In response to the coronavirus pandemic the Federal Council had declared that an extraordinary situation exists in Switzerland. Among other things this had an impact on arrangements relating to compulsory basic health and accident insurance.
Cost coverage for outpatient services and inpatient treatment
During the “extraordinary situation” 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 at the end of the “extraordinary situation”. Due to the development of the epidemiological situation in autumn 2020, the FOPH revisited the issue and continuously updated the fact sheets. Due to the epidemiological situation in the summer of 2021 the regulations made therein were no longer continued and thus were no longer valid from 1 July 2021. In light of the high number of hospitalizations currently and the tense situation in swiss hospitals the fact sheet cost coverage inpatient treatment was reactivated per 13 September 2021 with validity until 31 December 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))
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.
With the emergence of new virus variants that are significantly more contagious, testing is becoming more important, which led to an expansion of the federal government's testing strategy on 28 January 2021. With the amendment of the COVID-19 Ordinance 3 on 15 March 2021, testing was extended to further areas or situations and service providers. As of 17 May 2021, 26 June 2021 and most recently 30 August 2021, further amendments were made to the COVID-19 Ordinance 3. Further information can be found in detail in the following document: «Faktenblatt: Coronavirus: Kostenübernahme der Analyse und der damit verbundenen Leistungen (ab 30. August 2021)». The document is available in German, French and Italian.
Last modification 13.09.2021