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Old 23.06.2015, 23:18
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Birth outside Canton

Hey guys!

We live in a really remote area of Graubünden and I am a bit worried about driving 1.5 hours to Scuol or Samaden when the contractions begin. My husband now has vacation and I was toying with the idea of visiting his parents in St. Gallen and then maybe just having the baby in Spital Grabs 15min from them. I remember hearing something about the Canton pays for the birth so the Canton GR wouldn't pay for a birth outside of Graubünden. Is this even true? How about outside of Switzerland? The hospital in Schlanders, Italy is only 40min from here. Does anyone have any experience with birth outside of their canton or outside of Switzerland and know who pays for what? Or possibly point me to where I can find this information? I haven't had much luck finding it yet and it would really put my mind at ease and feel a bit more ready for the birth. Thanks in advance

Greetings from Val Müstair Jennifer
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Old 23.06.2015, 23:53
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Re: Birth outside Canton

I suggest you ask your doctor what your options may be... Usually birth does not happen like 'in the movies' but 1.5 hours in a car down a very bumpy road in labour sounds pretty stressful...even 40 minutes sounds long to me...
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Old 24.06.2015, 09:50
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Re: Birth outside Canton

Thanks Swisspea... I did ask the doctor and the midwives and they also didn't really know. This will be my third birth here in Switzerland. My first 2 were Natural Breech births. For the first, we lived in Chur. The second, I was 1 week in Scuol waiting for the birth to begin. This birth is "normal position" and I just feel really stranded here waiting *sigh* Thanks again for your reply
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Old 24.06.2015, 10:00
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Re: Birth outside Canton

I woukdn't fancy an hour and a half drive to hospital while in labour that's for sure. If we'd done that our son would have been born in the car.

Have you asked your health insurance about it? Depending on what cover you have you may be covered for hospitalisation and birth in another canton.
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Old 24.06.2015, 10:15
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Re: Birth outside Canton

Did you contemplate to have a homebirth with a midwife? That might make you relax a bit. Here's the list of the independent midwifes working in Graubuenden.
Regarding the costs if you give birth "ausserkantonal". If giving birth in another canton is more expensive it might be that you'll have to pay the difference yourself. Ask your insurance, the'yll know for sure. Good luck!
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Old 24.06.2015, 10:46
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Re: Birth outside Canton

Each canton has a list of approved hospitals. This list may not include all hospitals located in the canton, e.g. private clinics, and it may equally include some from outside the canton, depending on the circumstances.

For example, I live in canton Glarus, where the KS Glarus has a nice little maternity ward for normal, uncomplicated, full-term deliveries. KS Graubünden in Chur is our go-to neonatology hospital in case of premature birth or if other complications are present/expected. So it's on the Glarus cantonal list for those kinds of pregnancies, despite being outside the canton.

If you go to a hospital which is not on your canton's list, the canton will still pay but only up to the equivalent on-cantonal-list cost. So if the hospital you choose is cheaper than your "local" one, still no worries. If it's a more expensive hospital you pay the difference, but the differences are measured in percentage points, not double or triple. So in all likelihood we're talking about a few hundred francs at most.

I don't know how it works for birth outside Switzerland.

Honestly your best bet is to talk to your health insurance company... they will have these cantonal lists, tariff rates etc. at their fingertips.


FWIW are you a Rega subscriber? I know that they also transport women in labor sometimes, when normal ambulance service would take too long. One of my roommates in hospital last year had been flown in by Rega from somewhere at the back of the upper Engadin.
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Old 24.06.2015, 10:53
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Re: Birth outside Canton

My maths is so long ago I'm not sure if I've got the definitions right

... the KS Glarus ...KS Graubünden in Chur

Let K = Canton
Let S = Hospital
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