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Sophie

OptiMed or PrimaFlex — Region 2, Lucerne

Region 2, Lucerne: with Philos, OptiMed costs CHF 485.20 a month in 2026 and PrimaFlex CHF 485.20, 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 485.20CHF 485.20
500CHF 473.70CHF 474.20CHF 6.00
1'000CHF 444.70CHF 446.70CHF 24.00
1'500CHF 415.20CHF 418.70CHF 42.00
2'000CHF 386.20CHF 391.10CHF 58.80
2'500CHF 357.20CHF 363.60CHF 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.