{"id":10718,"date":"2025-10-09T10:04:47","date_gmt":"2025-10-09T10:04:47","guid":{"rendered":"https:\/\/simply.ch\/aktuelles\/le-systeme-dassurance-maladie-en-suisse-explique-brievement\/"},"modified":"2025-12-10T12:34:21","modified_gmt":"2025-12-10T12:34:21","slug":"le-systeme-dassurance-maladie-en-suisse-explique-brievement","status":"publish","type":"post","link":"https:\/\/simply.ch\/fr\/actualites\/le-systeme-dassurance-maladie-en-suisse-explique-brievement\/","title":{"rendered":"Le syst\u00e8me d’assurance maladie en Suisse expliqu\u00e9 bri\u00e8vement"},"content":{"rendered":"\t\t
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Le syst\u00e8me d’assurance maladie en Suisse expliqu\u00e9 bri\u00e8vement<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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En Suisse, le syst\u00e8me d’assurance maladie se compose de deux parties. L’assurance de base obligatoire garantit la prise en charge des co\u00fbts des soins de sant\u00e9 de base. Les prestations allant au-del\u00e0 peuvent \u00eatre compl\u00e9t\u00e9es et couvertes par une assurance compl\u00e9mentaire facultative. Nous expliquons les bases de l’assurance maladie en Suisse et comment trouver la meilleure assurance pour vous. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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L\u2019assurance de base<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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L’assurance obligatoire des soins (AOS) est une assurance maladie l\u00e9gale obligatoire pour toutes les personnes domicili\u00e9es en Suisse. L’AOS couvre les soins m\u00e9dicaux de base, les prestations sont d\u00e9finies par la loi et sont donc les m\u00eames pour toutes les caisses d’assurance maladie. Cela signifie que certaines prestations telles que les visites chez le m\u00e9decin, les hospitalisations, les m\u00e9dicaments et les traitements sont prises en charge par la caisse d’assurance maladie. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Il existe des diff\u00e9rences dans le choix de la franchise et du mod\u00e8le d’assurance. Alors que la franchise r\u00e9git la participation aux co\u00fbts par le preneur d’assurance, le mod\u00e8le d’assurance d\u00e9finit le processus \u00e0 suivre pour b\u00e9n\u00e9ficier d’une prestation m\u00e9dicale. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Les prestations d’assurance sont donc les m\u00eames pour toutes les assurances maladie obligatoires. Il existe toutefois des diff\u00e9rences de prix consid\u00e9rables selon le choix de la franchise, du mod\u00e8le d’assurance et de la caisse d’assurance maladie. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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L'assurance compl\u00e9mentaire<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Pour toutes les prestations qui vont au-del\u00e0 des soins de base d\u00e9finis par la loi, il est possible de souscrire une assurance maladie compl\u00e9mentaire facultative (LCA). Les prestations des assurances compl\u00e9mentaires varient consid\u00e9rablement d’une caisse d’assurance maladie \u00e0 l’autre. Les prix peuvent \u00e9galement varier consid\u00e9rablement. Il est important de bien r\u00e9fl\u00e9chir \u00e0 l’avance aux prestations dont on a r\u00e9ellement besoin afin de d\u00e9terminer le rapport co\u00fbt\/b\u00e9n\u00e9fice optimal pour soi. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Voici quelques exemples de prestations possibles qui peuvent \u00eatre couvertes par une assurance compl\u00e9mentaire : assurances dentaires, s\u00e9jours hospitaliers intercantonaux, participations aux co\u00fbts des abonnements aux centres de remise en forme, s\u00e9jours hospitaliers avec prestations priv\u00e9es, m\u00e9dicaments soumis \u00e0 l’assurance maladie et m\u00e9thodes de traitement sp\u00e9ciales.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Il est \u00e9galement important de noter qu’il y a toujours des adaptations l\u00e9gales concernant les prestations couvertes par l’assurance de base. Ainsi, il a \u00e9t\u00e9 d\u00e9cid\u00e9 le 1er juillet 2022 que les cat\u00e9gories de prestations des psychoth\u00e9rapeutes et des podologues doivent \u00eatre prises en charge par l’assurance de base obligatoire. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Vous ne devriez pas attendre pour conclure une assurance compl\u00e9mentaire. Si vous avez un probl\u00e8me de sant\u00e9 avant d’avoir conclu une assurance, les caisses d’assurance maladie peuvent vous refuser en tant qu’assur\u00e9 ou exclure certaines prestations li\u00e9es \u00e0 votre probl\u00e8me m\u00e9dical des prestations d’assurance. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Comment trouver la bonne assurance maladie ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Le choix de l’assurance de base la moins ch\u00e8re est g\u00e9n\u00e9ralement simple, car il est possible d’utiliser un portail de comparaison tel que insurando.ch. Le choix de l’assurance compl\u00e9mentaire optimale est en revanche beaucoup plus complexe. Il s’agit ici de d\u00e9terminer individuellement le rapport co\u00fbt\/b\u00e9n\u00e9fice optimal pour chaque personne assur\u00e9e. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Nos conseillers ont des ann\u00e9es d’exp\u00e9rience dans la recherche de l’assurance maladie compl\u00e9mentaire optimale pour vous. Nous pouvons vous aider \u00e0 prendre votre d\u00e9cision en vous donnant un aper\u00e7u des diff\u00e9rentes prestations et co\u00fbts. Inscrivez-vous pour une consultation et laissez-nous trouver ensemble la meilleure assurance maladie compl\u00e9mentaire pour vous. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tR\u00e9server maintenant un rendez-vous de conseil<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

En Suisse, le syst\u00e8me d’assurance maladie se compose de deux parties. L’assurance de base obligatoire garantit la prise en charge des co\u00fbts des soins de sant\u00e9 de base. Les prestations allant au-del\u00e0 peuvent \u00eatre compl\u00e9t\u00e9es et couvertes par une assurance compl\u00e9mentaire facultative. Nous expliquons les bases de l’assurance maladie en Suisse et comment trouver la […]<\/p>\n","protected":false},"author":1,"featured_media":10064,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-10718","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-categorise"],"acf":[],"yoast_head":"\nLe syst\u00e8me d'assurance maladie en Suisse expliqu\u00e9 bri\u00e8vement - simply<\/title>\n<meta name=\"description\" content=\"En Suisse, le syst\u00e8me d'assurance maladie se compose de deux parties. 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