Health insurance: Comparison of premiums

Health insurance premiums are calculated by the insurers. They are approved and published by the Federal Office of Public Health. 

Premium approval

Insurers calculate the premiums for compulsory health insurance (basic insurance) and optional daily allowance insurance. They are required to submit the premiums to the supervisory authority, i.e. the Federal Office of Public Health (FOPH), for approval. 

The FOPH checks that the premiums ensure the insurer’s solvency and safeguard the interests of policyholders. Premiums are only approved if they comply with the statutory requirements and cover costs. However, premiums must not exceed costs by a disproportionate amount or lead to excessive reserves.

Premium approval process

The premium approval process can basically be divided into four phases, as shown in the following table:

Phase 1

The preparatory phase involves preparing the systems for data exchange between the FOPH and insurers, obtaining an independent cost forecast and reminding of the legal framework.  

Phase 2

In the second phase, insurers calculate the premiums. Besides the estimated benefits, they also need to consider various other influencing factors. These include potential policyholder churn, risk adjustment, solvency and administrative costs. The insurers then submit their calculated premiums and the associated calculations to the FOPH.  

Phase 3                                                                                                                   

The supervisory authority analyses the submitted premiums and reviews whether they meet the statutory requirements. In particular it checks whether future premium income will cover future costs (cost coverage). This cost coverage must be complied with for each insurer and each canton (equal treatment of cantons). If the submitted premiums meet the statutory requirements, they are approved by the FOPH.

Involvement of the cantons

The cantons are also involved in the premium approval process. The FOPH consults them on the cost projections and sends them the initial premium submissions from insurers. The cantons can then submit their input, particularly regarding the costs in their area. This feedback helps the FOPH assess the submissions from insurers.

Publication and application

Phase 4 

After being approved, health insurance premiums are published by FOPH: an overview and premium calculator for compulsory health insurance are available at www.priminfo.ch. Premiums for optional daily allowance insurance are published on the FOPH website. 

These tools can be used by policyholders to compare premiums. 

In addition to details of new premiums, the FOPH provides factsheets and further information for policyholders.

Documents

Premiums 2024

• Krankenpflegeversicherung Prämien 2024 (in German) (PDF, 567 kB, 26.09.2023)
• Voluntary individual daily benefits insurance, premium rates with accident cover 2024 (PDF, 778 kB, 26.09.2023)
• Voluntary individual daily benefits insurance, premium rates without accident cover 2024 (PDF, 627 kB, 26.09.2023)
• Kantonale monatliche mittlere Prämien über alle Altersklassen 2023/2024 der oblig. Krankenpflegeversicherung inkl. Wahlfranchisen und Modelle (in German, French, Italian) (PDF, 84 kB, 26.09.2023)
• Kantonale monatliche mittlere Prämien 2023/2024 der oblig. Krankenpflegeversicherung inkl. Wahlfranchisen und Modelle (in German, French, Italian) (PDF, 52 kB, 26.09.2023)
• Kantonale monatliche Durchschnittsprämien 2023/2024 der oblig. Krankenpflegeversicherung für Erwachsene mit Franchise 300 (Kinder Franchise 0) und Unfall (in German, French, Italian) (PDF, 57 kB, 26.09.2023)
• Regionale monatliche Durchschnittsprämien 2024 der oblig. Krankenpflegeversicherung für Erwachsene mit Franchise 300 (Kinder Franchise 0) und Unfall pro Monat (in German, French and Italian) (PDF, 63 kB, 26.09.2023)

Fact sheets

• Faktenblatt: Changing health insurance provider – information for insured persons (in German) (PDF, 117 kB, 26.09.2023)
• Faktenblatt: Leistungen der Krankenversicherung 2022: Verteilung nach Kostengruppe (in German) (PDF, 87 kB, 26.09.2023)
• Faktenblatt: Kennzahlen Krankenversicherer (in German) (PDF, 145 kB, 26.09.2023)
• Faktenblatt: Festlegung der Krankenversicherungsprämien und deren Genehmigung durch das Bundesamt für Gesundheit (BAG) (in German) (PDF, 50 kB, 26.09.2023)
• Faktenblatt: Prämienverbilligung (in German) (PDF, 35 kB, 26.09.2023)
• Faktenblatt: KVG-Solvenztest 2023 (in German) (PDF, 192 kB, 26.09.2023)
• Faktenblatt: Instrumente zum Ab- und Aufbau der Reserven in der obligatorischen Krankenpflegeversicherung (OKP) (in German) (PDF, 52 kB, 26.09.2023)
• Faktenblatt: Mittlere Prämie: Kennzahl für die Entwicklung der Prämien der obligatorischen Krankenpflegeversicherung (in German) (PDF, 123 kB, 26.09.2023)
• Faktenblatt: Kostenentwicklung «Spital stationär» (in German) (PDF, 343 kB, 26.09.2023)
• Faktenblatt: Kostenentwicklung Medikamente (in German) (PDF, 127 kB, 26.09.2023)
• Faktenblatt: Kostenentwicklung «ärztlich-ambulant» (in German) (PDF, 131 kB, 26.09.2023)

Links

Priminfo

Opendata

Press releases

Java script is required to display press releases. If you are unable or unwilling to activate Java script you may use the link below to access the Federal Administration News Portal, where you can read the announcements.

To the Federal Administration News Portal

Legislation

CC 832.102 Ordinance on Health Insurance (KVV) (in French)

RS 832.12 Loi fédérale sur la surveillance de l'assurance-maladie sociale (Loi sur la surveillance de l'assurance-maladie, LSAMal)

RS 832.121 Ordonnance sur la surveillance de l'assurance-maladie sociale (Ordonnance sur la surveillance de l'assurance-maladie, OSAMal)

Last modification 26.09.2023