What is basic insurance (KVG)?
Basic insurance is mandatory for every person residing or working in Switzerland. It covers care services and treatment costs in the event of illness, accident or even birth. The Health Insurance Act (KVG) also regulates the scope of health insurance benefits under basic insurance. All basic insurance benefits are therefore the same. Health insurance providers have an enrollment requirement for this mandatory health insurance. That is, regardless of age and health status, health insurance companies must include every person in the basic insurance.
Every insured person pays monthly contributions to the health insurance fund. The premium varies depending on the insurer and from canton to canton. Lower premiums apply for children and young people than for adults. Persons with limited financial means are entitled to the premium reduction.
Who needs basic insurance (KVG)?
Every person needs personal insurance from birth, there is no co-insurance of family members. As long as the insurance is valid in the canton, you are free to choose a health insurance carrier. Basic insurance can be replaced every year.
The franchise:
Everyone has wondered what exactly this is, but all you hear about is amounts that need to be paid without even knowing what it means. In simple terms, the deductible is the amount that the insured must pay before the insurance company will pay its contribution to the cost of treatment. It begins with the first second of the new year and ends with the midnight bell on December 31 of each year.
For children and adolescents under 18 years of age, there is a 0. deductible with the health insurance company.
However, you can voluntarily choose a deductible of 100, 200, 300,400, 500, 600 or even 2500 Swiss francs to reduce insurance premiums.
When it comes to children, the introduction of a deductible must be carefully considered, as it is not always easy to predict and keep our children’s health under control.
Deductible:
After reaching the annual deductible limit, you will not be fully reimbursed for medical and treatment costs. This is because if you exceed the annual deductible, you will continue to be charged 10% of the treatment costs incurred. But the deductible also has its limits. You pay 10% up to a maximum amount of 700.- CHF. Like the deductible, the retention applies for one year.
