Health System in CH and insurance

Hi,

I want to know about the system of hospitals and clinics in CH. Are there any government hospitals etc that offer subsidised treatments. I am trying to compare it with what we have in Ireland where there are free facilities to an extent.

I was wondering what kind of health insurance is sufficient normally for a family with a baby. Is the insurance costly and will i be paying for the treatment inspite of having an insurance policy ?

Thx

If you have a job, you have to pay for private health insurance. Your employer must also pay for 'accident' health insurance. As far as I understand it, this also covers off the job accidents, even sports ones like skiing. Your personal health insurance covers chronic things like illnesses and disorders.

As for cost, you can go to www.comparis.ch to find the costs of premiums from the various companies under varying circumstances. You'll need to know a bit of German, French or Italian though.

It'll probably be quite pricey for a complete family but at least the actual services are first class.

Gav

Yup and yup! (edit) You have to pay for accident insurance if you are unemployed...I think there is a one month period post employment where your former employer still covers you.

I can confirm sporting accidents and crashing a motorbike are most excellently covered by my employer

Yes, I can confirm that if one recklessly tears down a mountain in Colorado on a mountain bike (first time) then the employer's accident insurance will reimburse you much faster than your wounds heal.

Hez Gav this is a bit misleading...

If you live in Switzerland for any length of time ie you have a residence permit and are not simply on holiday you need to be insured for medical health treatment. If you are employed your employer must cover accidents however this can "only" be obligatory insurance and not private. Here you need to understand the difference between obligatory insurance - which you have to pay for and private which entitles you to things such as a twin or single room in a hospital, quicker treatment, a different menu in hospital(!), the head doctor and of course which you also need to pay for just more.

You also have different franchises which determine the amount of money you need to spend on health care before the insurance kicks in. Clearly the more you pay the cheaper the policy. For children this is irrelevant.

To give you an idea it is not unusual for a monthly adult to cost CHF 150 and a child half of this - the maths you can then do yourself.

BE WARNED:- Children need medical attention regularly or at least it seems to me that way, so do not go for the no frills cheapest of the cheap policy. As for recommendations whatever anyone tells you it seems very much to me to be a question of luck - I have Winterthur because it provides a discount for employees also of Credit Suisse.

Cheers

Richard

As Richard pointed out it's not just the employed who have to pay. Unemployed people will pay exactly the same for health insurance (depending on age, area, gender) as employed people do.

So basically someone with a six figure salary makes the same contributions to the health system as someone with no salary at all. Very low income earners are given a rebate at the end of the year which could equate to about half of their insurance payments, but they still have to stump up the money in advance.

This contrasts sharply to other countries where the amount you pay into the health system depends on your income - poor pay less, rich pay more.

Just another small point - unemployed and self-employed people have to have their own accident insurance as was already pointed out, but the franchise (excess) will be the same as their sickness insurance.

In my case I had a 1500 franc franchise and had an accident in December. I had 3000 francs of expenses split over Dec/Jan. This meant I didn't get a single rappen from the insurance company which made me very angry.

So those of you who have your employer's accident insurance certainly have an easier time in the case of accidents.

A couple of other points:

1. Reimbursement of medical expenses is not always 100% as many seem to think. You get 90% back until you have paid something like 800-1000 francs out of your own pocket (over and above the franchise), and only after that will you get 100% back.

2. Usually, if your treatment is outside of a hospital (and many times also inside a hospital) you will be expected to show that you have paid, and a few months after paying you'll get the money back. Fine if you can afford to pay up front, but not fine if you are struggling to make ends meet and you suddenly have to find 10 or 20k to pay medical bills while you wait a few months to get the money back... Again - a serious and unfair disadvantage for the non-well-off.

What about the accident insurance of family? Is that also compulsory ? My company only pays insurance for myself and not for the family. Truly speaking i am kind of scared of thinking about 10K as health isurance where you do not get anything in return at the end of year unless you pay 90% first.

I should clarify that - you'll pay your franchise first. For example if you have elected to have a CHF 1000 franchise. You pay the first 1000 for the year. Thereafter you'll get 90% back on the first 8000 francs of expenses or so (so you put in 10% from your own pocket), thereafter you get everything back, BUT you'll have to pay upfront (usually) and wait a few months to get it back.

You would want to make sure your whole family is covered by accident insurance. It's an easy add-on to your sickness insurance - and doens't cost that much extra. If for example you slipped over this would not be covered as a sickness - it would be an accident. Much time is often spent in this country discussing whether something is an accident or a sickness and which insurance should pay.

With Intras I have always had the money back within one week no matter the size of the claim I have put in.

Does anyone have any recommendations for basic family health insurance? We are currently in the UK and moving in April - do you need it before you can rent an appartment? or for your permit application?

Thanks

I believe that you have 3 months after arrival in Switzerland to get your health insurance

Yes, within 3 months of arrival, and it runs from the date of arrival

You can get your permit without it, but the local government office ( Gemeinde or Kreisbüro ) needs a copy of your policy when you get it.

It doesn't matter for your apartment hunting.

To get prices, check our www.comparis.ch . This is commercial, but still has good info.

You may get a contribution towards the cost from your employer (Credit Suisse 30 or UBS 50 etc).

FYI, we both have excesses of CHF 2500 to keep costs down

And just search this site for "health insurance" to see other posts.

Edit:

An insurance company cannot reject your application for basic insurance - they must accept you.

They can insist on a questionaire for any supplementary insurances.

You don't need accident cover if you work more than 8 hours per week - the employer takes care of that.

i have just signed up with Helsana as they gave the best rates..here is a list of the major companies

- At INTRAS you will find simply and clearly structured insurance products that satisfy all your major needs and are very attractively priced. You also benefit from numerous free services such as telemedicine, second opinions, emergency assistance, etc. With INTRAS rest assured that your premiums won't skyrocket when you become older. You can rely on our certified top quality services to be both quick and professional

- HELSENA Switzerland's largest health insurer with over 1.6 m customers. Helsana prides itself on reimbursing your claim with the utmost reliability, care and speed. Helsana offers you everything you would expect from the leading provider of health insurance: a comprehensive range of products and excellent services at fair prices. What's more, as our customer, you automatically enjoy free membership in the Helsana Prime Club and can take advantage of the attractive offers at special prices – added value that pays off.

CSS- Insuring 1.2 m people, CSS is one of the leading and most reliable health insurers in Switzerland. We specialise in offering families the cover they need at a price they can afford. CSS also has attractive health promotion and disease prevention offers. As we have some 200 offices in Switzerland, you can enjoy a personal consultation with a CSS advisor. CSS is pleased to offer you a personal consultation with tailored solutions that fit your needs for all the stages of your life

OKK - The ÖKK GROUP gives you discounts on all supplementary insurances, from generous rebates for children and teenagers to simplified acceptance conditions. In addition to special services abroad, you can also take advantage of a wide range of alternative treatments.

Helsena were very helpful, spoke in English too. Good luck, PM me if you need any more info...other advice would be not to have dental care, they wanted to take scans of my teeth! arrrgh even though my dental record in the UK is amazing.

I've moved your question into the health insurance thread - scoll up and find Comparis (a good website) and if you want a contact selling insurance who speaks English then feel free to PM me.

Like , there is a search facility on this site

Re Mark's request for help on writing up FAQ's etc then I'd be happy to do an FAQ for health care/insurances.

Hi,

I have just moved from the UK (Edinburgh) three weeks ago. I am trying to find a health insurance company but confused with so manny arounds. I have a little daugher (15 months old) so I want a health insurance company which give me option to go to any doctor/hospital any time and deals with claims easily and quickly. Any help would be much appreciated.

Regards

Haider

have you looked on www.comparis.ch?

Above is mentioned Comparis.ch that I agree with totaly but one point I would make is that if you are younger than 40 some companys promise not to increase the price with age once you reach 40, basically when your 50 you still pay the same premium as a 40 year old. Just check this if you plan to stay.

Regarding paying large medical bills.

I have just done a little stint in the Unispital and that bill was sent direct to Sanitas they in turn will bill me for my 10%, Just as well because I cant afford to wait 2 months for 12 grand to be repaid. Im not sure how the system works but when ever I have had a large Hospital bill its always sent direct to the insurance company.

DC