LAMal guide · updated for 2027

LAMal: choose your insurer with your eyes open.

LAMal is basic health insurance, compulsory for everyone living in Switzerland. You have three months after arriving to sign up, and it is expensive in Geneva. Here you will understand the deductible (the share of costs you pay yourself each year) and compare premiums in a few minutes.

Geneva · 2027

610 CHF

Average adult premium per month. Geneva remains one of the most expensive cantons in Switzerland.

Swiss adult average: CHF 488 a month. National rise for 2027: +5%.

The essentials in 30 seconds

3 months

to join an insurer after you arrive in Switzerland.

Day 1

Premiums are due from your arrival date, even if you join later.

300 → 2500

CHF annual deductible, your choice. The higher it is, the lower your premium.

30 Nov.

Deadline to switch insurer for 1 January.

2027 season: read before 30 November

The retroactive trap

You arrive on 1 December and join on 1 March? Your insurer will bill December, January and February in one go. In Geneva that can exceed CHF 1,800. Set that amount aside as soon as you arrive, or join straight away.

Simulator

Which deductible should you choose?

When you see a doctor, you first pay your deductible. Beyond that you still pay 10% of the costs (the co-payment), capped at CHF 700 a year. But the higher your deductible, the lower your premium. Enter your premium and your costs: the simulator adds it all up and shows you the cheapest deductible for you.

Simple rule: rarely ill, deductible 2,500 and you save on the premium. Regular medical follow-up, deductible 300.

Default: the average adult premium in Geneva in 2027. Replace it with yours.

DeductiblePremiums / yearCosts you payTotal cost
300 7,320 370 7,690
500 7,180 550 7,730
1,000 6,830 1,000 7,830
1,500 6,480 1,000 7,480
2,000 6,130 1,000 7,130
2,500 5,780 1,000 6,780 ✓ The cheapest for you
With these costs, the 2,500 deductible saves you 910 CHF a year compared with the 300.

Annual amounts for an adult, in CHF. Premium discount at the legal maximum (70% of the extra risk), like most insurers.

The 4 insurance models

Same reimbursements everywhere. What changes: who you see first, and the price.

Standard

Free choice of doctor, without going through anyone.

The most expensive

Family doctor

You go to your GP first, who refers you.

Cheaper

HMO

You first see a doctor in a partner health centre.

Often the cheapest

Telmed

A call to a medical hotline before each appointment.

Cheaper

Comparison

Compare premiums, then choose your insurer

Basic cover is identical with every insurer. Only the price changes, based on your age, municipality, deductible and model. Start with a comparison site.

Insurer Standard Family doctor HMO Telmed Geneva premium Link
Assura✓✓✓✓See on PriminfoInsurer's website →
Groupe Mutuel✓✓✓✓See on PriminfoInsurer's website →
Helsana✓✓✓✓See on PriminfoInsurer's website →
CSS✓✓✓✓See on PriminfoInsurer's website →
SWICA✓✓✓✓See on PriminfoInsurer's website →
Sanitas✓✓✓✓See on PriminfoInsurer's website →
Visana✓✓✓✓See on PriminfoInsurer's website →
Concordia✓✓✓✓See on PriminfoInsurer's website →

Your exact premium depends on your municipality, deductible and model: compare it on Priminfo, the official comparison tool. Some links are partner links.

Cross-border commuters: the right of option

You live in France and work in Switzerland? You choose between LAMal and French health insurance within 3 months of starting your job. This choice is in principle final.

Read the cross-border guide →

Geneva: premium subsidies

Depending on your income, the canton may pay part of your premium. The health insurance service (SAM) checks whether you are eligible.

Check my eligibility with the SAM →

Your questions about LAMal

With “tiers payant”, the insurer pays the doctor or pharmacy directly. With “tiers garant”, you pay first and your insurer reimburses you. Some low-cost insurers, such as Assura, mainly use “tiers garant”: check this before choosing if you have regular costs.

Sources: FOPH, 2027 premiums (29.09.2026) · Geneva 2027 premiums · Priminfo. Indicative information, always check with your insurer.