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Old 08.07.2020, 20:59
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Anyone familiar with Swiss hospital billing?

I've received a statement from my insurance for a recent hospital stay and am hoping folks can shed some light on how this works. First, insurance has already paid this so it's not about my cost. It's about the rising costs of healthcare and subsequently rising insurance premiums. If this bill is wrong, maybe my insurance should contest it.

The bill has a new code I've never seen before called SwissDRG. Google tells me this is another coding system, similar to Tarmed. The idea is apparently to reduce hospital stays, by charging a lump sum for similar types of surgeries and stays. A presentation I found says hospitals get paid more for shorter stays than for longer ones. If I read correctly, this one code should cover medications, doctors, etc.

The first page of the bill has the usual Tarmed codes I've seen before, including doctors, meds, and the procedure itself. On the second page there's the SwissDRG line. I looked up the code, and the code seems to imply it's for similar interventions but specifically excluding the procedure I had done.

Thanks to this SwissDRG line, the total bill for one night in hospital (less than 24 hours even) is more than 12,000 CHF. The rest of the bill was totally in line with what I expected.

Yet last year I was in hospital for more than a week with something much more complex and that bill was only about double this one (26,000 CHF).

This just doesn't make sense to me, particularly since the DRG code seems to exclude the procedure I had done, AND they billed the Tarmed code for the procedure.

Thanks for any insight.
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Old 08.07.2020, 21:10
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Re: Anyone familiar with Swiss hospital billing?

If you think the bill is wrong best to contact your insurance.
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Old 08.07.2020, 21:14
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Re: Anyone familiar with Swiss hospital billing?

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If you think the bill is wrong best to contact your insurance.
Of course, but before I contact them I wanted to have a better understanding of how this other coding system works. Maybe it's totally normal and I'm just confused. After all, they paid it.
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Old 08.07.2020, 21:17
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Re: Anyone familiar with Swiss hospital billing?

PM Jenny, she was always our EF health insurance pro.
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Old 09.07.2020, 08:02
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Re: Anyone familiar with Swiss hospital billing?

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I've received a statement from my insurance for a recent hospital stay and am hoping folks can shed some light on how this works. First, insurance has already paid this so it's not about my cost. It's about the rising costs of healthcare and subsequently rising insurance premiums. If this bill is wrong, maybe my insurance should contest it.

The bill has a new code I've never seen before called SwissDRG. Google tells me this is another coding system, similar to Tarmed. The idea is apparently to reduce hospital stays, by charging a lump sum for similar types of surgeries and stays. A presentation I found says hospitals get paid more for shorter stays than for longer ones. If I read correctly, this one code should cover medications, doctors, etc.

The first page of the bill has the usual Tarmed codes I've seen before, including doctors, meds, and the procedure itself. On the second page there's the SwissDRG line. I looked up the code, and the code seems to imply it's for similar interventions but specifically excluding the procedure I had done.

Thanks to this SwissDRG line, the total bill for one night in hospital (less than 24 hours even) is more than 12,000 CHF. The rest of the bill was totally in line with what I expected.

Yet last year I was in hospital for more than a week with something much more complex and that bill was only about double this one (26,000 CHF).

This just doesn't make sense to me, particularly since the DRG code seems to exclude the procedure I had done, AND they billed the Tarmed code for the procedure.

Thanks for any insight.
What did you have-a gold infusion!
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Old 09.07.2020, 08:11
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Re: Anyone familiar with Swiss hospital billing?

Am I the only one where my health insurance premiums have actually fallen in the ~10 years I have been here?


Likewise, I had a call from my car insurer. 'Everything OK with your car insurance?' Me "Yep' Well they said they wanted to offer me a better deal, for exactly the same coverage. I got a new statement that was CHF400 less a year!
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Old 09.07.2020, 09:16
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Re: Anyone familiar with Swiss hospital billing?

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Am I the only one where my health insurance premiums have actually fallen in the ~10 years I have been here?


Likewise, I had a call from my car insurer. 'Everything OK with your car insurance?' Me "Yep' Well they said they wanted to offer me a better deal, for exactly the same coverage. I got a new statement that was CHF400 less a year!
Accident claims collapsed in February, allowing insurers to refund or reduce at renewal. Warren Buffett commented at the start of the crisis.
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