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OptiMed or PrimaFlex — Appenzell Ausserrhoden

Appenzell Ausserrhoden: with Philos, OptiMed costs CHF 525.40 a month in 2026 and PrimaFlex CHF 525.40, 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 525.40CHF 525.40
500CHF 513.90CHF 514.40CHF 6.00
1'000CHF 484.90CHF 486.90CHF 24.00
1'500CHF 455.40CHF 458.90CHF 42.00
2'000CHF 426.40CHF 431.30CHF 58.80
2'500CHF 397.40CHF 403.80CHF 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.