Insurance models 2026

Health insurance models. Up to 25 % lower premium, same benefits.

HMO, Telmed, family doctor or standard? In 2 minutes we show you which model really saves you the most money, without giving up any benefits.

4
main models
−25 %
max. discount
100 %
same KVG benefits
2 min.
comparison
Why the model matters

The same benefits package, at very different prices.

Basic insurance (OKP) is defined by law. Every insurer must provide exactly the same benefits. The big price difference comes from your chosen insurance model, that is, who first examines or advises you when you have symptoms.

Anyone who stays on the standard model often pays more than necessary. With the right model you quickly save several hundred to a thousand francs per year, with identical medical care.

Sample calculation, adult
Standard
CHF 4'680
0 %
Family doctor
CHF 3'980
−15 %
HMO
CHF 3'750
−20 %
Telmed
CHF 3'510
−25 %

Sample values for adults, deductible CHF 300, Zurich region. The actual premium depends on age, place of residence and insurer.

The 4 main models

Standard, family doctor, HMO and Telmed compared

Every model has its strengths, and a different discount. Here are the key features at a glance.

Standard model

Full free choice of doctor, no restrictions.

0 %
base tariff
Ideal for: Anyone who wants maximum flexibility and free choice of doctor.
Advantages
  • Completely free choice of doctor throughout Switzerland
  • Direct access to specialists
  • No tie to a network or a hotline
Worth noting
  • Highest premium of all models
  • No discount on the base tariff

Family doctor model

Your family doctor is the first point of contact.

−15 %
approx. discount
Ideal for: Families & people with a trusted regular doctor.
Advantages
  • Familiar, personal care
  • Your family doctor knows your medical history
  • Solid discount with minimal restriction
Worth noting
  • Choose a family doctor from the insurer's list
  • Referral needed for specialists

HMO model

Treatment in a group practice (HMO centre).

−20 %
approx. discount
Ideal for: City residents with a modern practice centre nearby.
Advantages
  • Several specialists under one roof
  • Well-coordinated, integrated care
  • High discount on the premium
Worth noting
  • Tie to an HMO centre
  • Often unavailable in rural areas

Telmed model

First contact by phone or app with medical advice.

−25 %
highest discount
Ideal for: Digitally minded people who rarely need a doctor.
Advantages
  • Highest premium discount
  • 24/7 medical hotline / app
  • Fast triage without a waiting room
Worth noting
  • Always call first, even in clear cases
  • Not suitable for every situation

Direct comparison at a glance

All models in overview, from first point of contact to saving tip.

CriterionStandardFamily doctorHMOTelmed
Premium discount0 %approx. 15 %approx. 20 %approx. 25 %
Free choice of doctorYesLimitedNoNo
First point of contactFree choiceFamily doctorHMO centrePhone / app
Specialist referralnot requiredvia family doctorvia HMOvia Telmed
Direct emergency accessYesYesYesYes
Rural availabilityeverywhereeverywherelimitedeverywhere
Which model suits me?

Recommendation by life situation

Every stage of life has different needs. Here's how to find the right model faster:

Young people & singles
Telmed

Rarely at the doctor and comfortable with a smartphone? Telmed brings the biggest discount, up to CHF 900 savings per year.

Families
Family doctor

A family doctor who knows all the children gives peace of mind. The family doctor model combines trust with a solid discount.

Chronically ill
Family doctor or standard

Frequent specialist appointments? Family doctor with a clear referral path, or standard for full freedom.

City residents
HMO

In Zurich, Bern, Basel & co. an HMO centre is usually just around the corner, top discount, top care.

Digital natives
Telmed

Video consultation instead of a waiting room. Telmed apps today offer real medical advice in just a few minutes.

Saving comes first
Telmed

When every franc counts: Telmed plus a higher deductible = maximum savings with the same benefits.

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The right model in 4 questions

Answer these questions honestly and you'll know straight away what matters for you.

  1. 1
    How often do you see a doctor?

    Rarely? → Telmed. Regularly with specialists? → Standard or family doctor.

  2. 2
    Do you have a regular family doctor?

    Yes → family doctor model. No, rather by phone → Telmed.

  3. 3
    Do you live in a larger city?

    Yes → an HMO centre is usually within reach. In the countryside → family doctor or Telmed.

  4. 4
    How important is free choice of doctor to you?

    Very important → standard. Willing to trade for savings → HMO/Telmed/family doctor.

It's this easy

Switch model & save, in 4 steps

Switching is straightforward and completely free. We take care of the paperwork for you.

  1. 1
    Compare model & premiums

    With our calculator you'll find your cheapest option in 2 minutes.

  2. 2
    Choose an offer

    You see premium, model and benefits compared transparently side by side.

  3. 3
    Sign the cancellation

    We prepare all documents. You sign digitally.

  4. 4
    New insurer from 1 January

    Seamless insurance cover, with no new health check.

Frequently asked questions

Answers about the health insurance models

Are the benefits really the same in all models?

Yes. All four models cover exactly the same statutory benefits catalogue of basic insurance (KVG). They differ only in the first point of contact, that is, who first sees or advises you.

What happens in an emergency?

In genuine emergencies you can go directly to the hospital or the nearest emergency doctor with any model. The model rules apply only to plannable consultations.

Can I switch the model at any time?

You can usually switch the model within the same insurer as of 1 January. To switch the health insurer itself, you cancel in writing by 30 November at the latest.

What if I need a specialist?

With family doctor, HMO and Telmed you need a referral. You get it easily from your family doctor, the HMO centre or the Telmed consultation.

How much can I actually save?

An adult saves on average CHF 600 to 1'200 per year with Telmed compared with the standard model, with identical benefits. Families often save over CHF 3'000.

What about pharmacy models?

Some insurers offer pharmacy models: the first point of contact is a partner pharmacy. The discounts usually lie between Telmed and family doctor.

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