Health insurance: Regions insurance premiums

The Federal Department of Home Affairs (FDHA) divides larger cantons with major differences in healthcare costs are into two or three different regions for the purposes of premiums, and sets the maximum differences in premiums between the regions.

Municipalities in the cantons of Bern, Graubünden, Lucerne, St Gallen and Zurich are divided into three for the purposes of premiums. The cantons of Basel-Landschaft, Freiburg, Schaffhausen, Ticino, Vaud and Valais each have two regions.

Health insurers can charge different premiums for different regions. How-ever, there are limits on the differences:
    •  A maximum of 15 per cent between Region 1 and Region 2
    •  A maximum of 10 per cent between Region 2 and Region 3
This means that the premiums paid by people in the cantons mentioned above depend on their municipality of residence and the region to which it is allocated.

The FDHA commissions periodic reviews to make sure the regions and permissible differences in premiums are still appropriate. The maximum discounts permitted are set down in a separate ordinance (the FDHA ordi-nance on regions for premium purposes). The current regions are listed in the annex to this ordinance.

The current allocation of municipalities to regions is shown in an Excel spreadsheet in the downloadable documents on this page. All Excel spreadsheets containing current and previous allocations can be found at

EDI Verordnung über die Prämienregionen

Hereunder Informations are available in German.

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Last modification 02.04.2019

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Federal Office of Public Health FOPH
Health and Accident Insurance Directorate
Premiums and Solvency Oversight Section
Schwarzenburgstrasse 157
3003 Berne
Tel. +41 58 462 21 11

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