Patients

Insurance and billing

Deductible, retention fee, compulsory basic health insurance (LAMal): understand what you really pay for a consultation, with the amounts in force in 2026.

CHF 300 to 2,500deductible per year for an adult, depending on your choice
10%retention fee on costs above the deductible
CHF 700maximum retention fee per year for an adult, CHF 350 for a child

Simulator

How much will you pay?

Who is it for?
Annual deductible
CHF 1,300
Your share

CHF400

DeductibleCHF 300
Retention fee (10%)CHF 100
Reimbursed by insuranceCHF 900

Annual cap: CHF 1,000 (deductible + CHF 700 retention fee)

With a CHF 300 deductible, CHF 1,300 of care costs you CHF 400: CHF 300 in deductible, then 10% of the CHF 1,000 remaining. The rest, CHF 900, is reimbursed.

Indicative simulation based on the rules of compulsory basic health insurance (LAMal) in force in 2026, excluding premiums. Your contract may provide for different conditions.

Understanding

Cost-sharing, made simple.

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.

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.

What about emergencies?

A walk-in emergency consultation is covered by compulsory basic health insurance (LAMal) like any medical consultation, under the same deductible and retention fee mechanism.

Read the full article

New to Switzerland?

Anyone who moves to Switzerland must take out compulsory basic health insurance (LAMal) within 3 months of arriving. Cover is backdated to the day of arrival if you meet this deadline.

5 things to know

A question about your bill?

Our billing team will be happy to help on 021 964 30 00.

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