General

Healthcare in Switzerland is regulated by the Federal Health Insurance Act. Health insurance is compulsory for all persons resident in Switzerland (within three months of taking up residence or being born in the country). International civil servants, members of permanent missions and their family members are exempted from compulsory health insurance. They can, however, apply to join the Swiss health insurance system, within six months of taking up residence in the country.

The Swiss healthcare system is a combination of public, subsidised private and totally private systems:

• public: e. g. the University of Geneva Hospital (HUG) with 2,350 beds, 8,300 staff and 50,000 patients per year;
• subsidised private: the home care services to which one may have recourse in case of a difficult pregnancy, after childbirth, illness, accident, handicap or old age;
• totally private: doctors in private practice and in private clinics.

The insured person has full freedom of choice among the recognised healthcare providers competent to treat their condition (in his/ her region) on the understanding that the costs are covered by the insurance up to the level of the official tariff. There is freedom of choice when selecting an insurance company (provided it is an officially registered caisse-maladie or a private insurance company authorised by the Federal Act) to which one pays a premium, usually on a monthly basis.

The list of officially-approved insurance companies can be obtained from the cantonal authority.

The compulsory health insurance covers a range of treatments which are set out in detail in the Federal Act. It is therefore the same throughout the country and avoids double standards in healthcare. It provides for treatment in case of illness or accident (unless another accident insurance provides the cover) and pregnancy.

Health insurance covers the costs of medical treatment and hospitalisation of the insured. However, the insured person pays part of the cost of treatment. This is done:

• by means of an annual excess (or deductible, called the franchise), which ranges from CHF 300 to a maximum of CHF 2,500 as chosen by the insured person (premiums are adjusted accordingly);
• and by a charge of 10% of the costs over and above the excess.

In case of pregnancy there is no charge. For hospitalisation, one pays a contribution to room and service costs.

Insurance premiums vary according to insurance company (German: Krankenkassen, French: Caisses-maladie, Italian: Casse malati), the excess level chosen (franchise), the place of residence of the insured person and the degree of supplementary benefit coverage chosen (dental care, private ward hospitalisation, etc.).