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Health insurance when self-employed

No employer, so no LAA and no daily allowance: the entire cover rests on your own decisions.

The household priced

  • 1 × Self-employedadult · Deductible CHF 2'500 · accident included

The most affordable canton is Zug, at CHF 207.40 a month for this household.

The most expensive is Geneva, at CHF 476.00 a month — for exactly the same cover.

With no employer, accident cover must stay in the health insurance — suspending it would be a costly error. Above all, no daily allowance exists by default: three months off work means three months without income, until a possible disability pension that often takes over a year. A high deductible is defensible, provided you have the cash to absorb it.

What it costs, canton by canton

CantonCheapestAverage premiumGap over the yearCheapest insurer
ZugCHF 207.40CHF 265.96CHF 703CONCORDIA
Appenzell InnerrhodenCHF 232.10CHF 291.26CHF 710Vivao Sympany
UriCHF 266.30CHF 333.41CHF 805Agrisano
ObwaldenCHF 272.40CHF 336.44CHF 768Agrisano
NidwaldenCHF 275.00CHF 330.07CHF 661Agrisano
GrisonsCHF 279.85CHF 369.85CHF 1'080vita surselva
SchwyzCHF 289.80CHF 358.89CHF 829Agrisano
St. GallenCHF 291.30CHF 376.05CHF 1'017Agrisano
ValaisCHF 295.10CHF 381.76CHF 1'040sodalis
LucerneCHF 297.30CHF 366.73CHF 833Luzerner Hinterland
Appenzell AusserrhodenCHF 301.90CHF 376.04CHF 890Agrisano
ZurichCHF 317.40CHF 416.05CHF 1'184Agrisano
GlarusCHF 319.10CHF 369.92CHF 610KPT
ThurgauCHF 319.30CHF 376.44CHF 686Agrisano
SchaffhausenCHF 323.40CHF 401.04CHF 932Agrisano
FribourgCHF 336.90CHF 406.67CHF 837Visana
BernCHF 337.20CHF 438.45CHF 1'215Agrisano
AargauCHF 343.50CHF 398.67CHF 662Agrisano
SolothurnCHF 370.50CHF 424.67CHF 650Visana
Basel-LandschaftCHF 384.40CHF 477.12CHF 1'113Agrisano
VaudCHF 409.00CHF 491.64CHF 992Assura-Basis
TicinoCHF 428.60CHF 532.02CHF 1'241Agrisano
JuraCHF 432.80CHF 495.08CHF 747Agrisano
NeuchâtelCHF 433.90CHF 518.13CHF 1'011SWICA
Basel-StadtCHF 447.60CHF 520.31CHF 873CSS
GenevaCHF 476.00CHF 551.12CHF 901Assura-Basis

The amounts are the lowest premium found in the canton, across all models, for the composition above. A canton’s lowest premium sits in one specific premium region: your municipality may belong to another. The comparator gives the exact figure for your postcode. When a household has several insured people, each is placed with the insurer cheapest for them: the right-hand column may therefore name two, and nothing requires a family to choose the same insurer for everyone.

Three things to check

  1. 1Keep accident cover: no employer insures you, and an accident without LAA is paid out of the health deductible.
  2. 2Take out daily-allowance insurance: it is the most commonly missing cover, and the heaviest when things go wrong.
  3. 3Pillar 3a for a self-employed person with no pension fund has a much higher deductible ceiling — that is the main tax lever.

The other situations

2026 · OFSP / priminfo.admin.ch