Two women walking and smiling on a street in the city.

Crossing borders: your insurance as a cross-border commuter

Do you work in Switzerland, but live in the EU? Then you need insurance as a cross-border commuter – ÖKK EUROLINE provides all-round protection.

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The advantages

Insured from your first day of work.

Insured in Switzerland and your country of residence.

Insurance possible for the whole family.

Basic insurance benefits

Hospital

Basic insurance

General

General ward (tariff in canton of residence)
General ward (tariff in canton of residence)

Double the tariff in the canton of residence

Up to double the tariff for the general ward in the canton of residence, in the EU according to bilateral agreements
Up to double the tariff for the general ward in the canton of residence, in the EU according to bilateral agreements

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General

General ward (tariff in canton of residence)
General ward (tariff in canton of residence)

General

General ward (tariff in canton of residence)
General ward (tariff in canton of residence)

Transport, rescue, search

Up to CHF 500

50%, up to CHF 500 per calendar year (transport)
50%, up to CHF 5,000 per calendar year (rescue in Switzerland)
no benefits for repatriation
50%, up to CHF 500 per calendar year (transport)
50%, up to CHF 5,000 per calendar year (rescue in Switzerland)
no benefits for repatriation

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Medical treatment

Double the tariff in the canton of residence

Up to double the tariff in the canton of residence, in the EU according to bilateral agreements
Up to double the tariff in the canton of residence, in the EU according to bilateral agreements

100%

All costs covered (taking into account the deductible and the excess)
All costs covered (taking into account the deductible and the excess)

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Alternative medicine

Five methods

Acupuncture, anthroposophical medicine, Chinese medicine, homeopathy, phytotherapy by doctors with relevant training
Acupuncture, anthroposophical medicine, Chinese medicine, homeopathy, phytotherapy by doctors with relevant training

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Visual aids

CHF 180 up to 18 years

CHF 180 per calendar year (up to 18 years of age)
CHF 180 per calendar year (up to 18 years of age)

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Aids

According to List of Objects and Resources

According to List of Objects and Resources
According to List of Objects and Resources

Prevention

100% every 3 years

One examination every three calendar years (taking into account the deductible and the excess)
One examination every three calendar years (taking into account the deductible and the excess)

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In accordance with Benefits Ordinance

In accordance with Benefits Ordinance
In accordance with Benefits Ordinance

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Dental treatment

Masticatory system, dental accidents

Illness to masticatory system, dental accidents
Illness to masticatory system, dental accidents

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Maternity

CHF 150 for antenatal course, 3 nursing consultations

Antenatal course with midwife: CHF 150
Nursing consultations with midwife: 3 meetings
No benefits for postnatal courses
Antenatal course with midwife: CHF 150
Nursing consultations with midwife: 3 meetings
No benefits for postnatal courses

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Treatment and assistance at home

Examination, treatment, care

Examination, treatment, care (by a recognised institution)
Examination, treatment, care (by a recognised institution)

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Medication

According to medication and specialist lists

According to medication and specialist lists
According to medication and specialist lists

Balneotherapy and convalescent therapy

Medical treatment

Medical treatment
Medical treatment

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CHF 10 per day

CHF 10 per day, up to 21 days per calendar year
CHF 10 per day, up to 21 days per calendar year

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Non-medical psychotherapy

For therapists authorised under KVG

Medically prescribed psychotherapy with therapist authorised under KVG
Medically prescribed psychotherapy with therapist authorised under KVG

ÖKK will pay the statutory benefits in the country of treatment after deducting the cost contributions applicable in the country of treatment. Find out more about the benefits covered by basic health insurance on the website of the Federal Office of Public Health (FOPH).

How much does basic insurance for cross-border workers cost?

Do you live in the EU/EFTA but work in Switzerland? Then as a cross-border worker, you are required to take out health insurance in Switzerland.

Complete the form below and we will send you a personal, non-binding quote for ÖKK EUROLINE.

How the cross-border workers model works

In the event of illness

  • In any situation, you yourself decide which medical expert you contact – if necessary, you can contact a specialist directly.
  • Always present your ÖKK insurance card for treatment in Switzerland or outside your country of residence. We issue European forms for treatments in your country of residence.
  • The benefits are settled with the KVG joint institution via the provider in your country of residence.
  • Submit your doctor’s bills and claim documentation to ÖKK for treatments in Switzerland.

Emergency

  • In case of emergency in the EU, you can contact your nearest hospital or emergency doctor.
  • ÖKK will bear the costs for the emergency medical treatment.

Questions and answers (FAQ)

Within the EU/EFTA, the insurance obligation is based on the place in which you work or receive a pension, rather than on your place of residence. Cross-border workers in Switzerland are therefore required by law to take out insurance in Switzerland.

Family members not in gainful employment who live in the EU/EFTA must also be insured in Switzerland. The family members must apply to take out the insurance themselves in writing using a form. Premiums are calculated and invoiced per family member. Family members who work or receive a pension in their country of residence must take out insurance there.

You have the right to choose whether to get treatment in Switzerland or your country of residence. For treatment in Switzerland, you must always present the ÖKK insurance card to the service providers. You can submit doctor’s bills and claim documentation directly to ÖKK.

When you take out basic insurance for cross-border workers, we send the relevant European forms to the liaison office in your country of residence. You are then registered with this office and can submit your doctor’s bills directly to it for assessment and processing.

Cost contributions are determined by the statutory provisions in your country of residence.

The following cost contributions apply for treatments in Switzerland:

First, you pay the standard deductible (CHF 300 for adults / CHF 0 for children) yourself. After that, the insurance covers 90% of the additional costs; you have to pay the remaining 10% (known as the excess).

There is an annual limit on the excess: adults pay a maximum of CHF 750, and children a maximum of CHF 350 per year. A hospital cost contribution is charged for hospital stays on a general ward.

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