swiss health insurance psychotherapy
Insurance

Psychiatry and Psychologists: What Does Swiss Health Insurance Cover?

October 17, 2024 - Daniel Dreier

Does Swiss health insurance cover psychiatric treatments and psychologists? Get informed in this moneyland.ch guide.

Swiss mandatory health insurance covers a large part of the costs of psychiatric therapies in Switzerland.  

What does the mandatory Swiss health insurance cover?

  • Treatment by psychiatrists with a license to practice in Switzerland.
  • Therapies by psychologists with a license to practice in Switzerland, if the therapy is prescribed by a Swiss-licensed medical doctor.
  • A maximum of 40 sessions are covered without the need for pre-approval. Additional sessions are only covered if they are first approved by your insurance provider’s medical assessor.   

What is not covered by mandatory health insurance?

  • Therapies by psychologists are not covered by compulsory health insurance if they are not prescribed by a medical doctor.
  • Your health insurance deductible and coinsurance also apply to psychological therapies and psychiatric treatments.
  • Psychiatric treatments outside of Switzerland are only covered in the case of medical emergencies, within the limitations for health insurance coverage outside of Switzerland.

What does supplemental health insurance cover?

Some voluntary, complementary health insurance offers also cover psychotherapy. This complements the coverage you get from mandatory health insurance.

Most offers limit coverage to treatment by psychologists who are members of certain psychology associations or are licensed to practice in your canton. The criteria vary from one insurance provider to another.

Psychological therapies for personality development, self-discovery, and self-improvement are generally excluded from insurance cover.

Supplemental health insurance offers that cover psychotherapy

Insurance Doctor-prescribed
psychological therapies
Other
psychological therapies
Agrisano
Agri-spezial
CHF 60 per session for up
to 20 sessions per calendar year.

Only psychologists included on
Agrisano’s list.
Not covered.
Aquilana
Krankenpflege Plus
CHF 60 per session
for up to 30 sessions
per calendar year.

Only psychologists who are
members of the SPV or FSP,
or are recognized by Santésuisse.
Not covered.
Assura
Complementa Extra
Max. CHF 1500/year.

Only psychotherapists and
independent psychologists who
are recognized by Santésuisse.
Not covered.
Atupri Intense 75%, max. CHF 2000/year. 75%, max. CHF 2000/year.

Only psychologists included
on Atupri’s list.

Therapies by online psychology
service Aepsy are covered
without a doctor’s prescription.
Atupri Mivita Reala 60%, max. CHF 1000/year.

Psychologists and other
qualified therapists who hold
a cantonal license to practice
independently, or are
members of the SPV,
SBAP, or FSP.
60%, max. CHF 1000/year.

Psychologists and other qualified
therapists who hold a cantonal
license to practice independently,
or are members of one of the SPV,
SBAP, or FSP.
Axa
Health Complet
75%, max. CHF 1000/year. 75%, max. CHF 500 every 3
years for preventative and
health-promoting treatments.

Psychologists and other
qualified therapists who are
members of the SBAP or FSP.
Axa
Health Plus
75%, max. CHF 3000/year. Not covered.
CSS
MyFlex Balance
75%, max. CHF 1000/year.

Only psychologists included on
CSS’s list.
75%, max. CHF 1000/year.

Only psychologists included on
CSS’s list.
CSS
MyFlex Premium
75%, max. CHF 3000/year.

Only psychologists included on
CSS’s list.
75%, max. CHF 3000/year.

Only psychologists included on
CSS’s list.
Einsiedler
Krankenkasse
Optima
90%, unlimited. 50%, max. CHF 1000/year.
 
Groupe Mutuel
Premium Supplemental Care
Insurance
90%, max. CHF 1000/year.

Only therapists who are
members of a recognized association.
Not covered.
Helsana
Completa
75% max. CHF 4500/year.

Only psychologists included on
Helsana’s list.
Not covered.
Helsana
Completa Plus
100% max. CHF 4500/Jahr.

Only psychologists included on
Helsana’s list.
Not covered.
Helsana
Top
75% max. CHF 3000/year.

Only psychologists included on
Helsana’s list.
Not covered.
Klug
Completa
75% max. CHF 4500/year.

Only psychologists included on
Klug’s list.
Not covered.
Klug
Completa Extra
100% max. CHF 4500/year.

Only psychologists included on
Klug’s list.
Not covered.
Klug
Top 
75% max. CHF 3000/year.

Only psychologists included on
Klug’s list.

 

Not covered.
KPT
Pulse Eco
Pulse Top
Pulse Premium
  75%, max. CHF 1000/year for:
  • Klenico.
  • Aepsy.
  • Hello Better in combination
    with We Practice.
Krankenkasse
Wädenswil
SC 1
CHF 1000. Not covered.
Krankenkasse
Wädenswil
SC 2
CHF 1200. Not covered.
Krankenkasse
Wädenswil
SC 3
CHF 1400. Not covered.
Krankenkasse
Wädenswil
SC 4
CHF 2000. Not covered.
ÖKK
Start
50%, max. CHF 1000/year. Not covered.
Sanitas
Vital Smart
80%, max. CHF 1000/year. 50%, max. CHF 400/year
or CHF 600/year for:
  • Aepsy.
  • Hello Better.
Sanitas
Vital Premium
80%, max. CHF 5000/year. 80%, max. CHF 800/year for:
  • Aepsy.
  • Hello Better.
SLKK
Medico Plus Standard
CHF 50 francs pers session for
up to 40 sessions. One-time benefit.
Not covered.
SLKK
QualiCare.basis
75%, max. CHF 2000/year for up
to 4 years.
Not covered.
SLKK
QualiCare.comfort
75%, max. CHF 2000/year for up
to 4 years.
Not covered.
Sodalis Sana CHF 40 per session for up to 20
sessions per calendar year.
Not covered.
Sodalis Sana Plus CHF 60 per session for up to 20
sessions per calendar year.
Not covered.
Sumiswalder
Krankenpflege-Zusatz
CHF 50 per session for up to 30
sessions. CHF 30 per session
for up to an additional 30 sessions.
Not covered.
Swica Completa Forte 90%, max. CHF 50 per session for
up to 60 sessions per calendar year.
Santé24 offers a remote
psychologist session with a
qualified person as part of
its telemedicine service.
Swica Completa Top 90%, max. CHF 50 per session for
up to 60 sessions per calendar year.
Santé24 offers a remote
psychologist session with a
qualified person as part of
its telemedicine service.
Swica Optima
(optional insurance rider
for Forte or Completa Top)
Additional CHF 25 per session for
up to 60 sessions per calendar year.
Santé24 offers a remote
psychologist session with a
qualified person as part of
its telemedicine service.
Sympany Plus 50%, max. CHF 1000 per
calendar year.

Psychologists and other
qualified therapists who hold
a cantonal license to practice
independently.
50%, max. CHF 1000 per
calendar year.

Psychologists and other
qualified therapists who hold
a cantonal license to practice
independently.
Sympany Premium 50%, max. CHF 2000 per
calendar year.

Psychologists and other
qualified therapists who hold
a cantonal license to practice
independently.
50%, max. CHF 2000 per
calendar year.

Psychologists and other
qualified therapists who hold
a cantonal license to practice
independently.
Visana Ambulant III 80%, max. CHF 5000/year. Treatments by Swiss doctors
who do not have a contract
with the Swiss mandatory
health insurance system:
90% of costs.

 

More on this topic:
Find the best Swiss mandatory health insurance now
Find the best supplemental outpatient insurance now
Find the best supplementary hospital insurance now

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