Which vaccinations does the basic insurance cover?

In Switzerland, basic insurance covers all basic vaccinations recommended for children, adolescents and adults. All these vaccinations are recorded in writing in the Swiss vaccination plan. 

In order to always keep up to date with the latest medical developments, the Federal Commission for Vaccination Questions, the EKIF, regularly updates this plan in cooperation with the BAG or the Federal Office of Public Health.

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There are three categories of recommended vaccinations in Switzerland:

    • recommended basic vaccinations for all ages
    • recommended additional vaccinations
    • Vaccinations that are recommended for special risk groups or risk situations

In addition to the basic vaccinations, vaccinations in the second category prevent clearly defined risks such as meningococcal infection. These vaccinations are of little use to public health. 

However, these vaccinations are extremely beneficial for the individual. The third category includes vaccinations, which are aimed at protecting particularly vulnerable groups of people, such as people with insufficient immune protection or premature babies. 

In addition, these vaccinations are recommended for people who are often in contact with vulnerable or sick people. These risk groups include, for example, doctors or nursing staff.

The basic insurance covers these vaccinations

Basic insurance bears the costs for subsequent vaccinations in general, but less the deductible and deductible:

    • Chickenpox (varicella)
    • Measles, mumps, rubella (MMR)
    • Tetanus (re-vaccinated every ten years)
    • Diphtheria (re-vaccinated every ten years)
    • Haemophilus influenza type B
    • Whooping cough (pertussis)
    • Polio (poliomyelitis)
    • pneumococcal
    • Hepatitis B
    • Hepatitis A (only for special risk groups)
    • Cervical cancer (HPV or human papillomavirus): if vaccination is given as a result of a cantonal program, the costs for girls from 11 to 19 years will be reimbursed
    • Influenza: vaccination for people at increased risk of complicated flu and for people aged 65 and over

Tetanus vaccination will be covered by SUVA after an accident if, according to the vaccination plan, vaccination against whooping cough is also recommended.

The basic insurance covers these recommended additional vaccinations

Subsequent vaccinations are covered by basic insurance in Switzerland with certain restrictions, which are also listed. One example is the meningococcal vaccination, the cost of which is covered by basic insurance for children from two to five years of age and young people from 11 to 15 years of age. 

However, basic insurance only bears the associated costs less the deductible and deductible. In addition, the basic insurance covers the costs of vaccination against HPV for women from 20 to 26 years and for male patients from 11 to 26 years. 

The insurance covers these costs, exempt from the franchise within the framework of cantonal programs. However, it is important that the first vaccination of the vaccination schedule begins before the 27th birthday.

Vaccinations based on certain risk factors

The vaccination recommended for risk situations or risk groups is usually paid for by the employer or the compulsory health care insurance. In addition, the basic insurance covers the costs for TBE vaccinations for people aged six and above, less deductible and franchise. 

However, this vaccination is only guaranteed for people who are increasingly in regions with TBE vaccination recommendations. In these cases, too, employers are obliged to pay for the vaccination, and their employees are increasingly in these areas for professional reasons. 

In return, vaccinations are excluded from coverage by the basic insurance, which are necessary for vacation trips. Rabies, yellow fever and Japanese encephalitis fall into this category.

The vaccination week: a special event

Switzerland has once again participated in the European Immunization Week, which is organized by the World Health Organization. This event is intended to encourage more and more people to regularly check their vaccination status. 

This vaccination week offers all Swiss residents the opportunity to read the electronic vaccination book at www.meineimpfungen.ch to be validated. If the check leads to the fact that vaccinations are due or are missing completely, the owners will be informed via SMS or email. 

Switzerland also supports the initiative in staying or becoming measles-free. 

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