Basic vs supplementary health insurance in Switzerland.

3 min 23 s Published In English Watch on YouTube

Basic health insurance in Switzerland is mandatory and gives the same benefits at every insurer, by law. Supplementary insurance is optional, and the insurer may accept you, add exclusions or decline. That is why timing matters.

Jump to a chapter.

  1. 0:00Two layers
  2. 0:34Basic: the same everywhere
  3. 0:53Supplementary: where the differences are
  4. 1:43Two insurers is allowed
  5. 2:08Apply while healthy
  6. 2:34The age-curve trap
  7. 3:03Your first Swiss insurance review

The full guide

Supplementary health insurance in Switzerland

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Free · 45 minutes · In English · With Robert

The full transcript.

0:00 Two layers

Basic or supplementary health insurance in Switzerland: what is the difference, and do you need both? Swiss health insurance has two layers, and they follow different rules. The short answer: basic is mandatory, the same at every insurer, and every insurer must accept you. Supplementary is optional, differs by product, and the insurer may say no. For many people part of it is worth having. For some, none of it is.

0:34 Basic: the same everywhere

Basic pays for the general ward in your canton's hospitals, doctor visits and listed medicines, maternity care, and emergencies abroad up to twice the Swiss cost. By law, those benefits are identical at every insurer. What differs is the price.

0:53 Supplementary: where the differences are

Supplementary is everything you add on top, in four kinds. Hospital: a semi-private or private ward, and your choice of hospital. Outpatient: therapies basic won't pay, glasses, medicines off the list. Dental. And wider cover abroad. Hospital is most of the decision, and most of the price. Here is the real difference. For supplementary, the insurer asks health questions. It can accept you in full, add a surcharge, exclude a condition, or decline you. Answer every question completely, including treatment abroad. Incomplete answers can void the contract.

1:43 Two insurers is allowed

Two laws mean two contracts, and they can sit with different insurers. Most expats don't know that is allowed. You can switch basic every year without touching supplementary. Moving supplementary means new underwriting, at your age now. If you move it, apply first, and cancel only after a written yes.

2:08 Apply while healthy

The trap we usually catch: waiting until you need it. Once a supplementary policy is in place, the insurer cannot add exclusions for conditions that start later. Apply while you are healthy, and what comes later is covered as ordinary care. There is no official deadline, and no promise of acceptance. Applying early protects the option.

2:34 The age-curve trap

The price follows the age you join. For a semi-private ward, the median for a new customer is CHF 110 a month at 38, and 260 at 65. Some insurers stop taking new customers between 50 and 70. So decide supplementary once, kind by kind, and early. Sometimes the answer is hospital cover only, or nothing.

3:03 Your first Swiss insurance review

If you'd like someone to read your own contracts with you, book your first Swiss insurance review. It's free, 45 minutes, in English, with Robert or Nicole. The link is in the description.

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