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Healthcare system & finding a doctor

How basic insurance models work, how to find a doctor and how bills are paid.

Insurance models

  • Standard: free choice of doctor, highest premium.
  • Family doctor (Hausarzt): always start with your GP, lower premium.
  • HMO: care through a health centre, usually the cheapest.
  • Telmed: call a medical hotline first.

Billing

  • Tiers garant: you pay the bill and get reimbursed.
  • Tiers payant: the provider bills the insurer directly (common for hospitals and pharmacies).
  • You pay the deductible, then 10% co-pay up to CHF 700 per year (adults).

Finding a doctor

  • Use your insurer’s list for your model, or the cantonal medical association directory.
  • Many GPs are full; ask to be put on a waiting list.

Basic vs supplementary

  • Basic insurance (KVG/LAMal) is mandatory and identical in coverage.
  • Supplementary insurance (VVG/LCA) is optional; insurers may refuse you based on health.
  • Dental care is generally not covered by basic insurance.

General information only, not legal or financial advice. Rules can differ by canton — always check the official source.

Official sources