swiss health insurance vaccinations
Insurance

Vaccinations: This is What Swiss Health Insurance Covers

September 29, 2023 - Daniel Dreier

Which vaccinations and innoculations does your Swiss health insurance pay for? Find a clear overview in this guide.

Some basic vaccinations are covered by the mandatory health insurance which all residents of Switzerland are required to have. Many other inoculations can be covered by Swiss supplemental health insurance, but benefits vary between individual offers.

Here, moneyland.ch explains which vaccinations are covered by Swiss compulsory health insurance, and gives you a clear comparison of the vaccination coverage included in complementary health insurance offers.

Which vaccinations are covered by accident insurance?

Vaccinations that are necessary due to an accident are generally covered by mandatory accident insurance. This could be the case if, for example, you require tetanus shots after an accident, or rabies shots after being bitten by an animal.

Which vaccinations are covered by your employer?

In Switzerland, your employer is required to provide all measures necessary to protect you from occupational hazards, including illnesses. In keeping with these requirements, if your occupation falls under those for which vaccinations are recommended by the National Vaccination Plan, the cost of getting vaccinated will generally be covered by your employer.

Which vaccinations are covered by mandatory health insurance?

All vaccinations recommended in the Swiss government’s National Vaccination Strategy are covered by mandatory health insurance. The strategy is subject to change. Vaccinations currently recommended in the strategy include the following:

  • Flu (Influenza vaccines)
  • Diptheria (DT, dT, dTp, and DTP vaccines)
  • Tetanus (DT, dT, dTp, and DTP vaccines)
  • Whooping cough (dTp, and DTP vaccines)
  • Hepatitis B (HBV vaccines)
  • Haemophilus influenzae (Hib vaccines)
  • Human papillomavirus (HPV vaccines)
  • Shingles (HZ vaccines)
  • Polio (IPV vaccines)
  • Meningitis and other meningococcal diseases (4CMenB, MCV-C, and MCV-ACWY vaccines)
  • Measles (MMR vaccines)
  • Mumps (MMR vaccines)
  • German measles (MMR vaccines)
  • Chickenpox (MMRV and VZV vaccines)
  • Pneumonia and other pneumococcal infections (PCV, PCV13, and PPV23 vaccines)
  • Rabies (in specific cases)
  • Tick-borne encephalitis (in specific regions)
  • Hepatitis A (in specific cases).

The list above is not exhaustive. 

It is important to note that just because a vaccination is recommended by the National Vaccination Strategy does not mean that the cost is always covered by mandatory health insurance. There are specific criteria which must be met in order for a vaccination to be covered. Depending on the vaccination in question, criteria may include:

  • Age group: Different vaccinations are recommended for different age groups. Only inoculations that are recommended for your age group, as per the National Vaccination Strategy, are covered by mandatory health insurance. 
  • Risk group: Vaccinations recommended for people in specific high-risk groups or high-risk situations, as defined in the National Vaccination Strategy, are also covered. Exception: Vaccinations required to reduce occupational risks are, in many cases, covered by your Swiss employer.
  • Location or travel destination: If you live in or plan to visit a region for which a vaccination recommendation has been issued, the recommended vaccinations are covered by mandatory health insurance. That is the case with vaccinations for tick-borne encephalitis, for example. Certain vaccinations (the hepatitis A vaccination, for example) are covered if you will be traveling to a country in which the disease is endemic.

 

Which vaccinations are covered by supplemental health insurance?

Many optional, complementary health insurance offers include insurance benefits for vaccinations that are not covered by mandatory health insurance. Coverage varies between offers. Swiss supplementary health insurance offers that include vaccination coverage are shown in the table below.

Overview: Swiss supplemental health insurance offers with vaccination benefits

Supplemental health
insurance offer
Coverage for vaccinations Additional information
Agrisano Agri-special 90%, maximum CHF 500
per year.
Vaccination costs that are not covered
by mandatory health insurance.
Aquilana Plus 90%, maximum CHF 250
per year.
Preventative vaccinations. Protective
vaccinations. Travel vaccinations.
Atupri Basic 90%, without a limit. Vaccination costs that are not covered
by mandatory health insurance.
Atupri Mivita Extensa 90%, without a limit. Vaccination costs that are not covered
by mandatory health insurance.
Atupri Mivita Reala 90%, without a limit. Vaccination costs that are not covered
by mandatory health insurance.
AXA Complet 90%, without a limit. Preventative and protective vaccinations
recommended by the National Vaccination
Strategy.
AXA Plus 90%, without a limit. Preventative and protective vaccinations
recommended by the National Vaccination
Strategy.
Birchmeier Krankenkasse Plus 1 75%, maximum CHF 300. All vaccinations administered by qualified
Swiss doctors.
Birchmeier Krankenkasse Plus 2 75%, maximum CHF 500. All vaccinations administered by qualified
Swiss doctors.
Concordia Diversa 90%, without a limit. All vaccination costs that are not covered
by mandatory health insurance.
Concordia Diversa Care 90%, without a limit. All vaccination costs that are not covered
by mandatory health insurance.
Concordia Diversa Plus 90%, without a limit. All vaccination costs that are not covered
by mandatory health insurance.
Concordia Diversa Premium 90%, without a limit. All vaccination costs that are not covered
by mandatory health insurance.
CSS Myflex Balance 90%, without a limit. Preventative and protective vaccinations
included on the CSS vaccination list.
CSS Myflex Economy 90%, maximum CHF 100
per year.
Preventative and protective vaccinations
included on the CSS vaccination list.
CSS Myflex Premium 90%, without a limit. Preventative and protective vaccinations
included on the CSS vaccination list.
EGK Sun (1,2,3 und Flex) CHF 200 per year. Vaccinations that are not covered by
mandatory health insurance.
Einsiedler Krankenkasse Optima 90%, maximum CHF 200
per year.
Medically certified vaccinations.
Einsiedler Krankenkasse Premium 90%, maximum CHF 300
per year.
Medically certified vaccinations.
Galenos Maxica I 75%, maximum CHF 100
per year.
Vaccinations administered by a doctor.
Galenos Maxica II 75%, maximum CHF 200
per year.
Vaccinations administered by a doctor.
Galenos Maxica III 75%, maximum CHF 300
per year.
Vaccinations administered by a doctor.
Glarner Krankenversicherung
Premium
90%, maximum CHF 300
per year.
Medically certified vaccinations.
Glarner Krankenversicherung
Zusatz Allgemein
(general supplement)
90%, maximum CHF 200
per year.
Occupational vaccinations and vaccinations
that are medically disputed or still in their
development phase are not covered.
Groupe Mutuel Bonus 90%, with no limit. Vaccinations that are necessary in Switzerland
but are not covered by mandatory health insurance.
Travel vaccinations that are recommended by the
Federal Office of Public Health.
Helsana Completa 90%, maximum CHF 750
per year.
The annual benefit is for vaccinations, checkups,
and other preventative measures combined.
Helsana Completa Extra
(optional supplement for
Completa)
100%, maximum CHF 500 per
year, for vaccination costs that
are not covered by Helsana
Completa.
The annual benefit is for vaccinations, checkups,
and other preventative measures combined.
Helsana Sana 75%, maximum CHF 500
per year.
The annual benefit is for vaccinations, checkups,
and other preventative measures combined.
Innova Sanvita Plus Eins 75%, maximum CHF 300
per year.
Vaccinations administered by qualified Swiss
doctors.
Innova Sanvita Plus Zwei 75%, maximum CHF 500
per year.
Vaccinations administered by qualified Swiss
doctors.
Klug Completa 90%, maximum CHF 750
per calendar year.
The annual maximum is for vaccinations, checkups,
and other preventative measures combined.
Klug Completa Extra 100%, maximum CHF 500
per calendar year.
The annual maximum is for vaccinations, checkups,
and other preventative measures combined.
KPT Comfort 90% of the cost. Protective vaccinations.
KPT Plus 90% of the cost. Protective vaccinations.
Krankenkasse Steffisburg
Invita Standard / Flex
90%, maximum CHF 400
per year.
Vaccinations as per a Krankenkasse Steffisburg list.
Krankenkasse Steffisburg
Vario
90%, maximum CHF 200
per year.
Vaccinations as per a Krankenkasse Steffisburg list.
Krankenkasse Steffisburg
Vario Plus
90%, maximum CHF 200
per year.

Vaccinations which serve to protect from infection.
Occupational vaccinations and vaccinations that are
medically disputed or still in their development phase
are not covered.

Krankenkasse Stoffel Mels
Completa
90%, maximum CHF 750
per year.
The annual maximum is for vaccinations, checkups,
and other preventative measures combined.
Krankenkasse Visperterminen
Plus Eins
75%, maximum CHF 300. Vaccinations are administered by qualified Swiss
doctors.
Krankenkasse Visperterminen
Plus Zwei
75%, maximum CHF 500. Vaccinations administered by qualified Swiss
doctors.
Krankenkasse Wädenswil SC 1 CHF 150 per year. No additional information.
Krankenkasse Wädenswil SC 2 CHF 200 per year. No additional information.
Krankenkasse Wädenswil SC 3 CHF 250 per year. No additional information.
Krankenkasse Wädenswil SC 4 CHF 300 per year. No additional information.
Lumneziana allgemeiner Zusatz
(general supplement)
90%, maximum CHF 200
per year.

Travel vaccinations are covered. Occupational
vaccinations and vaccinations that are medically
disputed or still in their development phase are
not covered.

Lumneziana Cumpletta 90%, maximum CHF 200
per year.

Travel vaccinations are covered. Occupational
vaccinations and vaccinations that are medically
disputed or still in their development phase are
not covered.

ÖKK Prävention (optional
supplement for ÖKK Start)
90%, maximum CHF 200
per year.
Vaccinations that are not covered by mandatory
health insurance.
Rhenusana Gold 90%, maximum CHF 20,000
per year.
No additional information.
Rhenusana Platin 90%, maximum CHF 50,000
per year.
No additional information.
Rhenusana Silber 90%, maximum CHF 5,000
per year.
No additional information.
Sanavals allgemeiner Zusatz
(general supplement)
90%, maximum CHF 200
per year.

Travel vaccinations are covered. Occupational
vaccinations and vaccinations that are medically
disputed or still in their development phase are
not covered.

Sanavals Cumpletta 90%, maximum CHF 200
per year.

Travel vaccinations are covered. Occupational
vaccinations and vaccinations that are medically
disputed or still in their development phase are
not covered.

Sanitas Classic 80%, maximum CHF 1000
per year.
The annual maximum is for all preventative
measures combined.
Sanitas Family 80%, maximum CHF 10,000,
CHF 25,000, or CHF 50,000.
The annual maximum of the benefits account
applies, and is for all preventative measures
combined.
Sanitas Jump 80%, maximum CHF 500 per year. The annual maximum is for all preventative
measures combined.
SLKK QualiCare Basis 75%, maximum CHF 300
per year.
Vaccinations that are not covered by mandatory
health insurance.
SLKK QualiCare Comfort 75%, maximum CHF 750 per year. Vaccinations that are not covered by mandatory
health insurance.
Sodalis Sana Children: 100%, with no
limit.
Adults: 50%, maximum
CHF 500 per year.
No additional information.
Sodalis Sana Plus Children: 100%, with no
limit.
Adults: 100%, maximum
CHF 1000 per year.
No additional information.
Sumiswalder
Krankenpflege-Zusatz
(healthcare supplement)
Up to age 15: 90%, with
no limit.
From age 16: 50%, with
no limit.
Protective vaccinations that are not covered by
mandatory health insurance.
Swica Completa Praeventa
(optional supplement for
Completa Top)
90%, maximum CHF 200
per year.

Protective vaccinations and travel vaccinations.

Swica Optima
(optional supplement
for Completa Top)
90%, with no limit. Protective vaccinations and travel vaccinations.
Sympany Plus 80%, maximum CHF 220
per year.
Vaccinations which serve to protect from infection.
Sympany Premium 80%, maximum CHF 220
per year.
Vaccinations which serve to protect from infection.
Visana Ambulant I 90%, maximum CHF 100
per year.
Protective vaccinations and travel vaccinations.
Visana Ambulant II 90%, maximum CHF 200
per year.
Protective vaccinations and travel vaccinations.
Visana Ambulant III 90%, with no limit. Protective vaccinations and travel vaccinations.
Vita Surselva
Algemeiner Zusatz
(general supplement)
90%, maximum CHF 200
per year.
Medically-certified vaccinations. Occupational
vaccinations and vaccinations that are medically
disputed or still in their development phase are
not covered.
Vita Surselva Cumpletta 90%, maximum CHF 200
per year.
Medically-certified vaccinations only.
Occupational vaccinations and vaccinations
that are medically disputed or still in their
development phase are not covered.   

 

You can compare the costs of many supplemental health insurance offers using the interactive supplemental health insurance comparison on moneyland.ch. The comparison also lets you filter and sort offers based on the vaccination benefits they provide.

 

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