Spitex approved under basic insuranceZurich · Aargau · Schwyz · St. Gallen
Employment and pay
You care for your relative at home – we employ you for the basic care: with pay of up to CHF 35.00 gross per hour – depending on the canton of the person you care for. You are also covered by social insurance and have a qualified nurse at your side.
Pay
As a Spitex approved under basic insurance, Spitex Medimex bills your relative’s health insurer for the basic care you provide. In return, you receive your pay every month.
Up to
CHF 35.00
gross per hour – depending on the canton of the person you care for
What counts is the basic care you provide – up to the time set in the assessment, not every hour you spend with your relative.
Your hourly rate depends on the canton where the person you care for lives. You will know your exact pay before you start – it is in your employment contract. We employ family caregivers in the cantons of Zurich, Aargau, Schwyz and St. Gallen.
As for every employee, your social insurance contributions are deducted from your gross pay. Spitex Medimex pays the employer’s share.
Your pay is earned income and is taxed. We are happy to look at how it affects benefits such as supplementary benefits, premium reductions or social assistance with you.
What is paid
You are paid for helping with the everyday tasks your relative can no longer manage alone because of illness, as defined in the Swiss Health Insurance Benefits Ordinance (Art. 7 para. 2 let. c no. 1 KLV).
If your relative needs treatment care, our qualified nurses take care of it.
Treatment care by our professionals (opens in a new window)A qualified nurse from Spitex Medimex assesses the care needs with you and your relative – using the interRAI HC Schweiz tool.
The nurse sets how much time basic care takes – as it would for an outside carer. What spouses and family members owe each other anyway cannot be billed.
Basic care does not need a doctor’s order. We send the result of the assessment to your family doctor for information.
At least every 6 months, earlier if needed. If the care needs change, the paid hours change too.
Job and training
You can keep working in your job – and you learn what you need for basic care along the way.
The employment can be combined with an existing job. What matters is that the two jobs are compatible under employment law – this is one of the requirements. We will look at this with you in the free consultation.
Do you meet the requirements?You do not need a nursing diploma: your nurse introduces you to basic care. In the cantons of Zurich and Aargau, you also take a recognised care assistant course within the first 12 months – these cantons require it. In the cantons of Schwyz and St. Gallen, we discuss with you whether you take a course; recognised courses are available there too, and the same cost split applies.
How we support youGood to know
A job gives you security and comes with responsibility. So that you know what you are signing up for:
The health insurer only pays for basic care if professional supervision is documented. That is why documentation, calls and visits are a fixed part of the job.
Legal basis
Since the Federal Supreme Court ruling of 18 April 2019 (BGE 145 V 161, 9C_187/2019), it is clear: relatives employed by a Spitex organisation may provide basic care even without nursing training – and the health insurer contributes to it. Treatment care remains reserved for professionals. The Spitex must guide and supervise you professionally.
The measures that count as basic care are set out in the Swiss Health Insurance Benefits Ordinance (Art. 7 para. 2 let. c no. 1 KLV). Spitex Medimex is a Spitex approved under basic insurance and bills these services to your relative’s health insurer.
Federal Supreme Court ruling
BGE 145 V 161
For your relative
Your relative is cared for by Spitex Medimex – through you. So the same applies as with any Spitex.
The deductible (franchise), co-payment (Selbstbehalt) and the cantonal patient contribution also apply when you provide the basic care. If your relative has not had Spitex before, this can mean new costs.
Prices and patient contribution (opens in a new window)If your relative receives an IV assistance contribution, it is reduced by the time of basic care paid by the health insurer. A helplessness allowance is not reduced. We are happy to clarify this with you beforehand.
Preparing medication, dressing wounds, giving injections: the qualified nurses of Spitex Medimex take care of it.
Treatment care at Spitex Medimex (opens in a new window)Free and without obligation
Call us or sign up online. Together we will look at whether we can employ you – personally and without obligation.
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