Franchise & Cost Sharing
Recommendation A — you go to the doctor regularly CHF 300
You initially pay up to CHF 300 yourself, then the health insurance covers the rest. There's an additional 10% deductible on further costs — max. CHF 700/year. Maximum out-of-pocket expenses: CHF 1,000/year. Higher premium, but with reliable coverage.
Recommendation B — you are rarely sickCHF 2,500
You pay more out of pocket, but save significantly on premiums — often CHF 100–200 less per month. This makes sense if you are young and healthy. Plan for a reserve of CHF 3,200 (maximum out-of-pocket expenses per year).
Intermediate levels (CHF 500 / 1,000 / 1,500 / 2,000): These usually offer little added value — the premium discount rarely justifies the additional cost risk. In practice, most people choose either CHF 300 or CHF 2,500.
Additionally: CHF 15 hospital contribution per day for inpatient stays. The deductible applies per calendar year and is reset on January 1st.
Accident coverage in the health insurance
✓ Exclude accident coverage — saves ~7–10%If you are employed for 8+ hours/week
- Your employer insures you against occupational and leisure accidents via UVG (Accident Insurance Act).
- UVG = no co-payment, no deductible, including wage replacement in case of absence.
- Excluding accident coverage from your health insurance → saves approximately 7–10% on your premium.
⚠ Include accident coverage — mandatoryIf you don't work or work very little
- Not employed, self-employed, or employed for < 8 hours/week.
- Employed for less than 8 hours per week: only occupational accidents are covered, not leisure accidents.
- Self-employed individuals: no accident insurance → include accident insurance in health insurance.
- In case of job loss: 31 days of follow-up coverage via your former employer, then include accident coverage in your health insurance.
ℹ When starting a new job (8+ hours/week), exclude accident coverage from your health insurance — this is possible immediately and saves 7–10% on your premium. If you later lose your job or work less than 8 hours/week, reinstate accident coverage — report it to your health insurance company within 31 days.