EuroCalc

What is Health Insurance?

Health insurance is a contract that pays for medical care — hospital, outpatient, prescription drugs — in exchange for a monthly premium plus cost-sharing through deductibles, copays and coinsurance.

Systems vary dramatically: Switzerland mandates private basic insurance (LAMal/KVG) for every resident with regulated benefits but variable premiums by canton and insurer. The US mixes employer-sponsored, ACA marketplaces and government programs (Medicare, Medicaid). Most EU countries run statutory single-payer systems funded through taxes or income contributions.

Picking a plan involves trade-offs: lower premium typically means higher deductible and narrower network. Healthy individuals may prefer high-deductible plans paired with HSAs; chronic conditions argue for lower-deductible plans even at higher premium.

Example

A Zurich resident pays CHF 380/month for basic insurance with a CHF 2,500 franchise; in a healthy year they pay only premiums (~CHF 4,560), in a bad year up to CHF 7,060 before insurance covers 100%.

Related terms

Frequently asked questions

Is health insurance mandatory?+

In Switzerland yes, for every resident within 3 months of arrival; in most countries some form of coverage is required or strongly incentivised.

What is a deductible?+

The amount you pay out of pocket each year before insurance starts covering costs.

High-deductible or low-deductible?+

High-deductible saves premium if you stay healthy; low-deductible smooths costs if you expect care.