronic conditions. The questions reference treatment in Switzerland and abroad.

02

Why timing matters

After a first GP visit, specialist consultation, or claim in Switzerland, there is a new local record for the insurer to assess.

03

What we recommend for newcomers

If hospital or outpatient supplementary fits, apply in the first 30 days. Detailed mechanics in our pre-existing-conditions reference.

Who reads the setup

Robert checks the first 90 days before anything is signed.

For newcomers, the useful review is not a product list. It is the deadline, accident cover, franchise, model, and supplementary timing in the right order.

Illustrated portrait of Robert Kolar

Robert Kolar

Insurance advisor — health insurance specialist

20+ years in Swiss insurance. Robert checks the registration deadline, basic setup, accident cover, franchise, model, and whether supplementary should be applied for now or left alone.

Book with Robert if

  • New-to-Switzerland health-insurance setup
  • First 90-day deadline checks
  • Supplementary timing before underwriting gets messy
Book your first Swiss insurance review

If the setup touches pension, 3rd pillar, life insurance, or cross-border tax, we bring Hans in after the health-insurance context is clear.

A worked example — family arriving from London.

A family of four — both adults employed in Zürich, kids ages 7 and 11 — arrived from London in late January. Day 5 in Switzerland, before any medical events, they came to us. The first review covered five decisions in 45 minutes.

Registered by day 30.

By day 60, paediatrician and GP routes were mapped. The 3-month deadline was met with margin to spare.
InsurerZürich Region 2 premium curves compared across three insurers.
FranchiseAdults at 1,500, children at 300 — roughly CHF 1,400/year less than the default low-franchise setup.
ModelHausarzt, because the preferred English-speaking GP was already in-network.
TimingSemi-private supplementary applied for within 14 days of registration, before any Swiss claim activity.

Special cases — when the standard sequence doesn't apply.

Four scenarios where the standard newcomer sequence needs adjustment. We handle each with a different first move.

Executives with employer-paid IPMI

Some executive packages include international medical insurance (IPMI) that meets Swiss equivalence requirements for KVG exemption under Art. 2 KVV. The exemption is not automatic — it requires application to the cantonal authority within 3 months of registration with documentary proof. For these cases we work with sip.ch, who specialise in international / IPMI insurance for executives. Misjudge the exemption and the household pays Swiss basic premiums alongside an international plan they don't need. Detailed walk-through in our IPMI vs Swiss supplementary piece.

Cross-border workers (Grenzgänger)

Workers commuting daily from neighbouring countries (Germany, France, Italy, Austria) into Switzerland have specific cross-border insurance options under EU/EFTA agreements. The choice between Swiss KVG, home-country compulsory cover, or a private cross-border plan depends on family situation, income, and which side of the border medical care will primarily occur. We work with cross-border specialists on these cases.

Students

Students with home-country health insurance meeting Swiss equivalence requirements may apply for KVG exemption (typically renewable each academic year). University-arranged international student insurance often qualifies. Verify equivalence with the cantonal authority before assuming exemption.

Late arrivals — deadline already missed

Past 90 days from cantonal registration, the canton's Ausgleichskasse assigns coverage — typically with the most expensive insurer at the most expensive model, surcharge backdated. The first move: regularise immediately. Then plan a clean switch at the next 30 November ordinary cancellation right under Art. 7 KVG. Detailed mechanics in our cancellation-deadline reference.

Why a comparison portal isn't a setup.

Comparis.ch and similar comparison portals are useful for premium comparison once you have decided your canton, age band, and Franchise tier. They are not a substitute for setting up your insurance for the first time. The structural difference: comparison portals do not read your contract, do not consult you on your expectations and needs, do not judge which supplementary setup makes sense for you, and do not run the lever calculations against your specific situation.

Comparison portal
Independent advisor (us)
Reads your situation
No
Yes — 45-minute review
Runs canton × age × model × Franchise math
Premium-only
All four levers
Verifies KVG-exemption eligibility
No
Yes — case-by-case (executives, students, cross-border)
Sequences supplementary timing for clean underwriting
No
Yes — before first Swiss medical event
Consults on needs and expectations before choosing supplementary
No — product filters only
Yes — hospital, outpatient, family, travel, and future-use fit
Operates in English
Some
Yes — primary language

We use priminfo.ch ourselves for cross-canton premium lookup. We use Comparis when a reader asks us to. Neither is a replacement for the first setup. The longer answer to what an independent Swiss insurance advisor is sits at our positioning piece.

FAQ.

How long do I have to register for Swiss health insurance after arriving?
The federal rule is 3 months after taking up residence. In practice, bring your cantonal or municipal registration paperwork and we verify the exact deadline against the canton. Coverage applies retroactively once registration is complete.
Is health insurance mandatory in Switzerland?
Yes. Basic health insurance (KVG) is compulsory for every Swiss resident under Article 3 KVG. Supplementary insurance (VVG) is optional.
Are basic-insurance benefits the same across all Swiss insurers?
Yes — federal law (Article 25 KVG) requires every basic insurer to cover the identical catalogue of medical care. Premium varies by canton, age, model, and Franchise; benefits don't.
What happens if I miss the 3-month registration deadline?
The cantonal Ausgleichskasse assigns coverage — typically with the most expensive insurer in the canton, at the most expensive model, with a penalty surcharge under Art. 5 KVG backdated to your arrival date. We help regularise the situation and plan a clean switch at the next 30 November ordinary cancellation under Art. 7 KVG.
Can I keep my international or home-country health insurance instead of Swiss basic insurance?
Only with KVG exemption from the cantonal authority. Exemption requires international cover meeting Swiss equivalence requirements (executives with IPMI, students with university-arranged cover, certain cross-border worker arrangements under Art. 2 KVV). Apply within 3 months of cantonal registration with documentary proof.
When should I apply for supplementary insurance as a newcomer?
Within the first 30 days, before any medical events occur in Switzerland. Supplementary underwriting (Article 4 VVG) considers your medical history. The clean window before any Swiss claim activity is the easiest time to apply.
What's the average Swiss basic-insurance premium for a new arrival?
Variable by canton, age, model, and Franchise. Indicative 2026 monthly premium for an adult age 30, Standardmodell, Franchise 300: Zug ≈CHF 380, Zürich ≈CHF 470, Geneva ≈CHF 580. Verify on priminfo.ch (the federal portal).
Do I need to find an English-speaking GP?
It helps. The Hausarzt model requires committing to a specific GP from the insurer's network. English-language GPs are concentrated in Zürich, Geneva, Basel, Zug, and Lausanne. Verify availability before choosing the model.
Can my children be added to my insurance automatically?
Children require their own basic insurance under federal law — every Swiss resident, including children, must have their own KVG policy. Many supplementary insurers accept children of an insured parent automatically up to age 18 if the parent is insured at the same insurer. Verify per insurer.
What's IPV and how do I know if I qualify?
IPV (Individual Premium Reduction / Prämienverbilligung) is a cantonal subsidy for moderate-earning households. Each canton operates its own scheme; thresholds and amounts vary materially. For most newcomers, IPV becomes relevant in year 2 once Swiss tax residency is established. Some cantons apply automatically based on tax data; most require explicit application.
Can I cancel my Swiss basic insurance and switch insurer in my first year?
Yes — the ordinary annual cancellation right under Article 7 KVG applies regardless of your length of residency. Cancellation must arrive at your existing insurer in writing by 30 November, with proof of new coverage starting 1 January.
Do I need a Swiss bank account before I register for insurance?
Not strictly — most insurers accept a foreign IBAN initially and let you switch to a Swiss account once it's open. The simpler path is to register the bank account first, but the timing isn't blocking.

What clients say.

4.8 from 52 reviews on Google
Robert is the best person to partner with if you need to do difficult things such as relocate.
E. Burke-Murphy2026
Illustrated portrait of a Scandinavian client.
After returning to Switzerland from abroad, Robert was a tremendous help consulting me about all the changes.
Steven2025
Illustrated portrait of an American client.
Illustrated portrait of a South Asian client.
My session with Robert was one of the most efficient consultation sessions I'd ever had.
Milad F.2025
Illustrated portrait of a Slavic client.
Highly recommend consulting Expat Savvy before making any online insurance comparisons.
Zendaya B.2025
Working with Ben was great. Very prompt and responsive. Would highly recommend to anyone.
Michele2025
Illustrated portrait of a client.
Beide arbeiten Hand in Hand und haben die individuellen Anforderungen unserer Kunden immer im Blick.
Katharina K.2025
Illustrated portrait of an East Asian client.
Illustrated portrait of a Central European client.
After several bad experiences with other brokers, working with Mr. Robert Kolar was a completely different experience.
Dragos H.2026
Illustrated portrait of a Latin American client.
I was looking to change a supplementary insurance plan, and Robert guided me with professionalism and patience.
Diana M.2025

Set it up right. The first time.

The first 90 days decide the insurance architecture you may live with for years. We read the setup, check the deadline, and send a written summary after the review.

Book your first Swiss insurance review

Free · 45 minutes · In English · With Robert or Hans