What does franchise mean
What are franchise and deductible?
If you choose a low deductible, you will pay correspondingly less of your treatment costs. In return, your monthly insurance premium will be higher. If, on the other hand, you opt for a high deductible, you will have a higher cost share, but you will also pay significantly lower monthly insurance premiums.
How do I choose the right franchise?
So how do you decide which is the best franchise for you? To do this, take into account the amount of treatment costs that you expect in the following year and your financial flexibility. If you expect low costs, then you should preferably choose a high deductible - and vice versa.
The best way to estimate future treatment costs is to take a look at your health insurer's tax statements. Your treatment costs for the past year are listed on it. If you choose a high deductible of 2,500 francs, you should be aware of the financial risk. You have to pay a maximum of 3,200 francs out of your own pocket in an emergency: 2,500 francs deductible plus 700 francs deductible per year. With a high franchise, it is therefore worthwhile to put this amount aside in a savings account - just in case.
How can I change my franchise?
You can increase or decrease your deductible at the beginning of each calendar year, i.e. on January 1st. You must inform your health insurer of the change to a lower deductible by November 30th at the latest, and for those with a higher deductible by December 31st at the latest. You can do this by email or online in the franchise calculator.
What is the deductible?
The deductible is due as soon as the deductible you have chosen has been exhausted during a calendar year. From then on, you will pay ten percent of your treatment costs, up to a maximum of CHF 700 (CHF 350 for children) per calendar year. This deductible is independent of the amount of the selected deductible.
What is a hospital contribution?
The hospital contribution is the deductible that inpatients have to pay. It is CHF 15 per hospital day. Children up to 18 years of age and adults in training up to 25 years of age do not pay hospital fees.
An overview of the cost sharing
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