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Insurance

Glasses and Contact Lenses: What Does Swiss Health Insurance Cover?

September 25, 2023 - Daniel Dreier

Are glasses, contact lenses, laser eye correction, and visual training covered by Swiss health insurance? Get informed and find a detailed comparison in this guide.

Does your Swiss health insurance cover the cost of prescription glasses and contact lenses, or laser vision correction surgery? Here, moneyland.ch gives you a clear overview of what is covered by different Swiss health insurances and insurance providers.

1. Mandatory health insurance
2. Supplemental health insurance (with a detailed comparison)
3. Accident insurance
4. Disability insurance

1. Mandatory health insurance

Does Swiss mandatory health insurance cover glasses and contact lenses for children?

Mandatory Swiss health insurance covers prescription glasses and contact lenses for children up to the age of 18. You can claim up to 180 francs per year and child.

Does Swiss mandatory health insurance cover glasses and contact lenses for adults?

In most cases, glasses and contact lenses are not covered by mandatory health insurance. But there are some exceptions to this rule.

No matter what your age is, you can claim up to 180 francs per year from your mandatory health insurance towards the cost of glasses or contact lenses in these cases:

  • The fault in your vision resulted from an illness.

  • The glasses or contact lenses are required as part of eye-surgery treatments.

Contact lenses are also covered, up to a maximum of 270 francs every two years, if you have certain visual disorders:

  • Anisometropia with a prescription of 3 dioptres or worse.

  • Hyperopia (farsightedness) with a prescription of +6.0 or worse.

  • Myopia (nearsightedness) with a prescription of -8.0 or worse.

Contact lenses are covered up to a maximum of 630 francs per eye if you have one of these conditions:

  • Defective iris

  • Irregular astigmatism

  • Illnesses or injuries to the cornea (including the recovery period after corneal surgery)

  • Keratoconus

Does mandatory health insurance cover laser eye surgery?

No. Laser vision correction is not covered by mandatory health insurance.

Does mandatory health insurance cover visual training?

No. Swiss compulsory health insurance does not include benefits for visual training.

 

2. Supplemental health insurance

Does my Swiss supplementary health insurance cover glasses and contact lenses?

That depends on which supplemental health insurance offer you use. You can find the offers that include coverage for glasses and contact lenses in the table below.

Does my Swiss complementary health insurance cover laser vision correction?

A few supplementary health insurance offers do include coverage for laser vision correction treatments. You can find them using the table below.

Is visual training covered by Swiss supplemental health insurance?

Most supplemental insurance offers do not cover visual training. However, there are a handful of offers that include this coverage in their special benefits for the promotion of health and wellbeing.

Supplemental health insurance coverage for glasses and contact lenses, laser vision correction, and visual training

Supplemental health
insurance offer
Prescription glasses
and contact lenses
Laser vision
correction
Visual training
Agrisano
Agri Special
CHF 200 per 720 days. Not covered. Not covered.
Aquilana Plus Children: 90%, maximum
CHF 250 per year.
Adults: 90%, maximum
CHF 250 every 3 years.
Not covered. Not covered.
Assura
Complementa Extra
CHF 100 per year.
Annual allowances can
be accumulated up to a
maximum of CHF 500.
CHF 100 per year.
Annual allowances can
be accumulated up to a
maximum of CHF 500.
Not covered.
Atupri
Mivita Extensa
50%, maximum CHF 400
per year.
CHF 1000 every 5 years. Not covered.
Atupri
Mivita Reala
50%, maximum CHF 300
per year.
Not covered. Not covered.
AXA
Complet
CHF 300 per year. Not covered. Not covered.
AXA
Plus
CHF 150 per year. Not covered. Not covered.
Birchmeier
Krankenkasse
Plus 2
Children: 75%, maximum
CHF 200 per year.
Adults: CHF 200 every
3 years.
Not covered. Not covered.
Concordia
Diversa
Children: CHF 150 per
year.
Adults: CHF 150 every 3
years.
Not covered. Not covered.
Concordia
Diversa Care
Children: CHF 200 per
year.
Adults: CHF 200 every 3
years.
50%, maximum CHF
400 every 5 years.
Not covered.
Concordia
Diversa Plus
Children: CHF 250 per
year.
Adults: CHF 250 every 3
years.
Not covered. Not covered.
Concordia
Diversa Premium
Children: CHF 300 per
year.
Adults: CHF 300 every 3
years.
50%, maximum
CHF 600 every 5
years.
Not covered.
CSS
Myflex Balance
Children: CHF 150 per
claim.
Adults: CHF 150 per
year.
Children: CHF 150
per claim.
Adults: CHF 150 per
year.
50%, maximum
CHF 250 per year.
CSS
Myflex Economy
Not covered. Not covered. 50%, maximum
CHF 150 per year.
CSS
Myflex Premium
Children: CHF 300 per
claim.
Adults: CHF 300 per
year.
Children: CHF 300 per
claim.
Adults: CHF 300 per
year.
50%, maximum
CHF 500 per year.
EGK
Sun (1,2,3 and
Flex)
Children: CHF 200 every 2
years.
Adults: CHF 200 every 3
years.
CHF 200 every 3
years.
CHF 20 per session,
maximum 12 sessions
per year.
Einsiedler
Krankenkasse
Premium
CHF 200 per year. CHF 1000 (one-time
benefit).
Not covered.
Galenos
Maxica I
90%, maximum CHF 50
per year.
Not covered. Not covered.
Galenos
Maxica II
90%, maximum CHF 100
per year.
Not covered. Not covered.
Galenos
Maxica III
90%, maximum CHF 200
per year.
Not covered. Not covered.
Glarner
Krankenversicherung
Premium
CHF 200 per year. CHF 1000 (one-time
benefit).
Not covered.
Glarner
Krankenversicherung
Zusatz Allgemein
CHF 200 per year. Not covered. Not covered.
Groupe Mutuel
Bonus
CHF 150 every 3 years. Not covered. Not covered.
Helsana
Completa
90%, maximum CHF 300
per year.
Myopia (short sightedness)
corrections of 8 dioptres or
more: 75%, maximum CHF
4500 per year.
Not covered.

Helsana
Top

90%, maximum CHF 150
per year.
Myopia (short sightedness)
corrections of 8 dioptres or
more: 75%, maximum
CHF 3000 per year.

Not covered.

Innova
Sanvita
Plus Zwei
Children: 75%, maximum
CHF 200 per year.
Adults: CHF 200 every 3
years.
Not covered. Not covered.
Klug
Completa
90%, maximal CHF 300
per year.
Not covered. Not covered.
Klug
Completa Extra
100% of costs that are not
already covered by
Completa, maximum CHF
300 per year. This allowance
can be accumulated up to a
maximum of CHF 1500.
100% of the cost, up to
a maximum of 750 francs
per eye and year.
Not covered.
Klug
Top
90%, maximal CHF 150
per year.
Not covered. Not covered.
KPT
Comfort
CHF 200 per year. Not covered. Not covered.
KPT
Plus
CHF 200 per year. Not covered. Not covered.
Krankenkasse
Steffisburg
Invita Light /
Standard / Flex
90%, maximum CHF 100
per year.
Not covered. Not covered.
Krankenkasse
Steffisburg
Vario
Children: CHF 200 per
year.
Adults aged 19 to 40:
CHF 100 every 3 years.
Adults aged 41 or older:
CHF 200 every 3
calendar years.
Not covered. Not covered.
Krankenkasse
Steffisburg
Vario Plus
Children: CHF 400 per
year.
Adults: CHF 400 every 3
years.
Not covered. Not covered.
Krankenkasse
Stoffel Mels
Completa
90%, maximum CHF 300
per year.
Not covered. Not covered.
Krankenkasse
Stoffel Mels
Top
90%, maximal CHF 150 pro
Jahr.
Not covered. Not covered.
Krankenkasse Visperterminen
Plus Eins
90%, maximum CHF 300
every 3 years.
Not covered. Not covered.
Krankenkasse Visperterminen
Plus Zwei
Children: 75%, maximum
CHF 200 per year.
Adults: 75%, maximum
CHF 200 every 3 years.
Not covered. Not covered.

Krankenkasse Wädenswil
SC 2

CHF 100 every 3 years. Not covered. Not covered.
Krankenkasse
Wädenswil
SC 3
CHF 150 every 3 years. Not covered. Not covered.
Krankenkasse
Wädenswil
SC 4
CHF 250 every 3 years. Not covered. Not covered.
Lumneziana
allgemeiner
Zusatz
(general
supplement)
50%, maximum CHF 250 per
year.
Not covered. Not covered.
Lumneziana
Cumpletta
50%, maximum CHF 250 per
year.
Not covered. Not covered.
ÖKK Start CHF 80 per year. Not covered. Not covered.
ÖKK
Natur Midi
(optional
supplement
for ÖKK Start)
CHF 80 per year in addition to
the benefit from ÖKK Start. The
annual allowance can be
accumulated up to 2 years
(CHF 160).
Not covered. Not covered.
ÖKK
Natur Plus
(optional
supplement
for ÖKK Start)
CHF 200 per year.
The annual allowance can be
accumulated up to 2 years
(CHF 400).
CHF 500 (one-time
benefit).
Not covered.
ÖKK
Prävention
(optional
supplement
for ÖKK Start)
Not covered. Not covered. 50%, maximum
CHF 300 per year.
Rhenusana
Gold
90%, maximum CHF 200 per
year.
Not covered. Not covered.
Rhenusana
Lifecycle
(optional
supplement
for Silver,
Gold, or Platin
offers)
Additional CHF 150 per year. 50%, maximum
CHF 1500 per eye.
Not covered.
Rhenusana
Platin
90%, maximum CHF 400 per
year.
Not covered. Not covered.
Rhenusana
Silber
90%, maximum CHF 100 per
year.
Not covered. Not covered.
Sanavals
allgemeiner Zusatz
(general supplement)
50%, maximum CHF 250 per
year.
Not covered. Not covered.
Sanavals
Cumpletta
50%, maximum CHF 250 per
year.
Not covered. Not covered.
Sanitas
Classic
Children: CHF 200 per year.
Adults: CHF 300 every 3 years.
Not covered. Not covered.
Sanitas
Jump
CHF 200 every 3 years from
age 19 on up.
Not covered. Not covered.
SLKK
QualiCare Basis
75%, maximum CHF 200
per year.
Not covered. Not covered.
SLKK
QualiCare Comfort
75%, maximum CHF 300
per year.
Not covered. Not covered.
Sodalis
Sana
Children: 50%, maximum
CHF 100 per year.
Adults: 50%, maximum
CHF 150 every 3 years.
Not covered. Not covered.
Sodalis
Sana Plus
Children: CHF 200 per
year.
Adults: CHF 400 per
year.
Not covered. Not covered.
Sumiswalder
Krankenpflege-Zusatz
(healthcare supplement)
CHF 200 per year. Not covered. Not covered.
Swica
Completa Top
90%, maximum CHF 200
every 3 years.
50%, maximum CHF 500
(one-time benefit).
50%, maximum
CHF 300 per year.
Swica
Optima
(optional supplement
for Completa Top)
90% of costs that are not
covered by Completa Top
(and Supplementa),
maximum CHF 300 every
3 years.
50% of the costs that
are not already covered
by Completa Top,
maximum CHF 1500
(one-time benefit).
90% of costs that are
not covered by Completa
Top (and Supplementa),
maximum CHF 300
per year.
Swica Supplementa
(optional supplement
for Completa Top)
90% of costs that are not
covered by Completa Top
(and Optima), maximum
CHF 300 every 3 years.
Not covered. Not covered.
Sympany
Plus
Children: CHF 270 per year.
Adults: CHF 270 every 3
years.
Not covered. Not covered.
Sympany
Premium
Children: CHF 420 per year.
Adults: CHF 420 every 3
years.
Not covered. Not covered.
Visana
Ambulant II

 

Children: 90%, maximum
CHF 200 per year.
Adults: CHF 200 every 3
years.
Not covered. Not covered.
Visana
Ambulant III

 

Children: 90%, maximum
CHF 250 per year.
Adults: CHF 250 every 3
years.
Not covered. Not covered.
Vita Surselva
Algemeiner Zusatz
(general supplement)
50%, maximum CHF 250
per year.
Not covered. Not covered.
Vita Surselva
Cumpletta
50%, maximum CHF 250
per year.
Not covered. Not covered.

 

The data in the table above has been compiled by moneyland.ch as per information published by Swiss health insurance companies as per August, 2023. However, it is a good idea to double check the information by inquiring with your health insurance provider directly before you make a purchase.

 

Does my insurance deductible apply?

For mandatory health insurance, the deductible and coinsurance always apply. For supplementary health insurance, deductibles can vary between individual coverages in the same policy. Ask your insurer or check the terms and conditions of your supplemental health insurance policy to find out which deductible applies to glasses and contact lenses, laser eye correction, and visual training.

Are pre-existing eye conditions covered by Swiss health insurance?

As a general rule, you can claim insurance benefits for glasses and contact lenses even if you already had poor eyesight at the time that you got the insurance.
However, supplemental health insurance offers often have qualification periods (one year, for example), especially for laser vision correction. In that case, you can only claim insurance benefits for purchases you make or treatments you get after the qualification period expires.

3. Accident insurance

The mandatory accident insurance that you get through your Swiss employer covers the cost of replacing prescription glasses that are damaged in accidents which also cause you physical injury.

4. Disability insurance

Swiss social disability insurance (DI) covers the cost of prescription glasses if they are considered necessary for reintegration into the job market, and add substantial value in this regard, above what can be done using medical means. Coverage for glasses frames is limited to a maximum of 150 francs.

Contact lenses are covered if they are considered a necessary replacement to glasses.

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Editor Daniel Dreier
Daniel Dreier is editor and personal finance expert at moneyland.ch.
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