Go Back   English Forum Switzerland > Help & tips > Insurance  
Reply
 
Thread Tools Display Modes
  #21  
Old 24.06.2009, 11:07
Newbie 1st class
 
Join Date: Jun 2009
Location: Lausanne
Posts: 27
Groaned at 0 Times in 0 Posts
Thanked 8 Times in 4 Posts
geekgirl has no particular reputation at present
Re: Deductible / Excess / Franchise - which is the best one to choose?

In Switzerland, do medications count the same way as other treatment (i.e. are they subject to the deductible)? I'm on a few expensive medications (at least expensive in the US), so that would affect my choice of which deductible to choose.

Thanks for the helpful thread!
Reply With Quote
  #22  
Old 24.06.2009, 11:18
Forum Legend
 
Join Date: Feb 2008
Location: Zurich
Posts: 3,457
Groaned at 17 Times in 15 Posts
Thanked 1,984 Times in 1,180 Posts
CH_Me has a reputation beyond reputeCH_Me has a reputation beyond reputeCH_Me has a reputation beyond reputeCH_Me has a reputation beyond repute
Re: Deductible / Excess / Franchise - which is the best one to choose?

Quote:
View Post
In Switzerland, do medications count the same way as other treatment (i.e. are they subject to the deductible)? I'm on a few expensive medications (at least expensive in the US), so that would affect my choice of which deductible to choose.

Thanks for the helpful thread!
You will need to call your potential insurer and ask, giving them the local name for the medication. Some meds fall onto their included list, and some not. I was on expensive drugs for pre-term labour for 10 weeks. Insurance didn't cover these 100%, since they weren't on their "list". I'm glad I had a low deductible.
Reply With Quote
  #23  
Old 24.06.2009, 11:22
Newbie 1st class
 
Join Date: Jun 2009
Location: Lausanne
Posts: 27
Groaned at 0 Times in 0 Posts
Thanked 8 Times in 4 Posts
geekgirl has no particular reputation at present
Re: Deductible / Excess / Franchise - which is the best one to choose?

I see, so insurance companies are allowed to have a preferred list (in the US they call this a drug formulary). This is not regulated by the government laws for basic insurance? I can see how this would affect the prices of the different insurers.
Reply With Quote
  #24  
Old 24.06.2009, 11:27
Blonaybear's Avatar
Forum Veteran
 
Join Date: May 2007
Location: Blonay
Posts: 1,597
Groaned at 4 Times in 4 Posts
Thanked 836 Times in 432 Posts
Blonaybear has a reputation beyond reputeBlonaybear has a reputation beyond reputeBlonaybear has a reputation beyond reputeBlonaybear has a reputation beyond repute
Re: Deductible / Excess / Franchise - which is the best one to choose?

You'll find a list of drugs which are included here.
Reply With Quote
  #25  
Old 24.06.2009, 12:56
jenny's Avatar
Senior Member
 
Join Date: Aug 2006
Location: La Tour-de-Peilz (near Vevey)
Posts: 482
Groaned at 0 Times in 0 Posts
Thanked 256 Times in 119 Posts
jenny has a reputation beyond reputejenny has a reputation beyond reputejenny has a reputation beyond reputejenny has a reputation beyond repute
Re: Deductible / Excess / Franchise - which is the best one to choose?

Quote:
View Post
I see, so insurance companies are allowed to have a preferred list (in the US they call this a drug formulary). This is not regulated by the government laws for basic insurance? I can see how this would affect the prices of the different insurers.
Not quite...

There are 4 lists of meds in Switzerland

1. Speciality List

This is a list containing around 2'500 original and generic medicines.

This list is covered by the LAMal/KVG (government laws) - i.e. the basic insurance.
Any drugs on this list are therefore covered by every single company identically.

2. Swissmedic

Second list of drugs which a lot of (but not all) insurance companies work with.

Covered under supplementary
(generally 90% unlimited)

3. Insurance Company list

A lot of insurance companies have their own list.
So, if your medication is not on the Speciality List or on the Swissmedic list, it may be on your insurance companies list.

Each company has their own individual list.

Covered under supplementary - generally a lesser % than the Swissmedic list.

4. Negative List

Medication which is never covered by anyone.
e.g. Viagra, the contraceptive pill (yes, it's an outrage)

----

Hope this makes it clearer
__________________
Inswift SÓrl
Reply With Quote
This user would like to thank jenny for this useful post:
  #26  
Old 24.06.2009, 16:05
NotAllThere's Avatar
Forum Legend
 
Join Date: Oct 2008
Location: Baselland
Posts: 10,925
Groaned at 166 Times in 144 Posts
Thanked 15,502 Times in 6,272 Posts
NotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond reputeNotAllThere has a reputation beyond repute
Re: Deductible / Excess / Franchise - which is the best one to choose?

Wow. I never knew it was so complicated.

I just decide based on risk to either go for max or min franchise. I did get annoyed with my doc when he said the insurance will cover it - he assumed min franchise.

I'm a 40 year old hubby with a really OLD wife (41). I worked out over the last 7 years, we'd have been better off with min franchise - despite major surgery in the 2nd and 3rd year. For the kids - there was nothing in it.

Fact is though, I knew I had the money to cover the max excess. If you didn't I suppose it would be a bit different.
__________________
Duct tape holds the universe together. In quantum chromodynamics it's known as the strong force. You get it in different colours, but metallic grey is best..
Reply With Quote
  #27  
Old 25.06.2009, 01:02
Newbie 1st class
 
Join Date: Jun 2009
Location: Lausanne
Posts: 27
Groaned at 0 Times in 0 Posts
Thanked 8 Times in 4 Posts
geekgirl has no particular reputation at present
Re: Deductible / Excess / Franchise - which is the best one to choose?

Quote:
View Post
You'll find a list of drugs which are included here.
Thanks! But I can't understand french yet, and the "english" link on that page doesn't work. Do you know of another, english, list?
Reply With Quote
  #28  
Old 20.08.2009, 22:09
O.K.'s Avatar
Junior Member
 
Join Date: Aug 2009
Location: Aargau
Posts: 62
Groaned at 0 Times in 0 Posts
Thanked 9 Times in 4 Posts
O.K. has earned some respectO.K. has earned some respect
Re: Deductible / Excess / Franchise - which is the best one to choose?

Could anyone advice about maternity? We are planning to start trying some time next year, so that the baby will hopefully come in 2011. Should I already change my franchise to 300 CHF for 2010? What is exactly covered by the compulsory insurance and what are the possible suplementories?
Reply With Quote
  #29  
Old 20.01.2010, 18:35
newtoswitz's Avatar
Forum Veteran
 
Join Date: Jan 2010
Location: Rapperswil
Posts: 2,222
Groaned at 34 Times in 31 Posts
Thanked 2,497 Times in 1,163 Posts
newtoswitz has a reputation beyond reputenewtoswitz has a reputation beyond reputenewtoswitz has a reputation beyond reputenewtoswitz has a reputation beyond reputenewtoswitz has a reputation beyond repute
Re: Deductible / Excess / Franchise - which is the best one to choose?

Sorry to respond to an old thread but I want to clarify something.

When you say the insurance company has a "list" that is covered, does this mean that any drugs on that list are paid for 100% by the insurance?

Thanks and sorry if I'm being dumb!
Reply With Quote
  #30  
Old 20.01.2010, 18:39
jenny's Avatar
Senior Member
 
Join Date: Aug 2006
Location: La Tour-de-Peilz (near Vevey)
Posts: 482
Groaned at 0 Times in 0 Posts
Thanked 256 Times in 119 Posts
jenny has a reputation beyond reputejenny has a reputation beyond reputejenny has a reputation beyond reputejenny has a reputation beyond repute
Re: Deductible / Excess / Franchise - which is the best one to choose?

Quote:
View Post
Sorry to respond to an old thread but I want to clarify something.

When you say the insurance company has a "list" that is covered, does this mean that any drugs on that list are paid for 100% by the insurance?

Thanks and sorry if I'm being dumb!
No, 90% after your deductible.

The cost of the medication is cumulative with the costs of doctors, hospitals etc.
Reply With Quote
  #31  
Old 04.02.2010, 12:31
Newbie 1st class
 
Join Date: Jun 2009
Location: Ruschlikon
Posts: 25
Groaned at 0 Times in 0 Posts
Thanked 4 Times in 4 Posts
ssagawe has become a little unpopularssagawe has become a little unpopular
Re: Deductible / Excess / Franchise - which is the best one to choose?

Thank you. This is very helpful for a family newly arrived in Switzerland with one on the way!

Shannon
Reply With Quote
  #32  
Old 06.09.2010, 11:32
tesla's Avatar
Junior Member
 
Join Date: Sep 2008
Location: zurich
Posts: 42
Groaned at 3 Times in 1 Post
Thanked 7 Times in 3 Posts
tesla has no particular reputation at present
Re: Deductible / Excess / Franchise - which is the best one to choose?

i assume is not possible to switch the deductible any time of the year??? right??
Reply With Quote
  #33  
Old 06.09.2010, 11:46
jenny's Avatar
Senior Member
 
Join Date: Aug 2006
Location: La Tour-de-Peilz (near Vevey)
Posts: 482
Groaned at 0 Times in 0 Posts
Thanked 256 Times in 119 Posts
jenny has a reputation beyond reputejenny has a reputation beyond reputejenny has a reputation beyond reputejenny has a reputation beyond repute
Re: Deductible / Excess / Franchise - which is the best one to choose?

Quote:
View Post
i assume is not possible to switch the deductible any time of the year??? right??
No, you can only change your deductible once a year and for the beginning of a new calendar year - i.e. 1st of Jan.

You have to give your company 1 months notice - i.e. by the 30th of November.
Reply With Quote
  #34  
Old 24.10.2010, 16:59
29eleven's Avatar
Member
 
Join Date: Jul 2008
Location: ZŘrich
Posts: 161
Groaned at 0 Times in 0 Posts
Thanked 10 Times in 8 Posts
29eleven has no particular reputation at present
Re: Deductible / Excess / Franchise - which is the best one to choose?

I've been on CHF2000 franchise since 2008 and have not spend a single rappen at the doctor's (in fact have not seen a doctor since 2005)

Switching to CHF2500 only reduces my monthly insurance bill by a small figure. Wonder what's the best option for 2011...
Reply With Quote
  #35  
Old 24.10.2010, 17:22
LightQuantum's Avatar
Newbie 1st class
 
Join Date: Aug 2010
Location: Lachen
Posts: 13
Groaned at 0 Times in 0 Posts
Thanked 6 Times in 5 Posts
LightQuantum has no particular reputation at present
Re: Deductible / Excess / Franchise - which is the best one to choose?

From BenderRules's graph is lampant that only the higher and lowest franchises do make sense, i.e. are the cheapest. You decide which to take according to your medical/curative habits.
Reply With Quote
  #36  
Old 24.10.2010, 21:46
Forum Veteran
 
Join Date: May 2007
Location: Vaud
Posts: 1,765
Groaned at 87 Times in 54 Posts
Thanked 816 Times in 502 Posts
Charlie R. Soles has an excellent reputationCharlie R. Soles has an excellent reputationCharlie R. Soles has an excellent reputationCharlie R. Soles has an excellent reputation
Re: Deductible / Excess / Franchise - which is the best one to choose?

Quote:
View Post
I've been on CHF2000 franchise since 2008 and have not spend a single rappen at the doctor's (in fact have not seen a doctor since 2005)

Switching to CHF2500 only reduces my monthly insurance bill by a small figure. Wonder what's the best option for 2011...
You've answered it yourself, you don't use the doctor so go for maximum fanchise. Any case in the absolute worse case scenario it will cost you Chf 500.--extra. What are the premiuns for Chf 2000.-- fanchise or Chf 2'500 franchise, what can you afford to pay ?
Reply With Quote
  #37  
Old 30.11.2010, 09:35
Geminder's Avatar
Member
 
Join Date: Jan 2009
Location: The Dark Side
Posts: 202
Groaned at 9 Times in 6 Posts
Thanked 93 Times in 54 Posts
Geminder has annoyed a few people around hereGeminder has annoyed a few people around hereGeminder has annoyed a few people around here
Re: Deductible / Excess / Franchise - which is the best one to choose?

Last day to change is today for 2010 (assuming you're reading this on 30.11.2010 )

This post
Deductible / Excess / Franchise [health insurance] - which is the best one to choose?

is spot on

either go with the minimum franchise or the maximum - anything inbetween is pointless

I made a similar graph for my own insurance and the results were identical
Reply With Quote
  #38  
Old 30.11.2010, 14:05
swissbob
 
Posts: n/a
Re: Deductible / Excess / Franchise - which is the best one to choose?

Quote:
View Post
Last day to change is today for 2010 (assuming you're reading this on 30.11.2010 )
... except you have to cancel the old insurers by registered mail .

Wonder if they would accept couriered mail or hand delivered. What am I on about, this is Switzerland and rules are rules .
Reply With Quote
  #39  
Old 18.02.2011, 13:53
Newbie 1st class
 
Join Date: Jan 2011
Location: Wettingen
Posts: 10
Groaned at 0 Times in 0 Posts
Thanked 0 Times in 0 Posts
masketier has no particular reputation at present
Re: Deductible / Excess / Franchise - which is the best one to choose?

I am sorry that I am responding to old post but it is possible to increase your franchisee deductible, however it is not possible to reduce it, during the year. At any time you can increase the decductible and reduce your premium payments. Although depends as well on the insurance company, My insurance company did allow at any time to increase. CSS was my insurance company.
Reply With Quote
  #40  
Old 20.09.2011, 23:39
Newbie 1st class
 
Join Date: Mar 2010
Location: Lausanne
Posts: 13
Groaned at 0 Times in 0 Posts
Thanked 0 Times in 0 Posts
Nuro has become a little unpopular
Re: Deductible / Excess / Franchise - which is the best one to choose?

great info here thank you!
Reply With Quote
Reply

Tags
deductible, franchise, health, insurance, sticky thread




Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Prepaid credit card - Where to get and which one is the best? meklermoshe Finance/banking/taxation 16 11.03.2018 14:36
Which health insurance is best? rajat Insurance 1 09.08.2015 17:52
Which one of these cities is the best for life? dreamsis Daily life 114 08.08.2014 23:17
The maximum possible excess/deductible for cheaper health insurance meister Insurance 5 16.08.2012 10:25
Health Insurance - which provider to choose jimjams Insurance 29 27.05.2009 11:08


All times are GMT +2. The time now is 19:13.


Powered by vBulletin® Version 3.8.4
Copyright ©2000 - 2019, Jelsoft Enterprises Ltd.
LinkBacks Enabled by vBSEO 3.1.0