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Sophie

OptiMed or PrimaFlex — Region 2, St. Gallen

Region 2, St. Gallen: with Philos, OptiMed costs CHF 518.20 a month in 2026 and PrimaFlex CHF 518.20, 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 518.20CHF 518.20
500CHF 506.70CHF 507.20CHF 6.00
1'000CHF 477.70CHF 479.70CHF 24.00
1'500CHF 448.20CHF 451.70CHF 42.00
2'000CHF 419.20CHF 424.10CHF 58.80
2'500CHF 390.20CHF 396.60CHF 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.