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Study23 September 2026

Three working days a month for health insurance: how long a domestic worker at the minimum wage cleans to pay her premium

When premiums rise, everyone counts in francs. For a cleaner, nanny or carer on the legal minimum wage, the more honest unit is the hour. In Ticino she works 31.1 hours a month just for the mean adult premium, in Zug 16.6. All 26 cantons, ahead of the 2027 premium round.

Data (CSV)
31.1 h
hours a month in Ticino, at the minimum wage, just for the mean adult premium
24.8 h
hours on the Swiss average, more than three working days
16.6 h
hours in Zug, the canton with the lowest premium
35.8 %
of net pay in Ticino at 20 hours a week

Summary

Clino calculated for all 26 cantons how many hours a domestic worker on the binding minimum wage has to work to pay the mean adult health-insurance premium. The basis is the BAG's mean premiums for 2026 and the minimum wage for unqualified workers: CHF 20.35 under the NAV Hauswirtschaft, or the higher cantonal minimum wage in Geneva, Basel-City, Neuchâtel and Jura. The calculation uses net pay after AHV, ALV and non-occupational accident insurance, CHF 18.76 an hour on the Swiss average.

The result: 24.8 hours a month on the Swiss average, more than three full working days. In Ticino it is 31.1 hours, almost twice as much as in Zug (16.6). The 2026 premium rose by 4.1 % nationally, the minimum wage by 2 %. On balance a domestic worker has to work 0.5 hours a month more than in 2025 on average, 1.4 in Ticino.


The ranking: 31.1 hours in Ticino, 16.6 in Zug

Example: an unqualified domestic worker, at least five hours a week with the same employer, at the binding minimum wage without holiday pay. She lives and works in the same canton and pays her canton's mean premium.

Hours a domestic worker at the minimum wage works each month for the mean adult premium (2026)
#Hours/month
1TicinoPremium CHF 582.60 · minimum wage CHF 20.3531.1 h
2VaudPremium CHF 527.10 · minimum wage CHF 20.3528.1 h
3Basel-CountryPremium CHF 521.50 · minimum wage CHF 20.3527.8 h
4NeuchâtelPremium CHF 529.00 · minimum wage CHF 21.3526.9 h
5Basel-CityPremium CHF 545.10 · minimum wage CHF 22.2026.6 h
6JuraPremium CHF 520.40 · minimum wage CHF 21.4026.4 h
7GenevaPremium CHF 586.00 · minimum wage CHF 24.5925.9 h
8BernPremium CHF 470.30 · minimum wage CHF 20.3525.1 h
9SolothurnPremium CHF 466.70 · minimum wage CHF 20.3524.9 h
10ZurichPremium CHF 451.60 · minimum wage CHF 20.3524.1 h
11SchaffhausenPremium CHF 443.90 · minimum wage CHF 20.3523.7 h
12FribourgPremium CHF 443.20 · minimum wage CHF 20.3523.6 h
13AargauPremium CHF 439.70 · minimum wage CHF 20.3523.4 h
14ValaisPremium CHF 439.10 · minimum wage CHF 20.3523.4 h
15GlarusPremium CHF 417.40 · minimum wage CHF 20.3522.3 h
16ThurgauPremium CHF 414.00 · minimum wage CHF 20.3522.1 h
17St. GallenPremium CHF 406.90 · minimum wage CHF 20.3521.7 h
18Appenzell Outer RhodesPremium CHF 405.50 · minimum wage CHF 20.3521.6 h
19LucernePremium CHF 402.80 · minimum wage CHF 20.3521.5 h
20GrisonsPremium CHF 400.80 · minimum wage CHF 20.3521.4 h
21SchwyzPremium CHF 398.30 · minimum wage CHF 20.3521.2 h
22NidwaldenPremium CHF 376.10 · minimum wage CHF 20.3520.1 h
23ObwaldenPremium CHF 371.30 · minimum wage CHF 20.3519.8 h
24UriPremium CHF 363.30 · minimum wage CHF 20.3519.4 h
25Appenzell Inner RhodesPremium CHF 322.80 · minimum wage CHF 20.3517.2 h
26ZugPremium CHF 311.50 · minimum wage CHF 20.3516.6 h

Mean premium for adults aged 26 and over (BAG 2026, all deductibles and models), divided by the net hourly wage at the binding minimum for unqualified workers (NAV Hauswirtschaft CHF 20.35 or a higher cantonal minimum wage), after AHV/IV/EO, ALV and NBU. Before premium reduction.

Data (CSV)

The map: the south and the west work longest

The most hours are needed where high premiums meet the federal minimum: Ticino, Vaud, Basel-Country. Where the canton has its own, higher minimum wage, it softens the bill.

Hours of work per month for the health-insurance premium, at the minimum wage (2026)
ZHBELUURSZFRSOBLSGGRAGTGTIVDVSNEJU
16.6 h (ZG)31.1 h (TI)

The darker, the more hours. Source: BAG mean premiums 2026, NAV Hauswirtschaft and cantonal minimum wages, Clino calculation.

Data (CSV)

The Geneva paradox: highest premium, yet not at the top

At CHF 586.00, Geneva charges the highest mean premium in the country. But because a cantonal minimum wage of CHF 24.59 applies there, a domestic worker works 25.9 hours for it. In Ticino, where the premium is almost as high at CHF 582.60, only the federal minimum applies: 5.2 hours more a month.


2027: what the next premium round means

The BAG announces the 2027 premiums at the end of September. Forecasts range from +3.7 % (Comparis) to 4.5 to 5 % (BAG, May 2026). With an unchanged minimum wage, on the Swiss average that means:

25.7 h
hours at +3.7 %
25.9 h
hours at +4.5 %
26.0 h
hours at +5 %

Clino will update the ranking on the day of the BAG announcement with the official 2027 premiums for all 26 cantons.


Premium reduction: anyone earning this little should check it

The figures are before premium reduction. In 2024, 2,661,114 people received a reduction, 29.5 % of all insured persons, CHF 2,484 a year on average. A domestic worker on 20 hours a week at the minimum wage earns about CHF 1,760 gross a month and is likely to be entitled in many cantons. But the reduction only comes if you apply for it, and the rules differ from canton to canton.

Quellen

  • BAG, mean premiums 2025/2026 by canton (2025)
  • SECO, NAV Hauswirtschaft (2026)
  • BAG, statistics of compulsory health insurance (2024)
  • Clino, wage calculator (deductions) (2026)

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About Clino

Clino is a Swiss SaaS platform enabling households to legally employ domestic workers: payroll, contract and AHV registration; Clino guides the household, insurance stays with the household. CHF 19.90/month. All 26 cantons. Founded 2026 in Zurich. clino.ch

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