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Assurplus

Health & Medical Protection

Basic Health Insurance

The foundation of the Swiss healthcare system.

Every person residing in Switzerland is required to hold mandatory health insurance.

Often referred to as basic health insurance, this coverage forms the foundation of the Swiss healthcare system. Its purpose is to ensure access to essential medical care, regardless of age, health status or personal circumstances.

While the principle itself is straightforward, the system often raises questions.

Deductibles, cost sharing, insurance models, choosing an insurer or changing health insurers are all topics that deserve careful consideration before making a decision.

01

The same benefits for everyone.

One of the defining features of the Swiss healthcare system is that the benefits covered by basic health insurance are determined by law.

As a result, the medical benefits reimbursed under mandatory health insurance are identical regardless of the insurer selected.

  • The differences between health insurers relate primarily to:
  • premium levels;
  • available insurance models;
  • quality of service;
  • digital tools and services;
  • certain administrative processes.
  • Understanding this principle helps place the choice of insurer into its proper perspective.

02

Deductibles and cost participation.

The deductible represents the amount an insured person agrees to pay before the insurer begins contributing towards eligible healthcare costs.

In general, a higher deductible results in a lower premium.

However, the choice of deductible should not be based solely on premium savings.

It should also reflect financial circumstances, the ability to absorb unexpected healthcare expenses and the anticipated use of medical services.

The objective is to find an appropriate balance between cost and personal responsibility.

03

Insurance models.

Alongside the standard model, several alternative insurance models offer reduced premiums.

These arrangements generally involve a defined care pathway, such as consulting a designated family doctor, using telemedicine services or accessing care through a healthcare network.

Each model offers advantages as well as certain limitations.

The most suitable option depends on individual preferences, healthcare habits and the level of flexibility desired.

04

Choosing an insurer.

For many people, selecting a health insurer begins and ends with a comparison of premiums.

In reality, the overall experience of being insured extends beyond the monthly cost.

The quality of service, ease of administration and digital tools available can all play an important role in day-to-day interactions.

The most appropriate insurer is therefore not necessarily the same for everyone.

05

Looking beyond the premium.

The premium is naturally an important consideration.

However, sound decisions are rarely based on cost alone.

The chosen deductible, insurance model, service standards and personal circumstances should all form part of the decision-making process.

A suitable health insurance arrangement is ultimately one that remains aligned with individual needs and priorities.

06

A simple decision on the surface.

Basic health insurance is often viewed as an administrative requirement.

Yet the choices that accompany it can have a lasting impact on costs, flexibility and the overall healthcare experience.

Taking the time to understand the key principles of the system allows for more informed decisions and greater confidence in the years ahead.

Because the right decision is not necessarily the cheapest one.

It is the one that remains appropriate to your circumstances, your priorities and the way you choose to plan for the future.

Would you like to review your medical protection?

An independent conversation can help clarify your priorities and identify where your current arrangements may deserve attention.