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How swiss medical insurance companies take profits & compulsory medical insurance system in Switzerland how its works



15 things you should know about Swiss health insurance
  1. Health insurance is compulsory for all residents of Switzerland.

  2. You must have at least basic health insurance coverage, which covers essential medical services, such as hospitalization, doctor visits, and prescription medications.

  3. Basic health insurance is provided by private insurance companies, but they are regulated by the government to ensure that everyone has access to the same level of care.

  4. You can choose your health insurance company and plan, but you must renew your policy every year.

  5. The cost of health insurance in Switzerland can be high, but the government provides financial assistance to low-income residents.

  6. You can choose from different types of plans, such as high-deductible plans or plans with lower monthly premiums.

  7. You can also purchase supplemental insurance to cover additional services, such as dental or vision care.

  8. The Swiss healthcare system places a strong emphasis on preventive care and regular check-ups.

  9. The Swiss healthcare system is known for its high quality and excellent health outcomes.

  10. You can see any doctor or specialist you choose, but you may need a referral from your primary care physician.

  11. You can also choose from a variety of hospitals and clinics for medical care.

  12. The Swiss healthcare system has a low rate of medical errors and hospital-acquired infections.

  13. If you are unhappy with your health insurance company, you can switch to a different one.

  14. You must pay your health insurance premiums on time, or your coverage may be cancelled.

  15. If you are unable to pay your health insurance premiums, you can apply for financial assistance or work out a payment plan with your insurance company.

The compulsory medical insurance system

The compulsory medical insurance system in Switzerland, known as the Swiss healthcare system, is designed to provide access to high-quality medical care for all residents of the country. In general, the system is viewed as being effective and providing many benefits to the population.

One of the main benefits of the Swiss healthcare system is that it provides access to medical care for all residents, regardless of their income, employment status, or health condition. The system is designed to ensure that everyone has access to the same level of care, and that people are not denied coverage or charged more for pre-existing conditions.

The system is also designed to promote preventive care, which can help reduce the overall cost of healthcare and improve overall health outcomes. The Swiss healthcare system places a strong emphasis on regular check-ups and screenings, which can help catch potential health problems early on and prevent them from becoming more serious.

Overall, the Swiss healthcare system is viewed as being effective and providing many benefits to the population. While there may be some limitations or challenges associated with the system, such as high costs or long wait times for certain types of care, it is generally viewed as being a positive development for the country and its residents.

The cost of medical insurance in Switzerland can be high, and it may not be affordable for everyone depending on their income and other financial obligations. However, the Swiss government has implemented various measures to help make healthcare more affordable for all residents, regardless of their income.

One of the most important measures is the system of compulsory health insurance, which requires all residents of Switzerland to have basic health insurance coverage. The cost of this basic coverage is typically shared between the individual and their employer, with the individual responsible for paying a portion of the premium each month.

In addition to the compulsory health insurance system, the Swiss government also provides financial assistance to low-income residents who may not be able to afford the cost of medical insurance. This assistance is provided through a system of subsidies and cost-sharing mechanisms, which are designed to help ensure that all residents have access to the medical care they need.

The exact amount of financial assistance that is available to individuals varies based on their income and other factors, but it can include subsidies for insurance premiums, cost-sharing subsidies, and other forms of financial support.

Overall, while the cost of medical insurance in Switzerland can be high, the government has implemented various measures to help make healthcare more affordable and accessible for all residents, regardless of their income.

The individual premiumverbewilling (IPV)

The individual premiumverbewilling is designed to help ensure that the cost of medical insurance is distributed fairly across the population and that those who can afford to pay more contribute a larger share. This helps to make healthcare more affordable for those who may not have the financial resources to pay the full cost of their medical insurance premium.

The exact amount of the individual premiumverbewilling that an individual is required to pay is determined based on their income and other factors. The Swiss government sets a maximum amount that can be charged for medical insurance premiums each year, and individual premiums are calculated based on a percentage of this maximum amount.

Overall, the individual premiumverbewilling system helps to make medical insurance more affordable and accessible for all residents of Switzerland, regardless of their income. It is an important part of the Swiss healthcare system, which is designed to ensure that everyone has access to high-quality medical care, regardless of their financial situation.

For more information (admin.ch)

How medical insurance companies make profits


Swiss medical insurance companies make profits by collecting premiums from their customers and investing those premiums in various financial instruments such as stocks, bonds, and real estate. The companies also earn interest on the investments they make with the premiums they collect.

Here are the 10 largest medical insurance companies in Switzerland, along with their approximate percentage of customers and a brief overview of their services:

Helsana - Approximately 25% of the market share, with over 1.9 million customers. Helsana is the largest medical insurance company in Switzerland, offering a range of health and accident insurance plans for individuals and businesses.

CSS Insurance - Approximately 17% of the market share, with over 1.3 million customers. CSS Insurance is known for its flexible insurance plans, including options for alternative medicine and complementary therapies.

Swica - Approximately 10% of the market share, with over 810,000 customers. Swica offers a range of health insurance plans, including options for preventive care and health promotion.

Concordia - Approximately 8% of the market share, with over 630,000 customers. Concordia offers a range of health and accident insurance plans, as well as supplemental insurance options for dental and vision care.

Groupe Mutuel - Approximately 8% of the market share, with over 620,000 customers. Groupe Mutuel offers a range of health and accident insurance plans, as well as supplemental insurance options for dental and vision care.

Visana - Approximately 8% of the market share, with over 620,000 customers. Visana offers a range of health insurance plans, as well as supplemental insurance options for dental and vision care.

KPT/CPT - Approximately 6% of the market share, with over 470,000 customers. KPT/CPT offers a range of health and accident insurance plans, as well as supplemental insurance options for dental and vision care.

Sanitas - Approximately 6% of the market share, with over 460,000 customers. Sanitas offers a range of health and accident insurance plans, as well as supplemental insurance options for dental and vision care.

Sympany - Approximately 4% of the market share, with over 310,000 customers. Sympany offers a range of health and accident insurance plans, as well as supplemental insurance options for dental and vision care.

ÖKK - Approximately 4% of the market share, with over 290,000 customers. ÖKK offers a range of health and accident insurance plans, as well as supplemental insurance options for dental and vision care.

It is important to note that the percentages and customer numbers provided are approximate and may change over time. Additionally, the 2022 profit figures for all Swiss medical insurance companies are not yet available as the year has not yet ended. However, in 2021, the largest medical insurance provider in Switzerland, Helsana, reported a profit of CHF 121.9 million (approximately USD 133.8 million).

premium monthly fees for Swiss medical insurance companies


The premium monthly fees for Swiss medical insurance companies vary based on several factors, such as age, health status, type of plan, and deductible amount. It is difficult to provide an accurate range of premium fees without knowing the specific details of an individual's circumstances.

In general, the cost of Swiss medical insurance is high compared to other countries, with the average monthly premium ranging from CHF 300 to CHF 500 (approximately USD 330 to USD 550) for basic coverage. Premiums for more comprehensive coverage can be significantly higher.

The conditions for Swiss medical insurance coverage are determined by the individual insurance company and the specific plan chosen. In general, basic coverage in Switzerland includes hospitalization, doctor visits, and prescribed medications. However, coverage for other services, such as dental or vision care, is not typically included in basic plans.

It is not possible to accurately predict the percentage of people who will visit the hospital or doctor in 2022 as it depends on various factors, such as the health status of the population, access to preventive care, and the prevalence of illnesses and injuries. However, according to the Federal Statistical Office, in 2019, the average number of doctor visits per person in Switzerland was 5.3, and the average number of hospitalizations per 1000 people was 158.8.