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Managed Care or Med Direct — Thurgau

Thurgau: with Visana, Managed Care costs CHF 507.40 a month in 2026 and Med Direct CHF 510.30, 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 34.80 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 507.40CHF 510.30CHF 34.80
500CHF 500.70CHF 503.60CHF 34.80
1'000CHF 466.60CHF 469.40CHF 33.60
1'500CHF 437.40CHF 440.30CHF 34.80
2'000CHF 408.20CHF 411.10CHF 34.80
2'500CHF 379.10CHF 381.90CHF 33.60

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.