Chart – How Health Insurance Premiums Increase in Your Canton – News



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  • Health insurance premiums will increase by an average of 0.5 percent next year.
  • The increase is low compared to recent years.
  • In seven cantons, health insurance premiums will be even cheaper in 2021.
  • The + 2.1 percent increase is highest in Ticino, which was hit hard by the crown crisis.

As for health insurance premiums, there will be no impact on premiums for next year. While premiums increased by nearly four percent each on a long-term average, the increase for 2021 is only half a percent.

The bottom line is that the load remains the same.

The bottom line is that the burden will remain the same, Federal Councilor Alain Berset announced at a press conference. Therefore, the average premium in 2021 will be 316.50 Swiss francs.

There are big differences according to the canton. While health insurance premiums in Ticino increase by 2.1 percent, they decrease by 1.6 percent in Appenzell Innerrhoden. In seven cantons the premiums will be cheaper and in two cantons they will not change.

Health economist Stefan Felder from the University of Basel expected only a small increase in health insurance premiums due to the corona pandemic. The main reason: at the beginning of the pandemic, the Federal Council prohibited all operations and medical treatments that were not mandatory. And even after non-mandatory interventions were allowed again, fewer people went to the doctor or hospital, fearing a corona infection.

The effects of Corona

According to the BAG, premiums will be calculated to cover estimated costs in 2021. However, it has not yet been possible to determine the effects of the corona pandemic on costs in the current year. There are many uncertainties and it is still too early to estimate. If health costs turned out to be higher or lower than estimated when premiums were set, the amount of the health insurance companies’ reserves would change accordingly.

The Federal Council considers that the cash reserves are too high

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The reserves accumulated by health insurers will exceed the threshold of 11 billion in 2020. In this round of premiums, the Federal Office of Public Health approved compensation for high premium income of CHF 183 million and a voluntary reduction of reserves CHF 28 million. This corresponds to a total of 211 million francs that will be returned to the insured.

The BAG announced that the strong financial condition of the funds was positive in itself. However, the Federal Council opined that most insurers still had excessively high reserves.

Currently, the law does not provide any measures to reduce reserves that are binding on health insurers. Therefore, the Federal Council is proposing an amendment to the Health Insurance Oversight Ordinance to give health insurance companies the incentive to calculate premiums in the most cost-effective way possible and avoid excessive reserves. The draft is currently being discussed.

Health insurance premiums are placing an increasing burden on households. Due to demographic developments and medical-technical progress, costs in the health care system will continue to rise in the future, Federal Councilor Alain Berset said at the news conference.

The Federal Council’s goal is for costs to increase only to a medically justifiable degree, for example, due to new drugs, for example, for cancer therapy. On the other hand, increased costs due to duplication or unnecessary operations should be avoided.

Last year, the Federal Council adopted a first package with nine measures to curb healthcare costs. This is currently being debated in Parliament. Last August, the Federal Council sent for consultation a second package of measures, the savings potential of which is estimated at 1 billion Swiss francs.

GDK is satisfied with the “moderate” increase

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The Cantonal Directors of Health Conference (GDK) describes the “very moderate” increase in costs and premiums as “nice”. The GDK announced that federal and cantonal cost containment measures are showing that they are working and that this path should be followed.

Cantons are asking insurers to use their reserves to cushion the consequences of the costs of the Covid-19 pandemic, which is likely to continue for a longer period of time, and also to take this into account when calculating premiums. for the next few years. The BAG should also be responsible for this in its role as a supervisory authority.

The cantons also welcomed the momentum of the ongoing cost containment program. The GDK will make its contribution to this, for example in relation to the approval of service providers, the promotion of selected outpatient interventions and the removal of false incentives in the fee system.

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