Welcome to another
edition of Dear Frau. It’s kind of like Dear Abby, except with an international
twist. Remember,
if you have a question about moving to Switzerland or living in Switzerland,
don’t hesitate to contact the Frau.
Dear Frau,
Did you visit
Switzerland often before moving there? And how does health insurance in
Switzerland compare to the U.S.?
Thanks,
Interested in
Switzerland
Dear Interested in
Switzerland,
Whew. Short questions.
Long answers…
Visiting Switzerland
The Frau had been to
Switzerland three times before she moved there. She did the whirlwind, “Everything
you need to know about Switzerland is in Lucerne” Globus bus tour of Europe in
2001. She never imagined living in Switzerland at that point. All she did during
that trip was swim with the swans in Lake Lucerne and run around the Alpine
meadows singing, “The hills are alive…” (Never mind that The Sound of Music
takes place in Austria. To the Frau at that point, Switzerland and Austria were
one in the same).
The Frau did another
tour of Switzerland in 2005 when Mr. Frau came to Switzerland for a business
trip. This visit was slightly more serious, since at that point the Frau and
Mr. Frau knew a couple that had moved to Switzerland with the company Mr. Frau
worked for. Mr. and Mrs. Frau met this couple for dinner. It got them thinking.
Finally, in May 2006,
the Frau sealed her Swiss fate with a trip to Switzerland to (gulp) find an
apartment. The Frau was really going to move there. And she was really going to
become a (gulp, gulp, gulp) trailing spouse for the next three years.
Anyway, let’s
fast-forward six + years (yes, the Frau has greatly overstayed her welcome) and
answer the next part of the question. The answer, as you can imagine when
dealing with health insurance, is somewhat complicated. The Frau is no expert,
but she’ll try her best to explain the main differences.
Health Insurance in Switzerland
First of all,
healthcare costs in Switzerland are typically less than in the United States. When
traveling outside of Switzerland, regular Swiss insurers will pay up to two
times the cost that the same procedure would have cost in Switzerland. BUT…and
here’s the amazing thing…the United States as seen as so extreme when it comes
to healthcare costs, that unbelievably, two times the Swiss cost is not seen as
adequate. So the Frau and her family also have “World insurance” in addition to
their regular Swiss insurance so they are fully covered in the United States since
they do visit home at least once a year.
Here are some basic
differences between the two systems:
One: Swiss health insurance is not
tied to employment. This means you must take on all costs of health
insurance yourself. The employer pays nothing (except usually they pay for accident
insurance, which is also a mandatory part of Swiss health insurance). Regular
health insurance costs can vary widely depending on your plan. You are free to
choose both your insurer and your plan. In general, basic health insurance in
Switzerland with a CHF 2,500 deductible will probably cost between CHF 150-225
per adult, per month. Swiss salaries are typically higher than U.S. salaries
though, so in this sense, they help you pay for things like health insurance.
The good part about having insurance not tied to a job is that when you lose a
job or want to work part-time, you always have your health insurance. It allows
employees much more freedom and flexibility, even though paying it from your
own pocket can feel much more painful.
Two: Swiss health insurance is mandatory. You can’t decide you don’t want it. If you
don’t sign yourself up for Swiss insurance within three months of moving here
(or prove you have international insurance through an expatriate company
program), the Swiss government will sign you up. Now before you scream
socialism, think about it: it’s actually a good thing for health insurance to
be mandatory. Everyone needs healthcare. And if everyone has it, then the
insured won’t also be paying for the uninsured.
Three: Dental and eye insurance is pretty
non-existent in Switzerland. You
can pay extra to have it, but most plans are really, really bad. This is one
area the Frau thinks Switzerland could do better in. Because in the U.S., she
always had good dental and eye care which at least covered yearly or bi-yearly
check-ups. In Switzerland, these kinds of visits are paid completely out of pocket.
Four: Standards of healthcare are as high or
higher than in the United States. Appointments are typically easy to obtain in Switzerland. During
visits, patients sit at a desk with their doctors and discuss problems before
anyone undresses. It feels like a more human approach to the Frau and she also finds
that Swiss doctors listen more than American doctors and order fewer pointless medical
tests as a result.
Five: Like in the United States, healthcare
costs are rising fast in Switzerland. The Frau’s premiums will go up by about 10% next year…and there’s
nothing she can do about it.
How much will you pay for Swiss insurance? In general, you should expect to pay at least CHF
5,000 per person per year on healthcare in Switzerland. (Note that costs for
children are much lower).
Anyone else want to chime in on healthcare
differences/similarities between the U.S. and Switzerland?
Readers in
Switzerland: Has the Frau given a good estimate of healthcare costs in
Switzerland?