The deductible: your starting share each year
The deductible is the amount you pay each year before your compulsory basic health insurance (LAMal) starts to reimburse. You choose it yourself: from CHF 300 to CHF 2,500 per year for an adult. For children, the ordinary deductible is CHF 0. Low deductible: a higher monthly premium but little to pay if you need care. High deductible: a lower premium, but more for you to pay if you see a doctor.
The retention fee: 10% above the deductible
Once you have reached your deductible, you still contribute 10% of the costs: this is the retention fee. It is capped: at most CHF 700 per year for an adult and CHF 350 for a child. In other words, your total annual contribution is limited: your chosen deductible + CHF 700 at most for an adult.
A concrete example
With a deductible of CHF 300, a year with CHF 1,300 of care costs you: CHF 300 in deductible, then 10% of the remaining CHF 1,000, i.e. CHF 100 in retention fee. Total for you to pay: CHF 400, the rest is reimbursed.
What about emergencies?
A consultation at walk-in emergency care is covered by LAMal in the same way as a medical consultation, under the same deductible and retention fee mechanism. For any question about your situation, our billing team will be happy to help: see also our insurance and billing page.
A question about how your consultation is covered? Call us on 021 964 30 00.
This information is general and does not replace a medical consultation. In a life-threatening emergency, call 144. Medical disclaimer