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Costs

Does health insurance pay for household help?

Basic insurance does not, supplementary insurance depends on the product.

What happened?

What kind of birth?

Do you have supplementary insurance?

Your supplementary insurance, depending on the product, with an amount per day.

  • Supplementary insurance: an amount per day depending on the product, usually for a few weeks.
  • Basic insurance: midwife after the birth yes, housework no.

In this order

  1. Get your policy and conditions, look for household help.
  2. Get a medical prescription before the help starts.
  3. Send the question below in writing and keep the reply.
  4. Collect invoices with a calendar, or payslip and hours list.

To your health insurer

Does my supplementary insurance contribute to household help after the birth, how much per day and for how long, do I need a medical prescription, and does this also apply to a person I employ directly, with payslip and hours list as proof?

What the insurers say · If you employ someone yourself

Basic insurance pays no housework. Supplementary insurance pays CHF 10 to CHF 200 a day depending on the product, often CHF 30 to CHF 100, usually with a medical prescription and for a few weeks a year. The documents of the 12 insurers we read say nothing explicit about a person you employ yourself. That is why one question to your insurer is worth asking before the help starts.

What basic insurance pays, and what it does not

Basic insurance pays for care, not housework. The list of care services in KLV Art. 7 includes neither cleaning nor cooking, laundry or shopping. This also applies when the Spitex comes: the care goes through the insurer, the housekeeping you pay yourself.

What it pays

  • Midwife after the birth, at home
  • Care by the Spitex, with a medical prescription
  • Acute and transitional care after hospital, at most 2 weeks

What it does not pay

  • Cleaning, laundry, cooking, shopping
  • Looking after children
  • Spitex housekeeping

After the birth: the midwife, not the household

In the 56 days after the birth, basic insurance pays for up to 16 midwife home visits after a first birth, a premature birth, multiples or a caesarean, otherwise up to 10. In the first 10 days, up to 5 second visits on the same day are added, more only with a medical order. Deductible and co-payment do not apply during this time.

The midwife is there for mother and child. Laundry, shopping and older children stay with you. For the household in the postnatal period, the only options are supplementary insurance, family or paid help.

The legal basis

Law: KVG Art. 25 and KLV Art. 7 govern care, KVG Art. 25a acute and transitional care, KVG Art. 29 and KLV Art. 16 maternity, KVG Art. 64 para. 7 the waiver of cost sharing.

Supplementary insurance: this is a private contract under the VVG. Only the conditions of your product count; there is no statutory right to household help.

What 12 supplementary insurers say

We read the conditions, leaflets and product pages of the 12 insurers ourselves. Choose your situation: you see amount, condition and source.

As of: 04.11.2026

Conditions change, and your policy decides. The order is alphabetical, with no rating. What is missing here we did not find or did not check.

Atupri

Haushalt-Taggeld

  • CHF 10 to CHF 100 a day, depending on your cover

According to Atupri, for anyone running a household who is not in permanent employment. Medically certified incapacity for work of 50 % or more, waiting period 7, 14, 21 or 30 days. Up to CHF 50 a day no proof of cost; above that institutions count, other people only with lost earnings. Maternity: 21 days if insured for at least 365 days.

Who may help: Up to CHF 50 a day without proof of cost

CONCORDIA

DIVERSA

  • DIVERSA, care: CHF 30 a day, at most 30 days a year
  • plus, premium: CHF 50 a day, at most 30 days a year

Medical prescription, full incapacity for work and family circumstances. Besides professionals on their own account, «eine andere Person» (another person) also counts if the costs are shown. The maternity page is narrower: an organisation or a «Privatperson, die auf Rechnung tätig ist» (a private person working on invoice), and 1 year of insurance before the birth.

Who may help: A private person too, mostly outside family or household

CONCORDIA

Spitalversicherung

  • ALLGEMEIN, LIBERO: CHF 30 a day, at most 30 days a year
  • HALBPRIVAT: CHF 50 a day, at most 30 days a year
  • PRIVAT: CHF 70 a day, at most 30 days a year

Same conditions as DIVERSA, including the narrower maternity page. Only costs DIVERSA does not cover, and not at the same time as other benefits of the hospital insurance.

Who may help: A private person too, mostly outside family or household

CSS

Ambulantversicherung myFlex

  • Balance: CHF 50 a day, at most CHF 2'000 a year
  • Premium: CHF 100 a day, at most CHF 4'000 a year

Economy level: no household help. Medical prescription and full inability to run the household. After a birth 21 days without a prescription. The annual amount is shared with care at home.

Who may help: A private person too, mostly outside family or household

Groupe Mutuel

Global smart

  • Level 1, 2: 50 % of the costs, at most CHF 1'500 a year
  • Level 3: 90 % of the costs, at most CHF 2'500 a year

Medically necessary, get approval in advance. Deep cleaning excluded. The product also applies to maternity, there after 12 months of insurance.

Who may help: Professionally on own account or for an organisation

Helsana

Hospital Eco

  • CHF 30 a day, at most 30 days a year

Medical prescription, 100 % unable to work, and a hospital or spa stay is avoided or shortened. Birth: according to the brochure after an inpatient hospital birth, 365 days waiting period. It names an outpatient birth only for a PRIMEO contract hospital and states no separate amount: ask.

Who may help: Professionally on own account or for an organisation

Helsana

Hospital Flex

  • CHF 50 a day, at most 30 days a year

Only with the FLEX add-on module. Medical certificate, acute illness and family circumstances; not in a nursing home. Birth as for Hospital Eco.

Who may help: The conditions say nothing about it

Helsana

Hospital Halbprivat, Privat

  • Halbprivat: CHF 100 a day, at most 30 days a year
  • Privat: CHF 200 a day, at most 30 days a year

Medical prescription, 100 % unable to work, and only if an acute hospital or spa stay is avoided or shortened. Birth: same benefits as for illness if maternity is included, 365 days waiting period; according to the brochure after an inpatient hospital birth.

Who may help: Professionally on own account or for an organisation

KPT

Spitalkosten Flex Top

  • after a hospital birth: CHF 50 a day, at most 5 days a year

Medically prescribed, directly after hospital or an outpatient procedure. Detailed invoice with a calendar. Birth: after an inpatient birth in a recognised facility, after the waiting period. Relatives only with lost earnings.

Who may help: The conditions say nothing about it

ÖKK

ELTERN, START

  • ELTERN, after a hospital birth: CHF 60 a day, at most CHF 600 a year
  • ELTERN, after a home or outpatient birth: CHF 60 a day, at most CHF 840 a year
  • START: CHF 40 a day, at most CHF 400 a year

Medical prescription; apart from a birth, directly after the hospital. ELTERN in addition to START, with a 360 days waiting period. Household help means someone working commercially or for a recognised organisation, relatives only with lost earnings.

Sanitas

Hospital Extra Liberty, Top Liberty

  • Extra: CHF 25 an hour, at most CHF 750 a year
  • Top: CHF 25 an hour, at most CHF 1'500 a year

Medical prescription, directly after hospital or if a hospital stay is avoided. Person outside the household, invoice with a calendar. Birth: at most 14 days within one month.

Who may help: A private person too, mostly outside family or household

Sanitas

Hospital Standard Liberty

  • CHF 10 a day, at most 90 days a year, at most CHF 1'800 a year

Medical prescription, directly after hospital, for the person running the household. Person outside the household, invoice with a calendar. Birth: 14 days within one month. Annual amount shared with nursing care.

Who may help: A private person too, mostly outside family or household

Sympany

hospita

  • allgemein, after a hospital birth: CHF 40 a day, at most CHF 560 a year
  • allgemein, after a home or outpatient birth: CHF 60 a day, at most CHF 840 a year
  • flex, halbprivat, after a hospital birth: CHF 70 a day, at most CHF 980 a year
  • flex, halbprivat, after a home or outpatient birth: CHF 105 a day, at most CHF 1'470 a year
  • privat, after a hospital birth: CHF 90 a day, at most CHF 1'260 a year
  • privat, after a home or outpatient birth: CHF 135 a day, at most CHF 1'890 a year
  • global, after a hospital birth: CHF 110 a day, at most CHF 1'540 a year
  • global, after a home or outpatient birth: CHF 165 a day, at most CHF 2'310 a year

Prescription: if a hospital stay is avoided or shortened. Household help means someone working commercially on their own account or for a recognised Spitex organisation, relatives only with lost earnings or travel costs. After a birth: medically prescribed, staff recognised by the insurer, relatives only with lost earnings.

Who may help: Professionally on own account or for an organisation

For this situation we found no contribution in the documents we read from Assura, SWICA, Visana. That does not mean it exists nowhere.

Does the insurer also pay if you employ someone yourself?

No table can tell you for sure: none of the documents we read mentions an employment contract. The wording does fall into five groups, though, and they show you how open the question is at your insurer.

A private person too

CONCORDIA DIVERSA · CONCORDIA Spitalversicherung · CSS Ambulantversicherung myFlex · Sanitas Family · Sanitas Hospital Extra Liberty, Top Liberty · Sanitas Hospital Standard Liberty · SWICA Hospita · Visana Ambulant II, III

Wording: «von einer nicht zu den nächsten Angehörigen der versicherten Person gehörenden Person»
CSS, ZB Ambulant myFlex

Our reading: The wording does not exclude an employed person. But some insurers require an invoice with a calendar, and an employee does not issue invoices, she receives a payslip. The question below settles whether that is enough.

Professionally on own account or for an organisation

Atupri Mivita · Groupe Mutuel Global smart · Groupe Mutuel Optimum · Groupe Mutuel Premium · Helsana Hospital Eco · Helsana Hospital Halbprivat, Privat · ÖKK ELTERN, START · Sympany hospita

Wording: «beruflich auf eigene Rechnung oder für eine Organisation»
Helsana, ZVB Hospital Eco

Our reading: This describes self-employed people and companies. A directly employed household helper is neither, so the wording tends to go against her. That does not settle it: ask beforehand.

An assistance service

Assura Complementa Extra

Wording: «les frais pour la tenue du ménage par un service d'assistance»
Assura, Complementa Extra, Art. 3

Our reading: By the wording, a service counts. A private person probably does not, not even an employed one.

Nothing on it

Helsana Hospital Flex · KPT Krankenpflege-Comfort · KPT Spitalkosten Flex Top · SWICA Completa Top, Completa Forte

Wording: «für Haushalthilfe auf Basis einer detaillierten Rechnung mit Kalendarium»
KPT, BB Flex Top

Our reading: Shown costs or an invoice are required, nothing more is stated. Here the question is completely open.

No proof of cost up to an amount

Atupri Haushalt-Taggeld

Wording: «verzichtet Atupri auf einen Kostennachweis»
Atupri, ZVB Haushalt-Taggeld, Art. 6.1

Our reading: Up to CHF 50 a day the insurer asks for no proof of cost, so the daily allowance does not depend on who helps. Above CHF 50 tighter rules apply.

What applies to you if you employ someone

Whether the insurer pays or not: anyone who employs a household helper directly is an employer. In a private household, as a rule, every wage is subject to AHV from the first franc, and she needs accident insurance even for a few hours.

From the start, record what an insurer will want to see: employment contract, hours with dates, payslips. Sanitas and KPT, for example, require a calendar, meaning proof day by day.

The one question for your insurer

Send it in writing, before the first day of work, and keep the reply. Fill in only the brackets.

I have the supplementary insurance [product] with you: do you contribute to household help after [birth, hospital stay or illness], how much per day and for how long, do I need a medical prescription, and does this also apply to a person I employ directly, with payslip and hours list as proof?

And in this order

  1. Get the prescription, often the first condition.
  2. Send the question and wait for the reply. Some insurers require a request in advance.
  3. The help starts, with a contract and registration if you employ someone yourself.
  4. Submit the proof: invoices with a calendar, or payslip and hours list.

Who else pays

The insurer usually pays for only a few weeks. For longer, or without supplementary insurance, there are other bodies. Which of them applies to you depends on age, income and canton.

Supplementary benefits

If you receive supplementary benefits (EL), help at home is reimbursed as an illness cost, within a frame of at least CHF 25'000 a year for single people and CHF 50'000 for married couples. For private help, each canton sets its own limits: Basel-Stadt pays at most 16 hours a month at CHF 30, Aargau at most CHF 25 an hour and CHF 4'800 a year.

Helplessness allowance

Anyone who permanently needs help with dressing, personal care or eating can apply for a helplessness allowance. With the AHV it takes 6 months of uninterrupted helplessness, then at home you receive CHF 252, CHF 630 or CHF 1'008 a month, without receipts.

IV assistance contribution

If you receive an IV helplessness allowance and live at home, you can get an assistance contribution. It also counts help in the household, but only for a person you employ under contract, and not for direct-line relatives or your partner.

Accident insurance

After an accident, the accident insurer contributes to non-medical help at home, as far as the helplessness allowance does not cover it (UVV Art. 18). The ordinance does not say how much. Ask.

Red Cross childcare

For children up to 12 when a parent is out of action, in Zurich also for exhaustion after a birth. SRK Zurich charges CHF 6 to CHF 30 an hour by tax values, SRK Bern CHF 7.50 to CHF 40 by monthly wage.

Family help and the commune

Some regions have a family help service with rates by income. In the canton of Zug it costs CHF 12 to CHF 46 an hour, also during illness and after a birth. Your commune or social service knows what exists where you live.

Housekeeping from Spitex and Pro Senectute

You pay these hours yourself. Spitex Zurich charges CHF 31 to CHF 44 depending on income, Pro Senectute Aargau CHF 35 plus CHF 6 per visit. The comparison with Spitex shows how that looks against an employed person.

Frequently asked questions

Does health insurance pay for household help after a birth?
Basic insurance does not: it pays for the midwife after the birth, but no housework. Many supplementary products pay an amount per day, some only after a birth in hospital, others also after a home or outpatient birth. Some have a waiting period, at Helsana it is 365 days from the start of cover.
How much does supplementary insurance pay per day?
At the 12 insurers checked, the amounts range from CHF 10 to CHF 200 a day, often CHF 30 to CHF 100, usually for 30 to 60 days a year, some with an annual limit or as a percentage of the costs. It depends on product and level, which is why your policy counts.
Do I need a doctor's certificate?
Almost always. Most conditions require a medical prescription or certificate, some also a full incapacity for work. CSS is an exception: after a birth 21 days without a prescription. Get the prescription before the help starts.
Does the insurer pay if a relative helps?
Rarely without more. Many products recognise relatives only with provable lost earnings (for example Helsana, SWICA, KPT, Sympany, ÖKK), CSS excludes the closest relatives. For longer care there are other routes for family carers.
Can I still take out supplementary insurance now?
Hardly for the current situation. Unlike in basic insurance, supplementary insurers can reject an application or add exclusions, and they ask health questions (VVG Art. 4). Some products also have a waiting period. If you are planning a child, read the conditions in good time.
Do I have to register her even if the insurer pays a share?
Yes. Anyone employing someone directly registers her with the compensation office and insures her against accidents, whoever ends up contributing. The insurer takes on none of these duties.

Employing someone yourself?

If you decide to employ someone directly, Clino helps: Clino prepares the forms and payslips, and you file them. The payslips are also the proof you can show your insurer. The first 30 days are free.

Start 30 days free

What a directly employed helper really costs is shown by our cost calculator.

Sources

All sources checked on 4 November 2026. The insurers' documents are in the table, row by row. This text is not legal or insurance advice.

Salvador Jovells

Salvador Jovells, founder of Clino