Health Insurance Options and Plans as an Expat in Switzerland

1. What are the available health insurance options and plans for expats in Switzerland?


There are a few health insurance options and plans available for expats in Switzerland:

1. Mandatory Basic Health Insurance (Basisversicherung or Assurance de Base): This is the primary health insurance plan that is required by law for all residents, including expats. It covers basic medical services such as hospitalization, specialist visits, and medication.

2. Supplementary Health Insurance (Zusatzversicherung or Assurance Complémentaire): This type of insurance provides additional coverage on top of the mandatory basic insurance. It can cover services that are not covered by the basic plan, such as alternative medicine, dental care, and private hospital rooms.

3. Private Health Insurance: Expats who earn a high income may choose to opt for private health insurance instead of the mandatory basic insurance. This provides more comprehensive coverage and allows access to private hospitals and specialists.

4. International Health Insurance: Expats who do not plan on staying in Switzerland long-term may opt for international health insurance, which can be used temporarily while they reside in the country.

2. How much does health insurance cost for expats in Switzerland?

The cost of health insurance for expats in Switzerland can vary depending on factors such as age, income level, and location. On average, the monthly premium for basic health insurance ranges from CHF 200-400 per person. Supplementary and private insurance plans will have additional costs depending on the coverage selected.

3. Can I use my home country’s health insurance in Switzerland?

It depends on your home country’s specific healthcare system and agreements with Switzerland. Some countries have reciprocal healthcare agreements with Switzerland which allow their citizens to receive necessary medical treatment while visiting or living in Switzerland without having to purchase additional coverage.

If there is no agreement between your home country and Switzerland, you will likely need to purchase either mandatory basic health insurance or an international health insurance plan to cover any medical expenses while living in Switzerland.

4. Can I use private health insurance instead of mandatory basic insurance?

If you are an expat with a high income (over CHF 100,000 per year), you have the option to forgo mandatory basic insurance and instead purchase private health insurance. However, this can only be done if you have received approval from your cantonal health authority.

5. Are there any medical screenings required for expats applying for health insurance in Switzerland?

There are no medical screenings required for expats when applying for health insurance in Switzerland. Insurance companies cannot reject applicants based on pre-existing conditions or increase premiums based on medical history.

6. What is the process for enrolling in health insurance as an expat in Switzerland?

The process for enrolling in health insurance may vary depending on your situation, but generally it includes the following steps:

1. Register with your local commune within 14 days of arriving in Switzerland and obtain an official residence permit.

2. Choose a health insurance provider and submit an application within three months of registering at your local commune.

3. Provide proof of residency (rental contract, work contract) and proof of income (pay stubs, work contract, tax forms).

4. Once approved, you will receive a confirmation letter from your insurer and a policy document that outlines what is covered under your plan.

5. Pay your monthly premiums directly to your insurer or through automatic deductions from your salary if provided by your employer.

6. Keep all documentation related to your health insurance policy as it may be needed when obtaining medical services.

7. Can I cancel my Swiss health insurance if I leave the country?

If you are leaving Switzerland permanently, you can cancel your Swiss health insurance plan by providing written notice to your insurer at least three months prior to the cancellation date. You may also need to provide proof of residency in another country or show that you have obtained international health insurance coverage.

8. What happens if I do not have health insurance in Switzerland?

Not having health insurance in Switzerland is against the law and can result in fines. Additionally, if you do not have health insurance, you will be responsible for paying for any medical expenses out of pocket, which can be extremely expensive. It is highly recommended that all residents, including expats, have at least basic health insurance coverage in Switzerland.

2. Is it mandatory for expats to have health insurance in Switzerland?

Yes, health insurance is mandatory for all expats living in Switzerland. The Swiss healthcare system is based on a compulsory health insurance model, where all residents are required to have basic health insurance coverage.

3. What does Swiss health insurance cover?
Swiss health insurance covers a wide range of medical services including doctor consultations, hospital stays, medications, and medical treatments. However, certain services such as dental care and cosmetic surgery may not be covered or may have limited coverage.

4. How much does Swiss health insurance cost for expats?
The cost of Swiss health insurance varies depending on factors such as your age, health status, and the type of coverage you choose. On average, expats can expect to pay between 200-500 CHF per month for basic health insurance coverage.

5. Can expats opt out of Swiss health insurance if they have an international plan?
No, even if you have an international healthcare plan that covers you globally, it is still mandatory to have basic Swiss health insurance while living in Switzerland.

6. Are there any penalties for not having healthcare in Switzerland?
Yes, there are penalties for not having proper healthcare coverage in Switzerland. The minimum fine for not having basic public healthcare insurance is 300 CHF per adult and 150 CHF per child per month.

7. Can expats who do not speak German get access to English-speaking doctors in Switzerland?
Yes, there are many English-speaking doctors and medical professionals in Switzerland that cater to the large expat population. It is important to consider this when choosing your insurer and determine if they offer a list of English-speaking doctors within their network.

8. What happens if I need emergency medical treatment while traveling outside of Switzerland?
If you have private international healthcare coverage, it may cover emergency medical treatment while traveling outside of Switzerland. However, it is important to consult with your insurer beforehand and understand the limitations of your coverage.

9. Can I switch my health insurance provider in Switzerland?
Yes, you can switch your health insurance provider in Switzerland. However, there may be limitations or restrictions depending on the type of coverage and any pre-existing conditions.

10. Are pre-existing conditions covered by Swiss health insurance?
Yes, Swiss health insurance must cover pre-existing conditions, but only with basic coverage. Additional coverage options may exclude coverage for

3. What is the average cost of health insurance for expats in Switzerland?


The average cost of health insurance for expats in Switzerland varies depending on factors such as age, location, and level of coverage. However, on average, expats can expect to pay between $400-800 per month for health insurance in Switzerland. This cost may increase for older individuals or those who require additional coverage. It is important to research different insurance providers and compare plans to find the best option for your individual needs and budget.

4. Are there any government-sponsored health insurance programs for expats in Switzerland?

Yes, Switzerland has several government-sponsored health insurance programs for expats. These include the Swiss Federal Health Insurance Act (LAMal) which provides mandatory basic health insurance to all residents, regardless of nationality. Some cantons also offer additional subsidies for low-income or unemployed individuals to help cover insurance costs. Additionally, there are special programs for students and cross-border workers.

5. Can I use my home country’s health insurance while living in Switzerland?


It depends on the specific health insurance policy and coverage you have in your home country. Some international health insurance plans may provide coverage while you are living in Switzerland, but it is important to check with your insurance provider before assuming that they will cover the costs of healthcare in Switzerland. Additionally, it may be necessary to purchase supplemental health insurance in Switzerland to ensure adequate coverage for local healthcare services.

6. How does the healthcare system work for expats in Switzerland?


The healthcare system in Switzerland is based on a mandatory health insurance model for all residents, including expats. Expats must have health insurance coverage within three months of arrival in Switzerland.

There are various options for obtaining health insurance coverage, including through private insurers or the government-regulated Swiss Federal Health Insurance Law (KVG). Most employers provide health insurance coverage as part of employment benefits.

Once insured, expats can access a wide range of medical services, including visits to primary care physicians, specialists, hospitals, and prescription medications. The cost of healthcare is typically high in Switzerland, and patients are required to pay deductibles and copayments for various services.

Expats can also choose to purchase supplementary insurance to cover additional costs not covered by their basic health insurance plan. This may include dental care, alternative medicine treatments, and private hospital rooms.

Overall, the healthcare system in Switzerland is known for its high quality and efficient services, but it can be expensive for expats without adequate insurance coverage. It is recommended that expats thoroughly research available insurance options before moving to Switzerland.

7. Do I need to have a certain level of income to be eligible for health insurance as an expat in Switzerland?


Yes, there are income requirements for expats to be eligible for health insurance in Switzerland. You must have a minimum annual income of at least CHF 21,330 (for 2021) to be required to have health insurance under the Swiss Federal Health Insurance Act. If you earn below this amount, you may still be eligible for health insurance through other means, such as your employer or through a special cantonal subsidy. However, it is recommended that all expats have some form of health insurance to ensure they are covered in case of medical emergencies or unexpected health issues.

8. Are pre-existing conditions covered under the expat health insurance plans in Switzerland?


Yes, most expat health insurance plans in Switzerland provide coverage for pre-existing conditions. However, the extent of coverage may vary and some health insurance providers may impose waiting periods before covering these conditions. It is important to carefully review the terms and conditions of your policy to understand the coverage for pre-existing conditions.

9. What is the process of applying for health insurance as an expat in Switzerland?


As an expat, the process of applying for health insurance in Switzerland is as follows:

1. Determine your residence status: The first step is to determine your residence status in Switzerland. If you are a resident with a valid permit, you are required by law to have Swiss health insurance.

2. Choose an insurance company: In Switzerland, there are various insurance companies that offer health insurance plans. You can choose from public or private health insurance providers.

3. Collect necessary documents: To apply for health insurance in Switzerland, you will need to gather certain documents including your passport, residence permit, and/or work contract.

4. Compare different plans: It is advisable to compare different health insurance plans offered by various providers to find the best fit for your needs and budget.

5. Submit application: Once you have chosen a plan, you can submit your application either online or by visiting the office of the chosen provider.

6. Wait for approval: After submitting your application, it may take a few weeks for it to be processed and approved.

7. Pay premiums: Once your application is approved, you will be required to pay monthly premiums directly to the provider.

8. Register with primary care physician: In order to benefit from health insurance coverage, you need to register with a primary care physician who will serve as your first point of contact for all medical needs.

9. Renewal of policy annually: Health insurance policies in Switzerland are renewed annually, usually before December 31st of each year.

It is important to note that failure to have adequate health insurance coverage in Switzerland can result in penalties or denial of residency permits.

10. Are routine check-ups and preventative care covered under expat health insurance plans in Switzerland?

Yes, routine check-ups and preventative care are typically covered under expat health insurance plans in Switzerland. This can include services such as annual physicals, vaccinations, and screenings for conditions like cancer and heart disease. However, coverage may vary depending on the specific policy, so it is important to review the details of a plan before enrolling. Some plans may have restrictions on the frequency or types of routine care covered. Additionally, certain pre-existing conditions may not be covered under some expat health insurance plans. It is always recommended to consult with an insurance provider to understand the full extent of coverage for routine check-ups and preventative care.

11. Can I choose my own doctor or hospital with the provided health insurance options in Switzerland?


Yes, in Switzerland you can choose your own doctor and hospital with the provided health insurance options. However, it is important to check with your insurance provider if they have a list of preferred doctors or hospitals that offer discounted rates for their policyholders. Some plans may also require you to get a referral from a general practitioner before visiting a specialist.

12. What documents do I need to provide when applying for health insurance as an expat in Switzerland?

When applying for health insurance as an expat in Switzerland, you will typically need to provide the following documents:

1. Proof of identity – This can be your passport, national ID card or residence permit.

2. Proof of residency – You will need to show that you are legally living in Switzerland, either through a residence permit or a rental contract or proof of property ownership.

3. Work permit – Non-EU citizens will need to provide a valid work permit or proof of employment from their employer.

4. Previous health insurance information – If you had health insurance coverage in another country, you may need to provide proof of coverage and any relevant documents (e.g. medical history, vaccination records).

5. Birth certificate and/or marriage certificate (if applicable) – These documents may be required by some insurance companies as part of the application process.

6. Bank account details – You will need to provide bank account information for payment purposes.

7. Visa confirmation (if applicable) – Non-EU citizens may also need to provide a valid visa confirmation.

It is always best to check with your chosen insurance provider for their specific requirements before beginning the application process. They may have additional documentation requirements depending on your individual situation.

13. Do I have to pay upfront for medical treatments or will my claims be reimbursed by the insurer?

It depends on the type of health insurance plan you have. Some plans may require you to pay upfront for medical treatments, and then submit a claim to be reimbursed by the insurer. Other plans may have a direct billing system where the insurer pays the healthcare provider directly.

14. Can I choose my own doctors and hospitals or do I have to use those in my insurer’s network?
This also depends on the type of health insurance plan you have. Some plans may allow you to choose your own doctors and hospitals, while others may restrict you to using providers in their network. It is important to check with your insurer about their network and any potential restrictions before seeking medical care.

15. Is dental and vision coverage included in my health insurance plan?
Not all health insurance plans include dental and vision coverage, so it is important to review your plan details or speak with your insurer about what services are covered.

16. What happens if I become unemployed or change jobs while I am insured?
If you become unemployed or change jobs while being insured, you may be able to switch to COBRA coverage (Consolidated Omnibus Budget Reconciliation Act). This typically allows you to continue your current health insurance coverage for a limited period of time, but at a higher cost since you will be responsible for paying the full premium without an employer contribution.

17. What is a pre-existing condition?
A pre-existing condition refers to a medical condition that existed before obtaining health insurance coverage. Depending on your policy, pre-existing conditions may not be covered or may come with certain limitations or exclusions.

18. What is a waiting period?
A waiting period is the amount of time between when a health insurance policy starts and when coverage begins for specific services or conditions. This can vary depending on your policy and can range from days to several months.

19. Can I cancel my health insurance policy at any time?
Depending on your policy, there may be restrictions on when you can cancel your health insurance. It is important to review the terms of your policy or speak with your insurer about any potential cancellation limitations.

20. What happens if I miss a premium payment?
If you miss a premium payment, your insurer may give you a grace period to make the payment and keep your coverage active. If you do not make the payment within this time frame, your coverage may be cancelled and you could face penalties or difficulties when trying to obtain new coverage in the future. It is important to contact your insurer as soon as possible if you are unable to make a premium payment.

14. Are prescription drugs covered under expat health insurance plans in Switzerland?


It depends on the specific expat health insurance plan chosen. Some plans may include coverage for prescription drugs as part of their comprehensive healthcare coverage, while others may require an additional add-on or separate policy for prescription drug coverage. It is important to carefully review the details of any expat health insurance plan to determine what is covered and what is not covered, including prescription drugs.

15. In case of emergencies, does the health insurance cover medical evacuation expenses?

It depends on the specific health insurance policy. Some policies might cover emergency medical evacuation expenses, while others may not. It is important to review the policy details or contact the insurance provider directly to determine coverage for medical evacuation in case of emergencies.

16. Are dental and vision care included in expat health insurance plans in Switzerland?


Dental and vision care are often not included in expat health insurance plans in Switzerland. This can vary depending on the specific insurance provider and plan, so it is important to carefully review the coverage options and any additional riders or add-ons that may be available. In some cases, dental and vision care may be offered as optional add-ons for an additional cost. It is always recommended to discuss your specific healthcare needs with your insurance provider to determine the best coverage for you.

17. How long does it take to get coverage after purchasing a plan as an expat in Switzerland?


It typically takes 2-3 weeks for coverage to become effective after purchasing a plan as an expat in Switzerland. However, this can vary depending on the specific insurance company and plan chosen. Some companies may offer immediate coverage for emergency services while others may require a waiting period before other services are covered. It is important to carefully review the details of the policy before purchasing to understand exactly when coverage will begin.

18. Can I tailor my coverage based on my specific needs and budget as an expat living in Switzerland?

Yes, you can tailor your coverage based on your specific needs and budget as an expat living in Switzerland. There are various insurance companies in Switzerland that offer a range of insurance plans for expats, including health insurance, life insurance, travel insurance, and more. You can select the coverage options that best suit your situation and adjust the level of coverage and premiums to fit your budget. It is recommended to compare different insurance plans and prices before making a decision to ensure you are getting the most suitable coverage at the best value.

19.For how long can I keep my international/expat health insurance if I decide to leave Switzerland and move to another country?


This depends on the specific insurance policy you have. Some international/expat health insurance policies may allow you to keep the coverage while living in another country, while others may require you to cancel the policy and find a new one in your new location. It’s important to check with your insurance provider for their specific policies regarding coverage outside of Switzerland.

20. Are there any exclusions or limitations on coverage for expats in Switzerland?


Some possible exclusions or limitations for expats in Switzerland may include:
1. Pre-existing medical conditions: Many insurance policies do not cover pre-existing medical conditions or may charge a higher premium to provide coverage.
2. High-risk activities: Some insurance policies may not cover injuries or accidents related to high-risk activities such as extreme sports or certain hazardous occupations.
3. Mental health treatment: While most health insurance plans cover some mental health services, there may be limitations on the types of treatments covered or the number of sessions allowed.
4. Delayed filing or claims: There may be a time limit for submitting claims and if an expat does not adhere to these deadlines, they may not be eligible for reimbursement.
5. Therapies or treatments deemed experimental or unproven: Some insurance plans may not cover alternative therapies or treatments that are still considered experimental or unproven by traditional medical standards.
6. Alcohol and drug-related incidents: If injuries are sustained as a result of alcohol or drug use, the insurance plan may not provide coverage.
7. Travel outside of Europe: Some plans only provide coverage within Europe and do not extend to non-European countries.
8. Limited duration of coverage: Certain insurance plans have a limited duration, meaning they expire after a certain period of time and then need to be renewed.
9. Age restrictions: Some policies may have age restrictions, particularly for those over 65 years old, in terms of coverage limits and pre-existing condition exclusions.
10. Maternity coverage: Depending on the plan chosen, maternity costs may only be partially covered, if at all.

It’s important for expats to carefully review their insurance policy before making any decisions and choose one that best suits their needs and circumstances.