Health Insurance Benefits Division

The Health Insurance Benefits Division is responsible for defining the catalogue of benefits paid under compulsory health insurance, in particular the specialities list, the lists of analyses, aids and equipment, and for the health technology assessment.

As part of the Health and Accident Insurance Directorate, the division works with three specialist committees to draft and oversee the principles for the licensing of medical services, therapeutic products, analyses, aids and articles in the catalogue of benefits paid under compulsory health insurance. It also acts as a specialist arbiter in appeal proceedings before the Federal Administrative Court relating to rulings in the context of benefits. In addition, the division shapes the health insurance system by way of amendments to the law and ordinances governing the area of benefits outlined above.

Ryan Tandjung

Ryan Tandjung
Head of Health Insurance Benefits Division

Further information

Benefits and tariffs

Which services are covered by the compulsory health insurance?

Insurers and supervision

As far as social health insurance is concerned the insurers are supervised by the Federal Office of Public Health.

Description of services

Who is responsible for description of services reimbursed under compulsory health insurance?

Re-evaluation of compulsory health insurance benefits: HTA

Health technology assessments (HTAs) are an internationally recognised tool for the systematic evaluation of medical procedures and technologies, and are an important component of evidence-based policy advice and decision making.

Statutory foundation Health insurance

Find out here about the legislation regarding health insurance.

Current Revision Projects

Ongoing projects in the area of Health Insurance

Last modification 11.03.2019

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Contact

Federal Office of Public Health FOPH
Health and Accident Insurance Directorate
Health Insurance Benefits Division
Schwarzenburgstrasse 157
3003 Berne
Switzerland
Tel. +41 58 462 21 11
E-mail

Print contact

https://www.bag.admin.ch/content/bag/en/home/das-bag/organisation/direktionsbereiche-abteilungen/direktionsbereich-kranken-unfallversichrung/abteilung-leistungen-krankenversicherung.html