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OCTOBER 2024

Editorial

Changing health insurance provider: the end-of-year merry-go-round

Every year, October marks the start of the health insurance 'high season' - the Federal Office of Public Health publishes the compulsory health insurance premiums for the following year, launching the countdown to find a cheaper provider. For 2025, unsuprisingly, we are in for yet another steep increase in LAMal/KVG premiums. In our "Latest news" section below, we outline a few things to keep in mind if you decide to play health insurance "Top Trumps" and switch providers.

Sometimes, seeking the cheapest premium is not the best way to go. Our "In focus" section explains the risk of underinsurance regarding your belongings and property, and what you can do to make sure that you are paying a just premium.

We wish you a good read and a colourful autumn, 🍂🎃🍁

Jenny Goodwin & the Inswift Team

Latest news

With the new LAMal/KVG increase, what are my options?

Over the last few years, we have witnessed successive increases in our basic health insurance premiums. Since the introduction of the LAMal/KVG system in 1996, the health costs per capita per month have doubled: from CHF445 in 1996 to CHF869 in 2022 (source: BFS, 2024). In 2021, half of healthcare expenditure was generated by hospitals and social-medical institutions. "In 2023, cost increases of 4.6% had already risen faster than the long-term average. In the first six months of 2024, costs have risen again by 4.1% compared to the same period in the previous year," reports Swissinfo.

Health care costs 2021 donut chart

What are your options, if not to save a few francs, at least to minimise your expenditure?

1. Check your model. If you have direct access to specialists, but also have a GP you go to first, consider changing your current model to a GP model, or even an HMO model if your GP is on the HMO list. In general, models with more constraints have lower premiums.

2. Adapt your deductible. Your deductible is your participation towards your own medical bills before the insurance kicks in. Depending on your expenses for next year that are covered by the LAMal/KVG, you may want to change your deductible. On average, if your healthcare bills exceed CHF2000.- per calendar year, a 300.- deductible is the way to go. If you have less than 2000.-, the highest deductible of 2500.- appears as the sensible option. The Swiss Confederation has set up a handy official calculator (unfortunately not translated to English) to help you make an informed decision. To the calculator →

Total annual cost in CHF (deductible+co-pay+medical costs)

3. Change provider. We generally advise you keep your LAMal/KVG and supplementary with the same provider. However, this time the increase may be too steep for your pocket and you are considering swapping companies.

In any case, we would be happy to save you time wading through all the different models, deductibles and providers, and help you find the best option.

Contact us →

Legal deadlines to make changes to your LAMal/KVG policy

For your changes to be effective, your health insurance company has to receive your duly dated and signed letter listing the changes before the following dates:

  • Friday 29 November for:
    • ❌ cancelling your policy;
    • ↘️ decreasing your deductible;
  • Tuesday 31 December for:
    • ↗️ increasing your deductible;
    • 🔀 changing your insurance model;
    • ✍️ signing up with a new provider.

We advise the cancellation letter be sent by registered post so you can track it and have proof of its time of delivery. Let us know if you have questions or need a template.

Contact us →

In focus

What is underinsurance and how do I avoid it?

Despite its name, underinsurance is not really a lack of coverage. It is rather an unpleasant situation that can result in financial loss. It arises when the declared value of belongings insured is lower than their actual value. In this case, the insurance company calculates the percentage of underinsurance and subtracts it from the reimbursement based on the declared value:

Underinsurance% = (DeclaredValue / ActualValue)*100

Reimbursement = (DamageValuemax - Underinsurance%) - Deductible

DamageValuemax = estimated value of damaged contents, capped at the declared sum on the policy

Example 1: Break-in and theft with an estimated CHF 10,000 damage

Actual value of belongings: CHF 100,000
Declared value on policy: CHF 50,000
Deductible: CHF 200
Underinsurance: 50%
Reimbursement: CHF 4800

Example 2: Total damage with the same figures as above

Reimbursement: CHF 49,800

In case of total damage, the insurance companies generally cap their reimbursement to the value declared on the policy minus the deductible.

A lot of people prefer to insure the bare minimum of their belongings as they believe that not all are worth replacing in case of fire, water damage, etc. Some people prefer upcycling and second-hand household items that sell for much less than the brand new versions. However, from the insurance point of view, the policy has to reflect the replacement value of the item, i.e. its current shop or catalogue price and not the price you happen to have paid for it.

Therefore, if you are looking into getting household insurance, you have to go all-in and declare the entirety of your belongings. Unfortunately, you cannot pick and choose to, for example, insure your TV but not your bedside table.

The responsibility of correctly declaring the total sum to insure ultimately lies with the client, i.e. you. 

However, you can avoid an expensive premium by insuring your valuables separately under an all-risk valuable objects policy. This type of insurance covers more types of claims. It covers theft but also accidental damage and loss. It applies to specific types of objects such as jewellery, luxury watches, designer furniture, artworks, music instruments, camera and lenses, etc.

If you have any doubts, wish to double-check you are sufficiently covered or get a new policy, don't hesitate to reach out. We'd be happy to help! 

Contact us →

A suggestion, a comment or a nice word? You can email us at info@inswift.ch. Thank you!

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