Health Systems and Policy Monitor (HSPM)

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For detailed information on country policy responses to the COVID-19 pandemic during 2020-2021, see our separate COVID-19 Health Systems Response Monitor (HSRM).

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Updates

HIV pre-exposure prophylaxis now covered by compulsory health insurance

09 July 2024 | Country Update

Pre-exposure prophylaxis (PrEP) is a preventive medication that reduces the risk of contracting HIV from sex by about 99% when taken as prescribed. It is recommended for individuals at substantial risk of HIV, such as men who have sex with men. As of 1 July 2024, PrEP is included in the compulsory health insurance coverage in Switzerland. This new policy aims to enhance the accessibility of PrEP as part of the National AIDS Program Strategy (NAPS), which targets the elimination of HIV and hepatitis B and C transmissions by 2030.

The Federal Department of Home Affairs (FDHA) will assess whether covering PrEP costs under compulsory health insurance is effective, appropriate, and economically viable. The evaluation, running until December 2026, will determine if PrEP should be permanently included in the list of treatments covered by health insurance.

During this evaluation period, only providers affiliated with the SwissPrEPared network and authorized as service providers under the compulsory health insurance system will be able to bill PrEP costs through health insurance. This ensures that the implementation and impact of the policy can be closely monitored and analyzed. Individuals are still able to pay for PrEP themselves. 

References

1. Medical Guidance – SwissPrEPared. Accessed 8 July 2024. https://www.swissprepared.ch/en/medical-guidance-2

2. HIV-PrEP|Swiss AIDS Federation. Accessed 8 July 2024. https://aids.ch/en/safer-sex/protection/hiv-prep

3. FOPH FO of PH. National programme (NAPS): Stop HIV, hepatitis B and C viruses and sexually transmitted infections. Accessed 8 July 2024. https://www.bag.admin.ch/bag/en/home/strategie-und-politik/nationale-gesundheitsstrategien/nationales-programm-hiv-hep-sti-naps.html

4. PrEP: cost coverage by health insurance|Swiss AIDS Federation. Accessed 8 July 2024. https://aids.ch/en/knowledge/topics/prep-cost-coverage

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