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Guide · New arrivals 2026

New in Switzerland? How to choose the right health insurance

Every year, over 165'000 people move to Switzerland. All of them must choose a health insurer within 3 months, otherwise penalty premiums with a surcharge of 30 to 50 percent apply. This guide explains everything you need to know.

3-month deadlineØ CHF 393.30/mo. premium30–50% penalty surcharge if late

Legal deadline

The 3-month deadline: what you need to know

Every person residing in Switzerland must have mandatory health insurance (Art. 3 KVG). The deadline starts when you register with the residents' registration office. If you sign up in time, you are insured retroactively from the date you moved in.

If you are late, a penalty surcharge of 30 to 50 percent applies, for twice the duration of the delay and up to a maximum of 5 years. The same 3-month deadline applies to newborns from their date of birth. It pays to read up on basic insurance early on.

Warning

If you miss the deadline, the canton assigns you to a health insurer by force, often at significantly higher rates.

Your roadmap

Your first 90 days in Switzerland, step by step

Day 1–7

Arrive

01
  • Register with the residents' registration office
  • Receive your residence certificate
  • The deadline starts NOW

Week 2–3

Get informed

02
  • Understand basic insurance
  • Get to know the deductible options
  • Compare models

Month 1–2

Compare

03
  • Compare premiums
  • Review supplementary insurance
  • Check premium reduction

Month 2–3

Sign up

04
  • Choose an insurer
  • Submit your application
  • Send proof to your municipality

After month 3

It gets expensive

  • Forced assignment by the canton
  • 30–50% penalty premium
  • No coverage for the gap period

New in Switzerland? Compare all health insurers now.

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Checklist

The documents you need

Tick off what you already have and bring the rest when you sign up.

Tip: Most health insurers let you sign up online.

Mandatory

What is basic insurance?

Mandatory. Every insurer MUST accept you, there is no health check. Benefits are identical with every insurer, the only difference is the price. More about the health insurance models.

Standard model

Free choice of doctor, highest premium, full flexibility.

Family doctor model

Family doctor first, then referral. 10–15% cheaper.

Telmed/HMO

Phone consultation or HMO centre first. 15–25% cheaper, the most affordable option.

Important: All three models offer exactly the same legal benefits.

Out-of-pocket share

Choosing your deductible: how to save the right way

The deductible is the amount you pay yourself each year before your health insurer takes over. See the deductible in detail.

DeductibleYou pay yourselfSuitable for
CHF 300First 300 + 10%Frequent doctor visits, families
CHF 500First 500 + 10%Occasional visits
CHF 1'000First 1'000 + 10%Healthy adults
CHF 1'500First 1'500 + 10%Rarely ill
CHF 2'000First 2'000 + 10%Very rarely ill
CHF 2'500First 2'500 + 10%Maximum savings

Note: the out-of-pocket share is capped at CHF 700 per year. Maximum costs = deductible + 700 + premiums.

Rule of thumb: If you expect less than CHF 2'000 in medical costs, choose the highest deductible. For children: CHF 0 deductible.
Personal advice

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Optional & voluntary

Supplementary insurance: do I need it as a new arrival?

Voluntary, BUT: insurers can turn you down (health check). The earlier you sign up, the better. All options at a glance on the supplementary insurance page.

Tip: Take out supplementary insurance AT THE SAME TIME as basic insurance, many insurers then waive the health check.

Financial support

Premium reduction: financial support for new arrivals

If your income is low, you can apply for the individual premium reduction (IPV). This also applies to new arrivals. Details on premium reduction.

Zurich

Eligible with an income below approx. CHF 54'000.

Bern

Eligible with an income below approx. CHF 42'000.

Lucerne

Eligible with an income below approx. CHF 36'000.

Amounts vary by family size and canton. Contact your municipality or the cantonal compensation office.

Over 165'000 people move to Switzerland every year.

Not all of them choose the cheapest health insurance. Will you?

Avoid these

The 5 most expensive mistakes new arrivals make

  1. 1

    Missing the deadline

    30–50% penalty premium for twice the duration of the delay.

  2. 2

    Standard model without comparing

    HMO or Telmed saves 15–25% with identical benefits.

  3. 3

    Choosing the lowest deductible

    CHF 300 costs CHF 1'200–1'800 more per year in premiums.

  4. 4

    First insurer without comparing

    Up to CHF 4'200/year difference for identical benefits. Switching early pays off, see switching health insurance.

  5. 5

    Forgetting supplementary insurance

    Basic insurance covers NO dental treatments, and you may be rejected later.

FAQ

Frequently asked questions: health insurance for new arrivals

Yes. Art. 3 of the Swiss Health Insurance Act (KVG) obliges every person residing in Switzerland to take out basic insurance. The deadline starts when you register with the residents' registration office. If you are late, a penalty surcharge of 30 to 50 percent applies for twice the duration of the delay.

No. For basic insurance there is an obligation to accept. Every insurer must accept you regardless of age or state of health. For supplementary insurance, a health check is possible.

Yes. Basic insurance benefits are regulated by law and identical with all insurers. The only difference is the price.

The canton assigns you to a health insurer by force, usually on the most expensive model. On top of that, you pay a penalty surcharge of 30 to 50 percent for twice the duration of the delay, up to a maximum of 5 years.

Supplementary insurance is voluntary. Important to know: dental treatments are not covered by basic insurance. Signing up early pays off, as insurers can require a health check later on.

No. Anyone taking up residence in Switzerland must take out Swiss health insurance. An exception applies to cross-border commuters with a right of option.

Yes, also as a new arrival. With a low income (below CHF 36'000 to CHF 54'000 depending on the canton), you are entitled to individual premium reduction.

Valid passport or ID, residence permit, residence certificate, AHV number. Most insurers offer online registration.

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