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Sophie

OptiMed or PrimaFlex — Region 1, Lucerne

Region 1, Lucerne: with Philos, OptiMed costs CHF 510.70 a month in 2026 and PrimaFlex CHF 510.70, 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 510.70CHF 510.70
500CHF 499.20CHF 499.70CHF 6.00
1'000CHF 470.20CHF 472.20CHF 24.00
1'500CHF 440.70CHF 444.20CHF 42.00
2'000CHF 411.70CHF 416.60CHF 58.80
2'500CHF 382.70CHF 389.10CHF 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.