Which deductible pays off for you?
A high deductible pays off as long as your healthcare costs stay below the break-even point. The calculator shows it with your insurer’s 2027 FOPH premiums: the annual cost of each deductible for healthcare costs from CHF 0 to 20,000, plus a recommendation with reasons.
Yes, take CHF 2,500
Is a higher deductible worth it for you?
Yes, take CHF 2,500
You saveCHF 1,360a year
With around CHF 500 of doctor and medication costs a year, you pay CHF 6,556 in total with CHF 2,500 and CHF 7,916 with CHF 300. The lower premium saves you more than you pay yourself in bills.
What you pay in total per year
Premium plus what you pay yourself with around CHF 500 of doctor and medication costs.
- Deductible CHF 300CHF 7,916Premium CHF 7,596+paid yourself CHF 320
- Deductible CHF 2,500CHF 1,360 cheaperCHF 6,556Premium CHF 6,056+paid yourself CHF 500
CHF 2,500 pays off as long as your doctor and medication costs stay below CHF 2,011 a year.
Source: FOPH, health insurance premiums 2027, opendata.swiss; localities © swisstopo; as at 15.10.2026
What if your costs were different?
Tap an amount. In the green zone CHF 2,500 is cheaper, in the grey zone CHF 300.
Threshold: from CHF 2,011 in costs per year the choice flips
CHF 500CHF 2,500 cheaper
The risk, honestly
If you fall ill, you pay up to CHF 3,200 a year yourself.
That is the CHF 2,500 deductible plus at most CHF 700 retention fee (10 % of the bills above the deductible). You should be able to pay this amount at any time.
For pros: all deductibles in detailScenarios, annual costs of every level, break-even and the legal discount limit.
- With CHF 500 of healthcare costs a year, the CHF 2,500 deductible is the cheapest: CHF 6,556 a year including premium, deductible and retention fee, CHF 1,360 less than with the standard deductible of CHF 300.
- With this tariff the cheapest is: from CHF 0 to CHF 2,010 the CHF 2,500 deductible, from CHF 2,011 the CHF 300 deductible (healthcare costs per year).
- The risk: if costs are high, with CHF 2,500 you pay up to CHF 660 more than with CHF 300. If you fall ill, you must be able to pay up to CHF 3,200 a year yourself (deductible plus at most CHF 700 retention fee).
Three scenarios
- Healthy · CHF 500 costsDeductible 2,500CHF 6,556 a year
- Medium · CHF 3,000 costsDeductible 300CHF 8,166 a year
- High · CHF 15,000 costsDeductible 300CHF 8,596 a year
Show as table
| Healthcare costs | Deductible 300 | Deductible 500 | Deductible 1,000 | Deductible 1,500 | Deductible 2,000 | Deductible 2,500 |
|---|---|---|---|---|---|---|
| CHF 0 | CHF 7,596 | CHF 7,457 | CHF 7,106 | CHF 6,756 | CHF 6,407 | CHF 6,056 |
| CHF 500 | CHF 7,916 | CHF 7,957 | CHF 7,606 | CHF 7,256 | CHF 6,907 | CHF 6,556 |
| CHF 1,000 | CHF 7,966 | CHF 8,007 | CHF 8,106 | CHF 7,756 | CHF 7,407 | CHF 7,056 |
| CHF 1,500 | CHF 8,016 | CHF 8,057 | CHF 8,156 | CHF 8,256 | CHF 7,907 | CHF 7,556 |
| CHF 2,000 | CHF 8,066 | CHF 8,107 | CHF 8,206 | CHF 8,306 | CHF 8,407 | CHF 8,056 |
| CHF 2,500 | CHF 8,116 | CHF 8,157 | CHF 8,256 | CHF 8,356 | CHF 8,457 | CHF 8,556 |
| CHF 3,000 | CHF 8,166 | CHF 8,207 | CHF 8,306 | CHF 8,406 | CHF 8,507 | CHF 8,606 |
| CHF 4,000 | CHF 8,266 | CHF 8,307 | CHF 8,406 | CHF 8,506 | CHF 8,607 | CHF 8,706 |
| CHF 5,000 | CHF 8,366 | CHF 8,407 | CHF 8,506 | CHF 8,606 | CHF 8,707 | CHF 8,806 |
| CHF 7,500 | CHF 8,596 | CHF 8,657 | CHF 8,756 | CHF 8,856 | CHF 8,957 | CHF 9,056 |
| CHF 10,000 | CHF 8,596 | CHF 8,657 | CHF 8,806 | CHF 8,956 | CHF 9,107 | CHF 9,256 |
| CHF 15,000 | CHF 8,596 | CHF 8,657 | CHF 8,806 | CHF 8,956 | CHF 9,107 | CHF 9,256 |
| CHF 20,000 | CHF 8,596 | CHF 8,657 | CHF 8,806 | CHF 8,956 | CHF 9,107 | CHF 9,256 |
Source: FOPH, health insurance premiums 2027, opendata.swiss; localities © swisstopo; as at 15.10.2026
Break-even between neighbouring deductibles
- 300 ↔ 500: up to CHF 455 of healthcare costs 500 is cheaper, above that 300.
- 500 ↔ 1,000: up to CHF 889 of healthcare costs 1,000 is cheaper, above that 500.
- 1,000 ↔ 1,500: up to CHF 1,389 of healthcare costs 1,500 is cheaper, above that 1,000.
- 1,500 ↔ 2,000: up to CHF 1,888 of healthcare costs 2,000 is cheaper, above that 1,500.
- 2,000 ↔ 2,500: up to CHF 2,389 of healthcare costs 2,500 is cheaper, above that 2,000.
Discount per deductible and the 70% limit
For a higher deductible the insurer may give at most 70% of the additional risk as a discount (Art. 95 para. 2bis KVV). That is why a high deductible only pays off if your costs stay low.
| Deductible | Premium per month | Discount per year | Maximum allowed |
|---|---|---|---|
| CHF 300 | CHF 633.00 | CHF 0 | – |
| CHF 500 | CHF 621.40 | CHF 139 | CHF 140 |
| CHF 1,000 | CHF 592.20 | CHF 490 | CHF 490 |
| CHF 1,500 | CHF 563.00 | CHF 840 | CHF 840 |
| CHF 2,000 | CHF 533.90 | CHF 1,189 | CHF 1,190 |
| CHF 2,500 | CHF 504.70 | CHF 1,540 | CHF 1,540 |
Calculation based on the 2027 premiums approved by the FOPH, as at 15.10.2026, source: FOPH, health insurance premiums, opendata.swiss. Only the insurer’s quote or policy is binding. The recommendation is a calculation, not advice: only you know your healthcare costs.
When you can change your deductible
- by 30.11.2026
Lower deductible from 01.01.2027
Your notice must reach the insurer by this date; the postmark does not count. Ideally send it by registered mail by 15.11.2026.
Source: Art. 94 para. 2 KVV; Art. 7 para. 2 KVG
- by 31.12.2026
Higher deductible from 01.01.2027
You choose a higher deductible with effect from the start of the calendar year.
Source: Art. 94 para. 1 KVV
All deadlines for your situation are in the deadline calculator.
How the deductible calculator works
Annual cost = 12 × monthly premium + deductible + 10% retention fee on costs above the deductible, up to CHF 700 (children CHF 350) (Art. 64 KVG, Art. 103 KVV). The premiums are those approved by the FOPH for your municipality, the same as in the premium calculator. The break-even point between two deductibles is the level of healthcare costs at which both cost the same; above it, the lower deductible is cheaper. We do not include the hospital contribution of CHF 15 per day (Art. 104 KVV), as it is the same for every deductible. More under How we calculate.
Frequently asked questions
When does the 2,500 deductible pay off?
The CHF 2,500 deductible pays off if your healthcare costs stay low. The insurer may give at most 70% of the additional risk as a discount, so at most CHF 1,540 a year compared with CHF 300 (Art. 95 para. 2bis KVV). If your insurer gives this maximum discount, the break-even point is around CHF 2,000 of healthcare costs a year; below it, CHF 2,500 is cheaper, above it CHF 300. The calculator above shows the exact figure for your tariff.
What is the deductible in health insurance?
The deductible is the amount you pay yourself towards your healthcare costs each calendar year before basic health insurance pays. After that you pay a 10% retention fee, up to CHF 700 a year, for children up to CHF 350 (Art. 64 para. 2 KVG, Art. 103 paras. 1 and 2 KVV). The standard deductible for adults is CHF 300.
What is the highest deductible in Switzerland?
For adults and young adults the highest deductible is CHF 2,500. You can choose CHF 300 (standard) and CHF 500, 1,000, 1,500, 2,000 and 2,500. Children have no standard deductible; you can choose CHF 100 to 600 in steps of CHF 100 (Art. 64 para. 4 KVG, Art. 93 KVV).
How does the deductible work in Switzerland?
You choose a deductible for the whole calendar year. The higher it is, the lower your monthly premium. You pay doctors’ bills yourself up to the amount of the deductible, and above it a 10% retention fee up to the cap. Your annual cost is therefore 12 monthly premiums plus deductible plus retention fee. The calculator shows this total for every deductible and every level of healthcare costs.
By when can I change my deductible?
To switch to a lower deductible from 01.01., your notice must reach the insurer by 30.11.2026 (Art. 94 para. 2 KVV with Art. 7 para. 2 KVG). You can choose a higher deductible until 31.12.2026 with effect from 01.01. (Art. 94 para. 1 KVV). You cannot change during the year.
Is the hospital contribution included in the calculation?
No. During a hospital stay you also pay CHF 15 per day (Art. 64 para. 5 KVG, Art. 104 KVV). This contribution depends on the number of days in hospital, not on the deductible, and is the same with every insurer. That is why it does not change the comparison between deductibles.
Sources
- FOPH, health insurance premiums 2026 (approved premiums)opendata.swiss
- Federal Health Insurance Act (KVG)Art. 64fedlex.admin.ch
- Health Insurance Ordinance (KVV)Art. 93, 94, 95, 103, 104fedlex.admin.ch