Depending on the development of the epidemiological situation, the Federal Council temporarily strengthens measures against the coronavirus. This also affects the arrangements relating to compulsory health and accident insurance.
Cost coverage for outpatient services and inpatient treatment
During the 'extraordinary situation' that was in effect from 16 March to 21 June 2020, the FOPH published temporary recommendations and guidelines regarding cost coverage for certain outpatient services and inpatient treatment. These were revoked when the situation level was downgraded. Since autumn 2020, the FOPH has periodically reactivated or extended these recommendations and guidelines, or parts thereof, depending on the epidemiological situation and the measures taken by the Federal Council to contain the coronavirus. At the moment, the fact sheet on inpatient treatment is valid from 1 January 2022 to 30 April 2022 and the fact sheet on outpatient services is valid from 20 December 2021 to 31 March 2022.
Fact sheet cost coverage inpatient treatment (only in German (PDF, 445 kB, 27.12.2021), French (PDF, 445 kB, 27.12.2021) or Italian (PDF, 355 kB, 27.12.2021))
Fact sheet on cost coverage for outpatient services (only in German (PDF, 177 kB, 17.12.2021), French (PDF, 186 kB, 17.12.2021) or Italian (PDF, 184 kB, 17.12.2021))
Letter - Waiver of preceding confirmation of coverage ("vorgängige Kostengutsprache") due to the current Covid-19 situation (only in German (PDF, 99 kB, 23.11.2020) and French (PDF, 201 kB, 23.11.2020))
Previous factsheets
Tests
Since 25 June 2020, the federal government has assumed the costs of outpatient molecular biological analyses (e.g. PCR) and immunological (serological) analyses for antibodies for people meeting the FOPH's criteria for suspicion, sampling and reporting. Since 2 November 2020, the federal government has additionally assumed the costs of immunological analyses for Sars-CoV-2 antigens and Sars-CoV-2 rapid tests.
The federal government’s testing strategy has been continuously adapted over the past months to take account of the development of the Covid-19 pandemic. On 17 December 2021, the Federal Council took further decisions to adapt the testing strategy. The changes will enter into force on 18 December 2021. Further information can be found in detail in the following document: «Faktenblatt: Coronavirus: Kostenübernahme der Analyse und der damit verbundenen Leistungen (ab 18. Dezember 2021)». The document is available in German, French and Italian.
Previous factsheets
Last modification 27.12.2021