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Published on 26 February 2025

Health insurance: Risk compensation

Risk compensation evens out the financial risk between health insurers with different risk structures. It takes the following indicators into account: “age”, “sex”, “stays in hospital or a nursing home during the previous year” and “pharmaceutical cost groups (PCG)” based on medicinal products dispensed in the previous year.

Federal Office of Public Health FOPH

Health and Accident Insurance Directorate
Insurance Supervision Division
Schwarzenburgstrasse 157
Switzerland - 3003 Bern