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LAMal premiums 2027: +5.0% on average, the cheapest insurers

FOPH announced 2027 premiums on 29 September 2026: +5.0% on average. Here are the official figures, the cheapest insurers by canton and the decisions to make before 30 November.

Updated 29 September 2026 with official FOPH figures and the file of approved 2027 premiums (Swiss federal open data). Tables calculated from this file, unmodified.

LAMal premiums rise by 5.0% on average in 2027 and the average premium reaches CHF 412 per month, the Federal Office of Public Health announced on 29 September 2026. Jura has the largest increase (+6.6%), ahead of Valais (+5.6%), Neuchâtel and Bern (+5.4%) and Fribourg (+5.2%). Ticino keeps the highest average premium in the country (CHF 519.90). To switch insurer on 1 January 2027, your cancellation must arrive by 30 November 2026.

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How much do premiums rise in 2027?

The official increase is 5.0% on the Swiss average. It matches FOPH’s May 2026 forecast; Comparis’s forecast (+3.7%) proved too low.

SourceDateExpected average increase
ComparisMay 2026+3.7%
FOPH (status update)May 2026about +5%
bonus.chSeptember 2026+4.5% to +5%
Société médicale de la Suisse romande2026about +2% to +2.5%
Official FOPH figure29 September 2026+5.0%

The national average hides large differences: your increase depends on your insurer, canton, age, deductible and model.

What are the increases by canton in 2027?

French-speaking Switzerland remains a high-premium region: four of its six cantons exceed the Swiss average of CHF 412 per month in 2027.

CantonAverage increase 2027
Jura+6.6% (largest increase)
Valais+5.6%
Neuchâtel+5.4%
Bern+5.4%
Fribourg+5.2% (+CHF 19 per month)
Switzerland (average)+5.0%

Ticino keeps the highest average premium in Switzerland (CHF 519.90 per month) and Geneva remains among the most expensive cantons. Figures released by FOPH on 29 September 2026.

Which are the cheapest insurers in 2027?

In most cantons studied, the lowest premium on the market rises less than the average: from +2.1% in Vaud to +6.0% in Aargau. But in 7 of 13 cantons, the cheapest insurer is no longer the same as in 2026: last year’s right choice guarantees nothing this year.

CantonCheapest insurer 2027 (CHF 300 deductible, standard)Premium 2027Same criterion 2026ChangeLowest possible 2027 premium (CHF 2,500 deductible, any model)
GE · GenevaAssuraCHF 661.50Assura (CHF 638.70)+3.6%Assura, CHF 449.60 (flexible model)
VD · VaudGalenosCHF 574.20Galenos (CHF 562.40)+2.1%Philos, CHF 401.00 (telemedicine)
VS · ValaisKrankenkasse VisperterminenCHF 459.90Krankenkasse Visperterminen (CHF 437.90)+5.0%sodalis, CHF 298.90 (telemedicine)
FR · FribourgÖKKCHF 512.50ÖKK (CHF 493.90)+3.8%KPT, CHF 329.00 (telemedicine)
NE · NeuchâtelÖKKCHF 637.10Helsana (CHF 614.80)+3.6%Sanitas, CHF 433.30 (telemedicine)
JU · JuraÖKKCHF 621.30Atupri (CHF 596.80)+4.1%Sanitas, CHF 424.60 (telemedicine)
BE · BernKrankenkasse Luzerner HinterlandCHF 511.60Sumiswalder Krankenkasse (CHF 486.50)+5.2%Agrisano, CHF 339.30 (telemedicine)
ZH · ZurichKrankenkasse WädenswilCHF 477.70rhenusana (CHF 455.70)+4.8%Assura, CHF 315.60 (telemedicine)
BS · Basel-StadtSLKKCHF 649.00Assura (CHF 626.60)+3.6%Mutuel Assurance Maladie, CHF 439.60 (telemedicine)
LU · LucerneKrankenkasse Luzerner HinterlandCHF 440.60Krankenkasse Luzerner Hinterland (CHF 425.60)+3.5%Krankenkasse Luzerner Hinterland, CHF 293.40 (telemedicine)
AG · AargauSumiswalder KrankenkasseCHF 517.20Krankenkasse Luzerner Hinterland (CHF 488.10)+6.0%Sanitas, CHF 342.40 (family doctor / HMO)
SG · St. GallenAgrisanoCHF 463.60Agrisano (CHF 443.70)+4.5%Agrisano, CHF 295.50 (telemedicine)
TI · TicinoÖKKCHF 622.20Agrisano (CHF 595.40)+4.5%Sanitas, CHF 426.10 (family doctor / HMO)

Source: Federal Office of Public Health (FOPH), official file of approved 2027 premiums Prämien_CH.csv (open data published on 29 September 2026); insurer names from the official list of FOPH numbers. Adults aged 26 and over, without accident cover, cheapest premium region in the canton. Some small regional insurers only accept residents of certain municipalities. For your exact situation, use our 2027 comparison.

What is the average premium in 2027?

The average premium is CHF 412 per month in 2027, compared with CHF 393.30 in 2026.

YearAverage monthly premiumIncrease
2026CHF 393.30+4.4%
2027CHF 412+5.0%

In 2026 an adult paid CHF 465.30 on average, a young adult CHF 326.30 and a child CHF 122.50.

What is the timeline for 2027 premiums?

Everything happens between 29 September and 30 November 2026: federal announcement, your insurer's letter, then your decision.

DateStepWhat you do
29 September 20262027 premiums announced: +5.0% on averageCheck your canton’s increase (tables below)
By 31 OctoberYour insurer sends your new personal premiumCheck your exact 2027 premium
NovemberCompare and sign upSign up with the new insurer BEFORE cancelling
30 November 2026Last day for your cancellation to arriveSend it registered around 20-25 November
1 January 2027Switch takes effectNew insurer, no gap in cover

How have premiums changed in recent years?

After three nearly flat years (2020-2022), 2027 brings a fifth consecutive sharp rise, peaking at +8.7% in 2024.

Premium yearAverage increase
2020+0.2%
2021+0.5%
2022nearly flat (0.2%)
2023+6.6%
2024+8.7%
2025+6.0%
2026+4.4%
2027+5.0%

Why do premiums keep rising?

FOPH attributes the increase mainly to the growing number of treatments, population ageing and medical progress. Basic insurance costs rose by 5.3% in 2025 and are expected to grow by 5.0% in 2027.

  • More treatments: the volume of care per insured person keeps growing, especially in outpatient care.
  • Billing still unclear: delays linked to the new TARDOC medical tariff and outpatient flat rates make the 2026 trend hard to read.
  • Reserves barely used: five insurers priced their premiums as close as possible to expected costs and ten took their investment income into account, but none presented a plan for voluntarily reducing reserves.

Why does the national average say nothing about your premium?

Your premium depends on your insurer, canton, premium region, age, deductible and model. An average of +4% can mean +15% for you, or a decrease.

A Deloitte analysis of 2026 premiums shows a counter-intuitive effect: while the official average increase was 4.4%, the cheapest offers on the market rose by about 7%. Those who had already chosen the cheapest insurer often faced the biggest increase: switching last year is no reason not to compare again.

What can you do now to pay less in 2027?

  1. Wait for your insurer's letter (by end of October): it gives your real figure, not the national average.
  2. Compare using official 2027 data: our premium comparison shows the top 5 insurers for 2027 by canton, deductible and model.
  3. Adjust the two levers: deductible (CHF 300 to 2,500) and model (family doctor, HMO, telemedicine: up to 20% discount).
  4. Sign up with the new insurer before cancelling: for basic insurance, no insurer can refuse you.
  5. Cancel in writing, by registered mail or A-Post Plus as FOPH recommends, around 20-25 November.

Frequently asked questions

How much do health insurance premiums rise in 2027? Basic insurance premiums rise by 5.0% on average in 2027 and the average premium reaches CHF 412 per month, according to FOPH’s announcement of 29 September 2026. Jura has the largest increase (+6.6%).

Which is the cheapest health insurer in 2027? It depends on the canton. For an adult with a CHF 300 deductible and the standard model, the cheapest is for example Assura in Geneva (CHF 661.50), Galenos in Vaud (CHF 574.20) and Krankenkasse Wädenswil in Zurich (CHF 477.70), according to FOPH’s official 2027 premium file.

Until when can you switch insurer for 2027? Your cancellation of basic insurance must reach your current insurer by 30 November 2026 for a switch on 1 January 2027. FOPH recommends registered mail or A-Post Plus.

Which canton has the largest increase in 2027? Jura with +6.6%, ahead of Valais (+5.6%), Neuchâtel and Bern (+5.4%) and Fribourg (+5.2%). Ticino keeps the highest average premium in Switzerland (CHF 519.90 per month).

What is the average premium in 2027? The average basic insurance premium reaches CHF 412 per month in 2027, compared with CHF 393.30 in 2026.

Sources

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