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Sophie

The premium follows the cost, not the other way round

Care reimbursed by basic insurance costs CHF 4'833.66 per insured person per year in Switzerland — from CHF 3'567.01 to CHF 5'886.41 depending on the canton. Set against each canton’s cheapest premium, that cost explains 88.5 % of the gap.

What the figure means

Cost of care and cheapest premium move together from one canton to the next: 88.5 % of the premium gap is explained by the cost gap. The direction is not a matter of interpretation — no insurer can durably charge less than it reimburses.

The consequence is immediate for anyone comparing: much of the difference with the neighbouring canton comes from the care consumed there, not from an insurer’s pricing. Switching insurer does not make it go away. What remains to be gained is real, but it is the gap WITHIN the canton.

The cantons that depart from the trend

The canton of Schaffhausen has the cheapest premium furthest below the trend: CHF 513.42 a year less than its costs would suggest. At the other end, Geneva sits CHF 449.94 above it.

Mind what that gap measures. The premium used here is the canton’s BEST offer, not its average. A canton well below the trend is therefore one where at least one insurer prices aggressively — a measure of local competition, not proof that another canton overcharges.

The figures

And you — what do you pay?

The comparator works out your actual premium from your age, deductible and municipality, across all 34 insurers at once.

The other studies

Source: Federal Office of Public Health (FOPH), official premiums and archives.