Medical treatments in Switzerland
Cost sharing
Information regarding your cost sharing in Switzerland.
Cost sharing based on the reason for stay in Switzerland
The cost sharing for medical services varies depending on the reason for your stay in Switzerland. Persons with permanent residence pay an annual maximum fee, while persons who are staying temporarily, such as tourists, pay a flat-rate cost-sharing fee. This flat rate is calculated so that it corresponds to the legal cost sharing in Switzerland on an annual basis. This ensures that all persons, regardless of their place of residence, pay an equal share of costs.
Cost sharing for tourists / students / interns / au pairs / residents of Campione d’Italia / cross-border commuters
You have to participate in the costs of your medical treatment. If you are staying temproarily in Switzerland this cost participation is charged as a lump sum. Further, in case of in-patient hospital treatment a daily contribution has to be paid by them.
- The lump sum amounts to CHF 92.00 per 30 days for adults and CHF 33.00 for children up to the completed age of 18.
- The daily contribution to the costs of an in-patient hospital stay amounts to CHF 15.00 for persons over the age of 25.
- Normally, no cost participation is charged for maternity benefits.
This 30-day period for calculating cost sharing begins on the first day of treatment.
If the invoice is paid directly by the Gemeinsame Einrichtung KVG to the service provider (tiers payant), the cost sharing will be invoiced to you separately afterwards or deducted directly from the amount in the event of a reimbursement (tiers garant) and is only possible as long as the conditions of EU coordination law are met.
Legal basis:
Annex II of the Agreement on the Free Movement of Persons, art. 17, 24, 26 Regulation (EC) No 883/2004, art. 24 Regulation (EC) No 987/2009
KVV Art. 103 and 104
Cost sharing for persons resident in Switzerland / persons resident in Büsingen
You have to participate in the costs of your medical treatment. This participation includes a fixed annual amount (franchise), plus 10 % of the costs exceeding the amount of the franchise (share). Further, in case of in-patient hospital treatment, a daily contribution has to be paid.
- The lump sum (franchise) amounts to CHF 300.00 per calendar year. No franchise is charged for children.
- The maximum yearly amount of the 10% share amounts to CHF 700.00 for adults and CHF 350.00 for children up to the completed age of 18.
- The daily contribution to the costs of an in-patient hospital stay amounts to CHF 15.00 for persons over the age of 25.
- Normally, no cost participation is charged for maternity benefits.
If the invoice is paid directly by the Gemeinsame Einrichtung KVG to the service provider (tiers payant), the cost sharing will be invoiced to you separately afterwards or deducted directly from the amount in the event of a reimbursement (tiers garant) and is only possible as long as the conditions of EU coordination law are met.
Legal basis:
Annex II of the Agreement on the Free Movement of Persons, art. 17, 24, 26 Regulation (EC) No 883/2004, art. 24 Regulation (EC) No 987/2009
KVV Art. 103 and 104