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Managed Care or Med Direct — Region 3, St. Gallen

Region 3, St. Gallen: with sana24, Managed Care costs CHF 475.90 a month in 2026 and Med Direct CHF 486.70, for an adult with a CHF 300 deductible and accident cover. The table below gives the gap at every deductible.

Managed Care is the cheaper of the two here: CHF 129.60 saved per year against Med Direct, for cover identical under the law. What you pay more or less for is the care pathway.

What you accept in each case

Managed Care is a "Group practice (HMO)" model. Med Direct is a "Family doctor" model.

  • Managed Care

    Group practice (HMO)

    You go to a designated group practice, which coordinates your care.

  • Med Direct

    Family doctor

    You pick a family doctor and always go to them first.

The price at every deductible

DeductibleManaged CareMed DirectGap per year
300CHF 475.90CHF 486.70CHF 129.60
500CHF 464.20CHF 475.00CHF 129.60
1'000CHF 435.00CHF 445.90CHF 130.80
1'500CHF 405.90CHF 416.70CHF 129.60
2'000CHF 376.70CHF 387.50CHF 129.60
2'500CHF 347.50CHF 358.40CHF 130.80

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.