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Sophie

OptiMed or PrimaFlex — Region 3, St. Gallen

Region 3, St. Gallen: with Philos, OptiMed costs CHF 512.50 a month in 2026 and PrimaFlex CHF 512.50, 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 512.50CHF 512.50
500CHF 501.00CHF 501.50CHF 6.00
1'000CHF 472.00CHF 474.00CHF 24.00
1'500CHF 442.50CHF 446.00CHF 42.00
2'000CHF 413.50CHF 418.40CHF 58.80
2'500CHF 384.50CHF 390.90CHF 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.