BASIS

The standard model of compulsory health insurance offers you unrestricted access to the doctors of your choice. You decide for yourself every time who you want to be treated by.

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  • Free choice of doctor
  • Direct access to specialists

This is how the BASE model works

With the standard model, you can enjoy free choice of doctor and direct access to specialists at any time.

Illness or Accident

Family doctor or
HMO
group practice

Hospital stays in Switzerland
You will receive the costs for the stay, care and treatment in the general ward (multi-bed room).
Auslandsschutz
In the event of an emergency, you will receive the relevant social tariff in the EU/EFTA countries. In all other countries, basic insurance reimburses a maximum of twice the amount insured in Switzerland.
Transport and rescue in Switzerland
For transport you receive 50% of the costs up to a maximum of 500 francs per calendar year. In the case of rescue operations, basic insurance reimburses 50% of the costs up to a maximum of 5,000 francs per calendar year.
Drug
You will receive the costs for medications prescribed by a doctor that are listed in the specialty list.
If several medicines with the same active ingredient composition are listed, the deductible can be 20%.
Outpatient treatments - conventional medicine
You will receive the costs according to the rate of the recognized specialist throughout Switzerland.
Outpatient treatments - complementary medicine
You will receive the costs according to the rate of the recognized specialist throughout Switzerland.
Prevention (medical care)
Du erhältst die Kosten für bestimmte vorsorgliche Untersuchungen und Massnahmen.
Aids and objects
You will receive the costs up to the statutory maximum amount for medically prescribed aids and items.
Pregnancy
You will receive costs for examinations and birth preparation measures.
Nursing
You receive contributions towards the costs of care at home (Spitex) and in the nursing home.
Badekuren
You receive 10 francs per day for spa treatments in recognized spas in Switzerland.

Frequently Asked Questions

Why do I need basic insurance?
Health insurance under the Health Insurance Act (KVG) is mandatory for all people living in Switzerland. It guarantees basic medical care in the event of illness, accident and maternity.
What are the advantages of the BASIS model?
With the BASIS model you keep all options open:

- You can freely choose your treating doctor at any time and see them directly.
- If necessary, you go directly to the specialist of your choice.
And whenever you are unsure whether you want to see a medical professional or not, Medi24's free medical advice will help you. There you can get telephone help with medical questions around the clock.
Who can complete the BASIS standard model?
You can take out the insurance if you meet the following requirements:

You live in Switzerland (official residence)

or

You live in an EU/EFTA country, but are subject to the Swiss Health Insurance Act as part of bilateral agreements - for example as a cross-border commuter.

Every Swiss health insurance company is obliged to accept an applicant without reservation - regardless of their age and personal health.
How and when can I cancel this health insurance?
You can cancel the insurance on December 31st and switch to another health insurance company in Switzerland. The prerequisite is that you have no outstanding premium invoices. A one-month notice period applies. The cancellation must be received by the health insurance company by the last working day in November at the latest.

If you have taken out BASIS with the statutory minimum deductible of 300 francs (or without deductible for children), you can also cancel it on June 30th. The prerequisite is that you have no outstanding premium invoices. The notice period is three months. The cancellation must therefore be received by the health insurance company by the last working day in March.
What franchises are there?
Adults aged 18 and over can choose either the statutory minimum deductible of 300 francs or one of five optional deductibles between 500 and 2500 francs. The higher your deductible, the cheaper your basic insurance premium will be.

Children don't have franchises. However, you can also save on premiums with an optional deductible of 500 francs.

Are you still undecided about which franchise makes sense for you? We would be happy to help you.

Different regulations for cross-border commuters
For cross-border commuters from EU/EFTA countries, the statutory annual deductible for adults is also 300 francs per year. There is no annual deductible for children up to 18 years of age. However, elective deductibles are not permitted for cross-border commuters. You therefore have no option to choose a higher deductible in conjunction with a premium reduction.
How and when can I change my franchise?
You can increase or decrease the franchise as of January 1st of the following calendar year. The following deadlines apply:

On the reduction (reduction) of the franchise: November 30th
To increase the franchise: December 31st
Please note that the notification of the change must be received by the health insurance company by the last working day before the specified date.

Change franchise

Different regulations for cross-border commuters

Voting deductibles are not permitted for cross-border commuters from EU/EFTA countries. You therefore have no option to choose a higher deductible in conjunction with a premium reduction.
Will I receive a premium reduction?
People whose income and assets justify financial support are entitled to a premium reduction (PV). The premium reduction is regulated differently from canton to canton. Therefore, ask the responsible office in your canton of residence whether you are also entitled to financial support for health insurance.
How can I save on premiums?
There are several ways you can save on premiums for basic insurance.

Hospital stays in Switzerland

Coverage with BASIS

Choice of hospital

You enjoy free choice of hospital from all hospitals in Switzerland that are listed on the cantonal hospital lists (so-called list hospitals), but you will only receive costs up to the tariff in your canton of residence.

Exceptions

  • You must go to a hospital outside the canton for medical reasons.
  • A non-cantonal hospital is listed on the hospital list of your canton of residence.

Hospital stay

If you have chosen an alternative insurance model, you will only receive the benefits under the following conditions:

  • BeneFit PLUS family doctor: The hospital stay is ordered by your family doctor or your group practice.
  • BeneFit PLUS Telemedicine: The hospital stay is ordered by a doctor from the Center for Telemedicine.
  • PREMED-24: Before you go to hospital, consult the advice hotline and get non-binding advice.
Hospital entry brochure (PDF, 2.13 MB)

Foreign protection

Coverage with BASIS

Emergency treatment abroad (outpatient and inpatient)

Thanks to the Agreement on the Free Movement of Persons, you have the same access to public healthcare (doctors, pharmacies, hospitals or ambulances) in EU/EFTA countries as the residents of the respective country. In the event of a medical emergency, you will therefore receive the costs according to the social tariff of the country in which you are staying.

In the rest of the country you will receive the costs for outpatient and inpatient emergency treatment up to twice the amount that would be covered by basic insurance in Switzerland (tariff for your canton of residence).

Transport and rescue in Switzerland

Coverage with BASIS

Transport

You will receive a total of 50% of the costs up to 500 francs per calendar year for a planned transport for medically necessary treatment.

Requirement

You choose a recognized means of transport such as a Spitex vehicle, a wheelchair taxi, a disabled vehicle or an ambulance.

Rescue

You receive 50% of the costs up to 5,000 francs per calendar year for rescue operations in Switzerland.

Outpatient treatments - conventional medicine

Coverage with BASIS

You will receive the costs according to the tariff of the recognized specialist throughout Switzerland for treatments by the federal government. dipl. Doctors, chiropractors and medical support staff such as physical and occupational therapists, nurses, midwives, speech therapists, etc.

Requirements

The treatment is prescribed by a doctor and listed in the basic insurance benefits catalog.

Nursing Care Benefits Ordinance (KLV)

Outpatient treatments – complementary medicine

Coverage with BASIS

You will receive contributions towards the costs of the following methods of complementary medicine:

  • Anthroposophical medicine
  • Classical homeopathy
  • Phytotherapy
  • Drug therapy of traditional Chinese medicine (TCM)
  • Acupuncture

The costs will be reimbursed according to the rate of the recognized specialist throughout Switzerland.

Requirement

Your doctor has a recognized certificate of competence from the Swiss Medical Association (FMH) for these methods.

Prevention (medical care)

Coverage with BASIS

You receive the costs for certain examinations for the early detection of diseases as well as for preventive measures - for example individual vaccinations that are ordered or carried out by a doctor.

Every three years women receive the cost of a gynecological check-up. You will receive the costs for mammograms under certain conditions. We would be happy to provide you with information about this.

Tools and objects

Coverage with BASIS

You will receive the costs up to the legally specified maximum amount for medically prescribed aids and items such as crutches, blood glucose meters, inhalation and breathing therapy devices, compression stockings, etc.

Requirements

The aids are listed in the resources and items list and can be obtained from an approved delivery point.

List of resources and items (MiGeL)

Pregnancy

Coverage with BASIS

Check-ups and ultrasound examinations

  • During a regular pregnancy, you are entitled to seven check-ups with a doctor or midwife.       
  • In addition, the basic insurance covers you for two ultrasound examinations carried out by a doctor.
  • In the event of a high-risk pregnancy, the costs for all necessary check-ups and ultrasound examinations are covered.

Breastfeeding advice                                                       

You will receive three breastfeeding consultations, carried out by midwives or nurses specially trained in breastfeeding advice.

Birth preparation

You receive 150 francs per calendar year for

  • Birth preparation courses, which the midwife conducts individually or in groups

or

  • for a consultation with the midwife with regard to the birth, planning and organizing the postpartum period at home and preparing for breastfeeding.

Home birth

You will receive the costs for a home birth according to the midwife's applicable tariff or contract.

Hospital stay

If you have chosen an alternative insurance model, you will only receive the benefits under the following conditions:

  • BeneFit PLUS family doctor: The hospital stay is ordered by your family doctor or your group practice.
  • BeneFit PLUS Telemedicine: The hospital stay is ordered by a doctor from the Center for Telemedicine.
  • PREMED-24: Before you go to hospital, you can consult the advice hotline and get non-binding advice.

You will receive the costs according to the tariff in your canton of residence for your stay, care and treatment in the general ward (multi-bed room).

Exceptions

  • You must go to a hospital outside the canton for medical reasons.
  • A non-cantonal hospital is listed on the hospital list of your canton of residence.

Nursing

Coverage with BASIS

Spitex

When providing care at home, the nursing specialist determines your expected care needs based on the time required. We pay this according to the corresponding statutory contribution in francs. The prerequisite is that Spitex (home nursing) has been prescribed by a doctor and the chosen Spitex organization or nursing specialist is qualified and recognized.

Care at home and in the nursing home (PDF, 1.65 MB)

Nursing Home

You will receive the costs according to the planned tariff for care services in a nursing home. The tariff depends on the degree of your need for care, which will be clarified when you join.

We are not allowed to cover the pension costs (accommodation and meals in the nursing home) from the basic insurance.

Spa treatments

Coverage with BASIS

You will receive 10 francs per day for a maximum of 21 days per calendar year for spa treatments in recognized spas in Switzerland.

Requirements

  • The spa treatment is medically proven.
  • The spa treatment will be prescribed to you by a doctor.
  • The spa treatment is carried out in a recognized spa.