Choosing your Krankenkasse and deductible

Written by HowToSwiss EditorialReviewed
Verified · Last updated February 2025
6 min readCHF 250–500/monthLast verified: February 2025RECOMMENDED

The franchise (deductible) is the amount you pay out-of-pocket before insurance kicks in. Choosing the right franchise can save you CHF 1,000+ per year.

Step by step

  1. 1

    Understand the franchise options

    Adults choose between CHF 300, 500, 1,000, 1,500, 2,000, or 2,500. Children: CHF 0, 100, 200, 300, 400, 500, or 600.

  2. 2

    Calculate the break-even point

    High franchise (CHF 2,500): lowest monthly premium but you pay the first CHF 2,500 of medical costs. Best for healthy people. Low franchise (CHF 300): highest premium but minimal out-of-pocket. Best if you expect regular medical costs.

  3. 3

    Compare insurance models

    Standard: see any doctor. Hausarzt: must go through your GP first (saves 10–15%). HMO: must use a specific medical center (saves 15–20%). Telmed: call a hotline first (saves 10–15%).

  4. 4

    Switch annually if needed

    You can switch insurers every year. Give notice by 30 November for the next calendar year. Basic coverage is identical across all providers.

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Official sources for this guide

  1. priminfo.ch — Official comparator

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