CSS Ambulantversicherung myFlex Balance vs. KPT Pulse Pulse Premium: benefits compared

Direct comparison of CSS Ambulantversicherung myFlex Balance and KPT Pulse Pulse Premium in 10 categories. All values come from the policy terms and are backed by their source.

CSS Ambulantversicherung myFlex Balance is better on 5 features, KPT Pulse Pulse Premium on 10; both are equal on 5.

Outpatient

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Out-of-canton coverage (percent) 90%Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 2 No verified information not comparable
Free doctor choice YesSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 6 No verified information not comparable
Doctors outside the KVG (percent) Not coveredSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 2 No verified information not comparable
Sterilisation CHF 2’000Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 2 CHF 2’000Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 3 equal
Ear correction for children CHF 2’000Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 3 No verified information not comparable

All products in “Outpatient” compared

Alternative medicine

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Coverage (percent) Not coveredSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 6 75%Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 3 KPT Pulse Pulse Premium better
Annual cap Not coveredSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 6 CHF 4’000Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 3 KPT Pulse Pulse Premium better
Maximum per session Not coveredSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 6 No verified information not comparable
Natural remedies (percent) Not coveredSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 6 75%Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 4 KPT Pulse Pulse Premium better
Natural remedies: annual cap Not coveredSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 6 CHF 500Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 4 KPT Pulse Pulse Premium better
Therapist requirements No verified information Federally certified doctor with Fachausweis, or therapist recognised by EMR or ASCA for the treatment; methods must be on KPT listSource: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 3 not comparable

All products in “Alternative medicine” compared

Medicines and medical aids

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Medicines outside the SL (percent) 90%Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 2 90%Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 2 equal
Medicines outside the SL: maximum UnlimitedSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 2 CHF 50’000Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 2 CSS Ambulantversicherung myFlex Balance better
Medical aids (percent) 90%Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 3 No verified information not comparable
Medical aids: annual cap CHF 1’000Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 3 CHF 600Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 1 CSS Ambulantversicherung myFlex Balance better

All products in “Medicines and medical aids” compared

Glasses and contact lenses

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Contribution for adults CHF 150Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 3 CHF 500Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 1 KPT Pulse Pulse Premium better
Period for adults in months 12 monthsSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 3 36 monthsSource: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 1 CSS Ambulantversicherung myFlex Balance better
Laser eye surgery CHF 150Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 3 CHF 600Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 1 KPT Pulse Pulse Premium better
Contribution for children CHF 150Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 3 No verified information not comparable
Children's rule applies up to age 18Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 3 No verified information not comparable
Age limits Children up to end of year of 18th birthday: CHF 150 per insured event; adults: CHF 150 per calendar yearSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 3 No verified information not comparable

All products in “Glasses and contact lenses” compared

Prevention

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Vaccinations (percent) 90%Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 4 100%Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 1 KPT Pulse Pulse Premium better
Vaccinations: annual cap UnlimitedSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 4 CHF 800Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 1 CSS Ambulantversicherung myFlex Balance better
Gynaecological screening (percent) 90%Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 4 100%Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 2 KPT Pulse Pulse Premium better
Coverage (percent) No verified information 75%Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 2 not comparable
Annual cap No verified information CHF 4’000Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 2 not comparable
Health check-up No verified information CHF 4’000Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 2 not comparable

All products in “Prevention” compared

Maternity

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Waiting period in months 12 monthsSource: AVB Krankenzusatzversicherungen nach VVG (myFlex), Ausgabe 01.2026, edition 2027, p. 2 No verified information not comparable
Home birth Not coveredSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 4 No verified information not comparable
Breastfeeding allowance CHF 200Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 4 No verified information not comparable
Birth centre YesSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 4 No verified information not comparable
Newborns without health check YesSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 2 No verified information not comparable
Birth preparation amount No verified information CHF 450Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 1 not comparable

All products in “Maternity” compared

Travel abroad

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Emergency cover cap UnlimitedSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 4 No verified information not comparable
Worldwide validity YesSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 4 No verified information not comparable
Planned treatment abroad Not coveredSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 5 No verified information not comparable
Visit trip for a close relative YesSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 5 No verified information not comparable
Maximum trip duration in days No verified information 56Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 4 not comparable
Trip cancellation costs No verified information CHF 20’000Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 4 not comparable

All products in “Travel abroad” compared

Rescue and transport

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Rescue cost cap CHF 100’000Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 5 No verified information not comparable
Transport cost cap UnlimitedSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 5 No verified information not comparable
Repatriation to Switzerland UnlimitedSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 5 No verified information not comparable
Trips to treatments CHF 1’000Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 5 CHF 500Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 3 CSS Ambulantversicherung myFlex Balance better

All products in “Rescue and transport” compared

Contract terms

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Minimum contract duration in years 3Source: AVB Krankenzusatzversicherungen nach VVG (myFlex), Ausgabe 01.2026, edition 2027, p. 3 1Source: AVB für die Zusatzversicherungen nach VVG, edition 2027, p. 2 KPT Pulse Pulse Premium better
Cancellation notice in months 3 monthsSource: AVB Krankenzusatzversicherungen nach VVG (myFlex), Ausgabe 01.2026, edition 2027, p. 3 3 monthsSource: AVB für die Zusatzversicherungen nach VVG, edition 2027, p. 2 equal
Insurer does not cancel after a claim YesSource: AVB Krankenzusatzversicherungen nach VVG (myFlex), Ausgabe 01.2026, edition 2027, p. 3 YesSource: AVB für die Zusatzversicherungen nach VVG, edition 2027, p. 2 equal
No-claims bonus YesSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 6 No verified information not comparable
Family discount YesSource: AVB Krankenzusatzversicherungen nach VVG (myFlex), Ausgabe 01.2026, edition 2027, p. 7 No verified information not comparable
Upgrade without a health check YesSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 7 No verified information not comparable
Suspension possible YesSource: AVB Krankenzusatzversicherungen nach VVG (myFlex), Ausgabe 01.2026, edition 2027, p. 3 No verified information not comparable
Accident cover included YesSource: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 2 YesSource: AVB für die Zusatzversicherungen nach VVG, edition 2027, p. 1 equal
Premium and age Premiums may be graded by age groups and are adjusted to the insured person's age group.Source: AVB Krankenzusatzversicherungen nach VVG (myFlex), Ausgabe 01.2026, edition 2027, p. 3 Premiums are age-based in 5-year age bands from 00–05 to 91+; moving to a higher band usually raises the premium on 1 January.Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 5 not comparable
Notable exclusions No alternative/complementary medicine; benefits are supplementary to KVG/UVG; treatment in Switzerland unless stated otherwise; risky ventures (Wagnisse) not covered.Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 6 No verified information not comparable
Prerequisite No verified information The insurance only exists as long as the insured is subject to the mandatory basic insurance (OKP).Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 1 not comparable

All products in “Contract terms” compared

Feature CSS Ambulantversicherung myFlex Balance KPT Pulse Pulse Premium Result
Patient legal protection per case CHF 250’000Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 4 CHF 300’000Source: Besondere Bedingungen ambulante Zusatzversicherung Pulse Premium, edition 2027, p. 4 KPT Pulse Pulse Premium better
Legal protection abroad per case CHF 50’000Source: ZB Ambulantversicherung myFlex, Ausgabe 01.2026, edition 2027, p. 6 No verified information not comparable

All products in “Legal protection” compared

Information only, not advice, no guarantee. The insurers' own documents are authoritative.

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