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Sophie

OptiMed or PrimaFlex — Uri

Uri: with Philos, OptiMed costs CHF 482.00 a month in 2026 and PrimaFlex CHF 482.00, 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 482.00CHF 482.00
500CHF 470.50CHF 471.00CHF 6.00
1'000CHF 441.50CHF 443.50CHF 24.00
1'500CHF 412.00CHF 415.50CHF 42.00
2'000CHF 383.00CHF 387.90CHF 58.80
2'500CHF 354.00CHF 360.40CHF 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.