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Sophie

OptiMed or PrimaFlex — Region 3, Grisons

Region 3, Grisons: with Philos, OptiMed costs CHF 461.00 a month in 2026 and PrimaFlex CHF 461.00, 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 461.00CHF 461.00
500CHF 449.50CHF 450.00CHF 6.00
1'000CHF 420.50CHF 422.50CHF 24.00
1'500CHF 391.00CHF 394.50CHF 42.00
2'000CHF 362.00CHF 366.90CHF 58.80
2'500CHF 333.00CHF 339.40CHF 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.