Health insurance for cross-border commuters in Switzerland

Cross-border commuters have the option of remaining insured in Germany. You can choose between three variants: basic insurance in Switzerland (KVG), statutory health insurance in Germany (GKV) or private health insurance in Germany (PKV). What matters is which insurance is the right one for you. On this page you will find detailed information on every option open to cross-border commuters, and you can take up our free, personal and non-binding advice for commuters.

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Health insurance for cross-border commuters:
the 3 variants

At first glance it looks like a minor formality that commuters have to see to. And yet choosing the wrong health insurance can have serious financial consequences that are felt well into old age. It is important to think long term and to take any upcoming changes in your family circumstances into account when choosing. In principle the following variants are open to you:

  • Basic insurance in Switzerland (KVG)
  • Statutory health insurance in Germany (GKV)
  • Private health insurance in Germany (PKV)


Once you start work in Switzerland you have three months to decide on one of them. Should you decide against Swiss insurance, this decision is as a rule final.

Private health insurance in Germany (PKV)

The PKV in Germany gives you a great deal of freedom. You can put together the benefits entirely as you wish. Especially if you set store by particular forms of treatment, the PKV can be a very good choice. The younger and healthier you are, the less you pay, because pre-existing conditions can result in a risk premium. If you claim no benefits for a certain period, you can also look forward to a refund of contributions. If, however, you are still planning to have children, this variant could prove expensive.

Swiss health insurance (KVG)

Many cross-border commuters opt for Swiss insurance. In most cases the advantages outweigh the drawbacks, and financially this variant is attractive too. Whichever Swiss insurer you choose, the benefits are laid down by law and identical everywhere. Through the EU/EFTA system and the accompanying E106 form for commuters, benefits in kind at your place of residence are also covered by a German statutory insurer. So you can continue to see the doctor you know and trust. Supplementary insurance through the Swiss insurer is possible but not advisable on grounds of cost. Bear in mind that you have no way of insuring yourself through Switzerland in future once you have decided against Swiss insurance. Switzerland is strict here and allows no exceptions.

Statutory health insurance in Germany (GKV)

Statutory health insurance rests on the principles of solidarity and of benefits in kind. Every insured person receives the same benefits. It is essential to bear in mind that the contribution is income-dependent. Many Germans also opt for the GKV out of fear of no longer being accepted once they reach retirement age, because the GKV has the right to refuse applications. A pensioner living in Germany would then be left with private health insurance, which is far more expensive.

In summary:

  • Every insurance model has its advantages and disadvantages, which depend on your personal needs.
  • For most cross-border commuters the Swiss health insurance system is the most attractive.
  • We recommend personal advice for commuters in every case.

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The insurance variants compared

Swiss health insurance is a good choice if you: The GKV is a good choice if you: The PKV is a good choice if you:
Want strong cover that combines flexibly with inexpensive German supplementary insurance. Do not earn an unusually high income (the contribution is income-dependent). Have no family and are not planning one (family members are not covered with you).
Have a family or are planning one (inexpensive family cover). Have a family or are planning one (family members covered free of charge). Also want to claim benefits in Switzerland without difficulty.
Want to pay contributions that do not depend on your income. Want to remain well and affordably insured in old age. Are very tied up at work and have no time to travel to your place of residence for treatment.
Do not mind being unable to receive treatment in Switzerland. Set store by a single room.
Are in good health (higher contribution where there are pre-existing conditions).
Want to benefit from statutory long-term care insurance.

Free and without obligation: expert advice on health insurance for commuters

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2. Questions about the calculation

Please provide your full phone number incl. country code, area code and telephone number Please note that without a correct phone number your inquiry cannot be processed.

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  • Please enter your contact details and some additional information in the contact form and send it. You will receive confirmation by email straight away.
  • Our expert on health insurance for cross-border commuters will get in touch with you within a few hours to establish your personal needs by way of a few short questions.
  • While you are still on the call you will receive an initial overview of the costs of the various insurance models. You can also clear up any important questions at the same time. The advice is free and entirely without obligation.

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Frequently asked questions about
health insurance for cross-border commuters

All the important questions and answers on health insurance
for commuters from Germany can be found here.

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In principle all three variants meet this criterion, but you do not have to choose insurance in Germany in order to continue being treated there. Bear in mind, too, that you have no way of switching to Swiss insurance later if you decided against it at the outset. The PKV does allow you to be treated in Switzerland, but it is expensive for families because family members are not covered with you. With the GKV family members are covered, but you have no way of being treated in Switzerland. Most cross-border commuters opt for Swiss insurance.

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Although all of the roughly 55 Swiss insurers offer identical benefits in basic insurance, the prices vary considerably in places. Take the time to compare providers. We will help you with the premium comparison Take a look at the insurers’ ratings as well, to spare yourself any trouble. Up to the age of 18 children benefit from low premiums. After that the monthly premiums for basic insurance run, depending on deductible, place of insurance and provider, between roughly 160 and 400 francs. For treatment in Switzerland a share of the costs is payable.

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No, in Switzerland health insurance is entirely separate from your employer. You pay your premium directly to the insurer every month. 

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Whichever variant you decide on, always try to think long term. A change of job, unemployment or entering retirement could all be reasons for wanting or having to return to your health insurance in Germany. If you are privately insured in Germany, switching to the GKV can come with conditions attached. From the age of 55 a return to the GKV is even ruled out. If you take out Swiss health insurance, a return to the GKV is guaranteed – whatever your reasons for wanting to come back. That way you benefit in old age from comparatively favourable contributions.

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Switzerland distinguishes between basic and supplementary insurance. Anyone resident in Switzerland must take out basic insurance and may take out supplementary insurance. If you decide on basic insurance in Switzerland, it covers – as the name says – only basic care. It is important to know that you are not, for instance, automatically covered for long-term care as you are in Germany. Should you become a case for long-term care, the costs are not covered and would have to be met from your own assets. If those do not suffice, your children could be called upon. For this reason it is strongly advisable to take out supplementary insurance. This is considerably cheaper in Germany than in Switzerland.

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In principle it makes no difference which provider you choose, because all of their benefits are prescribed by law and identical. Even so, the prices vary considerably in places. Do the premium comparison, check general customer satisfaction by reading ratings, and weigh up for yourself which provider is the right one for your needs.

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Particularly if your journey to work is not very long or you have flexible working hours, it is advisable to be treated in Germany whenever possible. Your German insurer bears the cost of treatment as though you were a member of that fund in Germany. It then settles the costs with your Swiss insurer. This means the share of the costs otherwise payable in Switzerland does not apply. 

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Depending on which benefits matter to you or which risks you wish to cover, Swiss basic insurance or the GKV in Germany may not be enough. Find out exactly what is insured and which benefits that matter to you are missing. You can close those gaps easily with supplementary insurance. Because of the high costs, supplementary insurance in Switzerland is not advisable. We concentrate on the range of supplementary insurance available in Germany.

Our recommendation

  • A precise analysis and improvement of your current situation
  • Solutions tailored to your needs
  • The right cover at a fair price –
    we advise you free of charge
    !

Do not forget the important supplementary insurance

The following reasons speak in favour of supplementary insurance:

  • Closing the gap in cover left by health insurance in Germany (GKV) or the Swiss insurer (KVG)
  • Better medical care
  • Access to private medical care in Germany and Switzerland
  • Reimbursement for medicines, remedies and the like


The list of possible supplementary policies in Germany is a long one.

Long-term care cover

Switzerland makes no provision for long-term care insurance for cross-border commuters. Should you become a case for care, you receive only assistance under the benefits-in-kind principle of the German fund. Supplementary long-term care insurance is therefore a sensible investment.

Dental cover

In Switzerland dental treatment can weigh heavily on your wallet. For cross-border commuters there are no benefits for dental treatment, prophylaxis and dentures. Cover through private supplementary insurance in Germany is therefore advisable.

Optical cover

With good cover you receive 400 euros for new glasses or contact lenses every two years. Some insurers even pay for laser surgery.

Hospital cover

This cover allows you to choose the doctor who treats you. You can, for instance, insist on being operated on by the senior consultant. Accommodation in a single or twin room is a further advantage.

Daily sickness benefit insurance

As an employee in Switzerland, continued payment of as a rule 80 % of your salary is insured through your employer, but nowhere near as long as with a statutory health insurer in Germany, where you receive your pay for up to 78 weeks. If, for example, you have only recently started your job in Switzerland, you may come away with nothing at all if illness keeps you off work.

Complementary medicine

Acupuncture, homoeopathy and naturopathy – if these subjects interest you, or you would like to complement conventional medicine with them, you should opt for supplementary cover for non-medical practitioners. Thanks to the modular tariff system of supplementary insurance you can put your cover together entirely as you wish.

Do you have further questions?

Get in touch now with our experts on Swiss
health insurance – tailored to cross-border commuters.

The advice is free and entirely without obligation.

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