The same law, four times cheaper
The FOPH publishes each year the Swiss basic premiums for people living outside Switzerland. Someone in Poland pays CHF 83.70 a month where the lowest Swiss premium is CHF 335.10: CHF 3'016.80 apart per year, for cover defined by the same federal law.
Why the gap is so wide
The premium must cover the health costs of the country where the insured person is treated. A treatment costs several times less in Poland than in Switzerland, and the premium follows — without the cover changing at all.
These rates apply to Swiss pensioners living abroad and certain posted workers. They are not available to a Swiss resident: residence determines the scale, not choice.
The cross-border workers’ right of option
Someone who works in Switzerland and lives in a neighbouring country may, once only, choose between their country of residence’s insurance and Swiss basic cover. The choice is final while the situation lasts, and the deadline is three months from starting work.
The premium gap is not the only criterion: the care network, family coverage and reimbursement of treatment in Switzerland differ between systems. The figure above says what Swiss cover costs elsewhere, not what to choose.
The figures
| PL | CHF 83.70 |
| SK | CHF 102.30 |
| LT | CHF 111.60 |
| RO | CHF 111.60 |
| CY | CHF 139.50 |
| EE | CHF 141.40 |
| LV | CHF 141.40 |
| MT | CHF 141.40 |
| SI | CHF 141.40 |
| BG | CHF 155.40 |
| CZ | CHF 155.40 |
| HR | CHF 155.40 |
| GR | CHF 162.80 |
| HU | CHF 194.40 |
| FR | CHF 200.00 |
| DE | CHF 227.90 |
| BE | CHF 239.90 |
| PT | CHF 248.40 |
| GB | CHF 265.10 |
| DK | CHF 267.80 |
| NO | CHF 267.80 |
| IT | CHF 279.00 |
| AT | CHF 299.40 |
| ES | CHF 299.40 |
| FI | CHF 299.40 |
| IE | CHF 299.40 |
| IS | CHF 299.40 |
| LU | CHF 299.40 |
| NL | CHF 299.40 |
| SE | CHF 299.40 |
| Suisse | CHF 335.10 |
The other studies
Source: Federal Office of Public Health (FOPH), official premiums and archives.