Health Insurance Benefits Ordinance (KLV/HIBO)

The Federal Department of Home Affairs (EDI) decides which new benefits are included in the Health Insurance Benefits Ordinance. It also determines the extent to which the costs are covered by basic insurance. The EDI is advised by various commissions and receives technical support from the Federal Office of Public Health. 

For a benefit to be included in the Health Insurance Benefits Ordinance, it must be effective, expedient and economical. This is the EEE formula. All three criteria must be met. You can find the complete Health Insurance Benefits Ordinance here.