Private health insurance in Switzerland: is it worth it?

3 min 15 s Published In English Watch on YouTube

Is private health insurance worth it in Switzerland? Basic insurance is the same at every insurer by law; "private" here means hospital cover. Semi-private or private can make sense, but the price climbs with age, so the decision belongs in your 30s and 40s.

Jump to a chapter.

  1. 0:00What "private" means in Switzerland
  2. 0:38The five tiers
  3. 1:12What you actually get
  4. 1:30The age-curve trap
  5. 2:09When basic is enough
  6. 2:27What it costs
  7. 2:55Your first Swiss insurance review

The full guide

Private health insurance in Switzerland: what it really buys

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The full transcript.

0:00 What "private" means in Switzerland

Is private health insurance in Switzerland worth it, and which one is best? First, what private means here. Basic insurance is mandatory and the same at every insurer. When people say private, they usually mean hospital cover: semi-private or private. The short answer: for some people it is, and for some, basic is enough. Hospital cover buys a room, and a choice of doctor and hospital. It does not buy better medicine. There is no best. There is right for you.

0:38 The five tiers

Five tiers. Basic only: the general ward, four to six beds, the doctor on duty, a hospital in your canton. Hospital Flex: choose the ward at each admission, with a co-payment to upgrade. Semi-private: a two-bed room, a senior physician, any hospital in Switzerland. Private: a single room, the chief physician, and private clinics. Private worldwide: the same, abroad too.

1:12 What you actually get

What changes is the room, who treats you, and where. Swiss public hospital care is excellent. For a routine operation, semi-private and private give the same medical outcome. The chief physician matters most in complex surgery.

1:30 The age-curve trap

The trap we usually catch: the age curve. Most insurers price on your age, and the premium steps up every five-year band, for life. The curve is steepest at private: lock it in at 32, and you carry the steep end for 30 years. You can always step down. Stepping up is harder: after 65, applying may not be possible at all. So decide in your thirties and forties, while you are healthy: hospital cover is underwritten, and the insurer can decline you or exclude a condition.

2:09 When basic is enough

And sometimes the honest answer is none. Young, healthy, no clinic you want by name, no treatment planned outside your canton: basic is enough. Keep the CHF 200 a month, and add semi-private later, while your health allows it.

2:27 What it costs

What does it cost? In our Hospital Insurance Cost Index, semi-private averages CHF 162 a month, and private 266. The age you join matters: private averages CHF 144 for someone joining at 26, and 441 at 65. Choose the tier first. The insurer is the easy part.

2:55 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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