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OptiMed or PrimaFlex — Region 1, Lucerne

Region 1, Lucerne: with Avenir, OptiMed costs CHF 489.30 a month in 2026 and PrimaFlex CHF 489.30, for an adult with a CHF 300 deductible and accident cover. The table below gives the gap at every deductible.

Here OptiMed and PrimaFlex cost exactly the same. The choice is therefore not about the amount, but about the care pathway you accept.

What you accept in each case

OptiMed is a "Group practice (HMO)" model. PrimaFlex is a "Telemedicine and others" model.

  • OptiMed

    Group practice (HMO)

    You go to a designated group practice, which coordinates your care.

  • PrimaFlex

    Telemedicine and others

    You call a medical service before any consultation, or follow another pathway set by the insurer.

The price at every deductible

DeductibleOptiMedPrimaFlexGap per year
300CHF 489.30CHF 489.30
500CHF 477.80CHF 478.30CHF 6.00
1'000CHF 448.80CHF 450.80CHF 24.00
1'500CHF 419.30CHF 422.80CHF 42.00
2'000CHF 390.30CHF 395.20CHF 58.80
2'500CHF 361.30CHF 367.70CHF 76.80

The comparison, region by region

An alternative model commits you to a care pathway: check the conditions with the insurer before signing. This page gives a price, not advice.

Source: Federal Office of Public Health (FOPH), official premiums and territorial coverage areas.