Health insurance premium subsidies
Every year CHF 6.6 billion is paid out in premium reductions — a little over half of it by the Confederation. Some of it is never claimed. Here is who to approach, canton by canton.
What federal law guarantees everywhere
Cantons run premium reduction: they decide who qualifies, for how much, and how payment is made. That freedom is why the same income opens an entitlement in one canton and not in its neighbour.
Two floors nevertheless apply across Switzerland. For low- and middle-income households, children’s premiums must be reduced by at least 80 %, and those of young adults in training by at least 50 %. These are minimums: several cantons go further.
In 2024 public authorities paid CHF 6.6 billion under this heading, of which CHF 3.3 billion — 50.6 % — came from the Confederation. This is not marginal support: after premiums themselves, it is the second largest source of health insurance funding.
The 26 cantons
| Canton | Competent authority | Official site |
|---|---|---|
| Aargau | SVA Aargau | www.sva-ag.ch/pv |
| Appenzell Innerrhoden | Gesundheitsamt Appenzell Innerrhoden | www.ai.ch |
| Appenzell Ausserrhoden | Sozialversicherungen Appenzell Ausserrhoden | www.sovar.ch |
| Bern | Office des assurances sociales | www.asv.dij.be.ch |
| Basel-Landschaft | SVA Basel-Landschaft | www.sva-bl.ch |
| Basel-Stadt | Amt für Sozialbeiträge | www.asb.bs.ch |
| Fribourg | Caisse de compensation du canton de Fribourg | www.ecasfr.ch |
| Geneva | Service de l’assurance-maladie | www.ge.ch |
| Glarus | Kantonale Steuerverwaltung Glarus | www.gl.ch |
| Grisons | SVA Graubünden | www.sva.gr.ch |
| Jura | Caisse de compensation du Jura | www.ecasjura.ch |
| Lucerne | WAS Wirtschaft Arbeit Soziales | www.was-luzern.ch/ak |
| Neuchâtel | Office de l’assurance-maladie et des bourses d’études | www.ne.ch |
| Nidwalden | Ausgleichskasse Nidwalden | www.aknw.ch |
| Obwalden | Ausgleichskasse Obwalden | www.akow.ch/ipv |
| St. Gallen | SVA St. Gallen | www.svasg.ch/ipv |
| Schaffhausen | SVA Schaffhausen | www.svash.ch |
| Solothurn | Ausgleichskasse des Kantons Solothurn | www.akso.ch |
| Schwyz | Ausgleichskasse Schwyz | www.aksz.ch |
| Thurgau | Amt für Gesundheit Thurgau | gesundheit.tg.ch |
| Ticino | Ufficio delle prestazioni | www.ti.ch |
| Uri | Sozialversicherungsstelle Uri | www.ur.ch/praemienverbilligung |
| Vaud | Office vaudois de l’assurance-maladie | www.vd.ch |
| Valais | Caisse de compensation du canton du Valais | www.avs.vs.ch |
| Zug | Ausgleichskasse Zug | www.akzug.ch/ipv |
| Zurich | SVA Zürich | svazurich.ch |
Source: list of competent authorities published by the FOPH on priminfo.admin.ch. All twenty-six addresses were checked individually on 21 August 2026.
Why we show no amount. We deliberately publish no subsidy calculator. The scales are set by each canton, change every year, and are consolidated nowhere. Copying twenty-six scales by hand means getting at least one wrong — and an error here would tell someone they qualify for nothing when they do. The only reliable figure comes from the authority above.