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Expat Exchange - Enrolling in the Public Healthcare System in Switzerland
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Enrolling in the Public Healthcare System in Switzerland

By Betsy Burlingame

Universal Tax Professionals
Universal Tax Professionals

Summary: A primer on how to enroll in the public healthcare system in Switzerland.

If you're planning to enroll in the public healthcare system in Switzerland, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

Switzerland is renowned for its high-quality healthcare system, known as L'Assurance Maladie. This system is compulsory for all residents, including foreigners living in the country. The Swiss healthcare system is primarily funded by individuals through mandatory health insurance premiums, rather than through taxes. It is considered one of the best in the world, offering excellent medical services and facilities. However, it is also one of the most expensive, with costs varying depending on the canton (region) and the individual's age and health condition.

Eligibility for Enrollment in the Swiss Healthcare System

Any person residing in Switzerland for more than three months is required to have health insurance, known as LaMal (L'Assurance Maladie). This includes foreigners who are there for work, study, or family reasons. Even non-working family members of employed individuals must be insured. The requirement applies from the moment you register at the local residents' registration office.

Steps for Enrolling in the Swiss Healthcare System

  1. Choose an Insurance Provider: There are around 60 different health insurance companies in Switzerland. You are free to choose any of them, but it's important to compare the premiums and benefits each one offers. Some popular providers include CSS, Helsana, and SWICA.
  2. Apply for Insurance: Once you've chosen a provider, you can apply for insurance. This usually involves filling out an application form and providing proof of residence in Switzerland.
  3. Pay Your Premiums: Once your application is accepted, you'll need to start paying your monthly premiums. The amount will depend on your age, health condition, and the canton where you live.
  4. Receive Your Insurance Card: After your first premium payment, you'll receive an insurance card. This card must be presented whenever you visit a doctor, hospital, or pharmacy.

It's important to note that health insurance in Switzerland doesn't cover all health costs. You'll also need to pay a portion of the costs for any medical treatment you receive, up to a certain limit. This is known as the 'excess' or 'deductible'.

Additional Information for Foreigners

Foreigners moving to Switzerland should apply for health insurance as soon as possible after their arrival. You have up to three months to do this, but any medical costs incurred during this period will need to be paid out of pocket.

If you're employed in Switzerland, your employer may offer a group health insurance scheme. This can often be cheaper than individual insurance, so it's worth checking with your employer before choosing a provider.

Some foreigners in Switzerland choose to take out supplementary private insurance in addition to the mandatory public insurance. This can cover additional services not included in the basic insurance, such as private hospital rooms, alternative therapies, and dental care.

Overall, while the Swiss healthcare system can be expensive, it offers high-quality care and comprehensive coverage. By understanding the system and choosing the right insurance provider, foreigners can ensure they have access to the healthcare they need while living in Switzerland.

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About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


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