Services · Special situations

Palliative care at home – supported in familiar surroundings

Palliative care in your own home – in close coordination with doctors and with relatives. When needed, we are there for you around the clock, from Monday to Sunday.

  • Recognised by all Swiss health insurers
  • Around the clock if needed
  • Zurich · Aargau · Schwyz
Younger hands gently holding the hands of an older person

At a glance

Where
At home, in familiar surroundings
Working with
Doctors and relatives
Visit times
Around the clock if needed
Costs
Health insurance (basic insurance)

Who it is for

When cure is no longer the focus.

Palliative care supports people with an incurable, progressive illness. The focus is on quality of life, relief from symptoms and the wishes of the person who is ill – and on their relatives.

  • Staying at home

    When you want to spend the time that remains in your familiar surroundings.

  • Relatives

    When you are caring for someone close to you and would like professional support at your side.

  • At night too

    When care and presence are needed around the clock – from Monday to Sunday if needed.

What it includes

Care that relieves and supports.

We provide care in close coordination with the treating doctors and with your relatives. Together, this creates a network at home that everyone can rely on.

Smiling older woman holding the outstretched hand of a younger person

Depending on the situation, for example:

  • Relief from symptoms such as pain or breathlessness – on a doctor’s prescription
  • Preparing and giving medication
  • Personal care, mouth care and positioning
  • Advising relatives and showing them how to help with care
  • Coordination with doctors and others involved
  • Presence and support – on request also over 12 or 24 hours

We obtain aids and care supplies for you – as agreed with you.

Should someone be there around the clock? More about 24-hour care

How it works

Planning the way together.

We listen and shape the care around what matters to you.

  1. Get in touch

    Call us on 044 500 49 27 – relatives, family doctors or the hospital can also contact us directly.

  2. Assessment in your home

    We get to know the situation, the wishes and the needs of everyone involved.

  3. Coordination with the doctors

    We coordinate care closely with the doctors and with the relatives. Medical measures require a doctor’s prescription.

  4. Support

    We take over your care within 24 hours and adapt it as things change – around the clock if needed.

Costs & health insurance

Who pays for palliative care at home?

Palliative nursing at home is a benefit of basic health insurance, and we are recognised by all Swiss health insurers. Depending on the measure, it is billed at the hourly rates for needs assessment and advice, for examinations and treatment or for basic care. The patient contribution, deductible (franchise) and co-payment (Selbst­behalt) are added.

From 1 January 2027, the federal government is introducing separate rate categories for specialised palliative care. We are happy to explain what this means for you.

Hourly rates for nursing care

Canton of Zurich

Rates per hour

Needs assessment and/or advice
CHF 76.90 / hour
Examinations and/or treatment
CHF 63.00 / hour
Basic care
CHF 52.60 / hour

Patient contribution: CHF 7.65 per day – in addition to your co-payment and deductible.

Canton of Aargau

Rates per hour

Needs assessment and/or advice
CHF 79.80 / hour
Examinations and/or treatment
CHF 65.40 / hour
Basic care
CHF 54.60 / hour

Patient contribution: 20 % of the insurer’s contribution, no more than CHF 15.95 per day.

Canton of Schwyz

Rates per hour

Needs assessment and/or advice
CHF 76.90 / hour
Examinations and/or treatment
CHF 63.00 / hour
Basic care
CHF 52.60 / hour

Patient contribution: 20 % of the insurer’s contribution, no more than CHF 15.95 per day.

A minimum of 10 minutes is charged per visit; after that, billing is in units of 5 minutes.

Explained in brief

Patient contribution
You pay part of the nursing costs yourself – up to a fixed maximum per day. The amount is set by your canton. Children and young people under 18 pay no patient contribution in the cantons of Zurich, Aargau and Schwyz.
Deductible (franchise)
The amount you pay yourself each calendar year before basic insurance starts covering costs. You chose the amount with your health insurer.
Co-payment (Selbst­behalt)
Once you have paid your deductible, you contribute 10 per cent of any further costs – up to an annual maximum.
Residual financing
Whatever is not covered by health insurance and the patient contribution is paid by the public sector – depending on the canton, by your municipality of residence or by the canton.

Frequently asked questions

Questions about palliative care

All questions and answers

What does palliative care at home mean?

Palliative care covers the nursing care and support of people with an incurable, progressive illness. At home means: in familiar surroundings, together with relatives and in close coordination with the doctors.

Does health insurance pay for palliative care at home?

Yes. The nursing services are covered by basic insurance, and we are recognised by all Swiss health insurers. You pay your canton’s patient contribution as well as your deductible (franchise) and co-payment (Selbst­behalt).

How does Spitex work with doctors and relatives?

We coordinate care closely with the treating doctors and involve relatives – in the way the person who is ill wishes. We advise relatives and show them how to help with care.

Is palliative care possible at night?

Yes. When needed, we are there around the clock – from Monday to Sunday. On request, we also offer a presence over 12 or 24 hours.

Who obtains the aids and care supplies?

We take care of everything for you – as agreed with you.

At what times are you available?

With specially qualified staff, Spitex Medimex provides professional care around the clock – from Monday to Sunday (7 × 24 hours).

Where we work

Palliative care in your region

We are out and about for you in the cantons of Zurich (including the City of Zurich), Aargau and Schwyz. Everyone living in these cantons can use our services.

Our office: Lerzenstrasse 11, 8953 Dietikon

We are here for you

You are not alone.

Call us – we will listen, advise you personally and coordinate everything else with the doctors and your family.

Call044 500 49 27 Requestsend online