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Sophie

The family doctor model

You designate a first-contact doctor whom you see before any other practitioner. It is the most widespread alternative model, and the least disorienting.

What this model costs

CHF 345.00

Lowest premium in Switzerland

CHF 520.97

Average premium

30

Insurers offering it

45

Distinct products

That is CHF 565 a year less than free choice of doctor, at each canton's best price.

Adult, CHF 300 deductible, accident cover included.

You commit to seeing your designated doctor first, who refers you onward to a specialist if needed. Emergencies stay directly accessible, and most insurers add gynaecology and ophthalmology — but the list of exceptions varies by contract, and it is that list to read before signing.

When it holds up

  • You already have a family doctor and they are on the insurer’s list: the discount then costs you no change of habit.
  • You want someone keeping an overview of your file rather than scattered consultations.
  • You live outside urban areas, where no HMO centre is reachable.

What you accept in return

  • If your doctor retires or leaves the list, it is up to you to find another among those the insurer accepts.
  • Going straight to a specialist without your doctor’s approval can lead to a refusal of cover.

Canton by canton, against free choice

CantonThis modelFree choiceMonthly gapCheapest insurer
ZugCHF 345.00CHF 385.80CHF 40.80Vivao Sympany
Appenzell InnerrhodenCHF 360.40CHF 411.00CHF 50.60Vivao Sympany
UriCHF 400.80CHF 437.90CHF 37.10CSS
GrisonsCHF 404.70CHF 426.00CHF 21.30vita surselva
NidwaldenCHF 410.70CHF 448.10CHF 37.40Vivao Sympany
ObwaldenCHF 418.20CHF 445.10CHF 26.90Sanitas
LucerneCHF 429.50CHF 452.80CHF 23.30Sanitas
ValaisCHF 432.00CHF 470.90CHF 38.90ÖKK
St. GallenCHF 435.10CHF 467.00CHF 31.90Assura-Basis
SchwyzCHF 435.20CHF 439.30CHF 4.10Atupri
GlarusCHF 447.10CHF 493.00CHF 45.90SWICA
Appenzell AusserrhodenCHF 448.65CHF 479.40CHF 30.75Sanitas
ZurichCHF 449.40CHF 488.50CHF 39.10SLKK
SchaffhausenCHF 452.60CHF 504.40CHF 51.80Assura-Basis
ThurgauCHF 459.90CHF 499.60CHF 39.70CSS
FribourgCHF 468.90CHF 523.30CHF 54.40Visana
AargauCHF 478.75CHF 519.25CHF 40.50Sanitas
BernCHF 481.30CHF 520.40CHF 39.10Sumiswalder
SolothurnCHF 506.30CHF 565.40CHF 59.10Helsana
Basel-LandschaftCHF 522.90CHF 575.30CHF 52.40CSS
VaudCHF 537.30CHF 601.70CHF 64.40Assura-Basis
JuraCHF 562.10CHF 628.20CHF 66.10Assura-Basis
TicinoCHF 565.80CHF 626.70CHF 60.90Helsana
NeuchâtelCHF 569.30CHF 655.90CHF 86.60Assura-Basis
Basel-StadtCHF 575.90CHF 673.70CHF 97.80CSS
GenevaCHF 604.30CHF 686.70CHF 82.40Assura-Basis

The insurers offering it

InsurerFromCantons
Vivao SympanyCHF 345.0026
SLKKCHF 351.0021
CONCORDIACHF 351.1026
SanitasCHF 354.2026
KPTCHF 360.1026
SWICACHF 361.6026
CSSCHF 361.7026
HelsanaCHF 365.5026
VisanaCHF 365.6026
AvenirCHF 368.6026
Assura-BasisCHF 371.7026
MutuelCHF 378.6026
ÖKKCHF 379.8026
AtupriCHF 383.7026
GalenosCHF 387.9026
AquilanaCHF 395.4021
EGKCHF 395.8026
PhilosCHF 403.7026
vita surselvaCHF 404.7011
curaultaCHF 407.901
SumiswalderCHF 408.1021
Luzerner HinterlandCHF 428.6010
SteffisburgCHF 430.2011
VisperterminenCHF 435.601
sodalisCHF 443.001
rhenusanaCHF 449.9019
WädenswilCHF 452.803
sana24CHF 486.1016
BirchmeierCHF 504.501
AMBCHF 510.101

The names you will find it under

Insurers do not sell «an HMO» or «a Telmed»: they sell a brand. Here are the most common names — if yours is listed, you know which category you are in.

  • PrimaCare
  • Med Direct
  • Hausarzt
  • Qualimed
  • PreventoMed
  • Hausarzt Modell
  • FeminaVita
  • PharMed
  • MyDoc
  • EGK-Care
  • SLKK-HomeCare
  • FAVORIT MEDPHARM

The other models

2026 · OFSP / priminfo.admin.ch