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India Health Insurance Market Research Report By Demographic (Minor, Adult, Senior Citizens), By Type (Health Maintenance Organizations (HMOs), Exclusive Provider Organizations (EPOs), Point-Of-Service (POS) Plans, Preferred Provider Organizations), By Period (Lifetime Coverage, Term Insurance) and By Service Provider (Public, Private) - Forecast to 2035


ID: MRFR/HC/43722-HCR | 200 Pages | Author: Garvit Vyas| March 2025

India Health Insurance Market Overview


As per MRFR analysis, the India Health Insurance Market Size was estimated at 5.7 (USD Billion) in 2023. The India Health Insurance Market Industry is expected to grow from 6.6(USD Billion) in 2024 to 20.5 (USD Billion) by 2035. The India Health Insurance Market CAGR (growth rate) is expected to be around 10.853% during the forecast period (2025 - 2035).


Key India Health Insurance Market Trends Highlighted


A variety of reasons are driving noticeable developments in the India health insurance market. As people become more aware of health-related concerns, the demand for health insurance plans has increased significantly. People are more aware of the significance of safeguarding themselves and their families from unexpected medical bills, particularly in the aftermath of the COVID-19 epidemic.


Government measures encouraging health insurance, like as the Ayushman Bharat plan, are increasing participation, particularly among low-income individuals. The rising trend of digitization presents opportunities in this sector. Many insurers now allow customers to purchase policies and file claims online, making health insurance more accessible than ever. The growth of telemedicine services has also cleared the door for packaged insurance packages that meet current healthcare requirements. 


Furthermore, increased disposable incomes, along with rising healthcare expenses, make health insurance an important issue for a broader proportion of the population, paving the way for personalized and creative insurance plans that cater to a variety of demands. Recent times have seen trends such as a move toward tailored health insurance coverage. Consumers are looking for insurance that offers personalized coverage alternatives based on their lifestyles, preferences, and medical history. 


Furthermore, wellness programs are increasingly being integrated into insurance policies, with an emphasis on preventative healthcare rather than disease coverage. As India advances in digital health technology, insurers are increasingly using AI-driven procedures to improve consumer experiences and optimize operations. Overall, the changing nature of the Indian health insurance market creates a dynamic environment for both providers and customers.


India Health Insurance Market size


Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


India Health Insurance Market Drivers


Rising Healthcare Costs


The India Health Insurance Market industry is witnessing significant growth due to the rising healthcare costs across the nation. According to the National Health Accounts, healthcare expenditure in India rose from 4.2% of GDP in 2014-15 to 4.7% in 2018-19. This upward trend in healthcare spending translates to an increased financial burden on individuals and families, prompting a higher demand for health insurance products. 


As healthcare service providers such as Apollo Hospitals and Fortis Healthcare continue to enhance their service offerings, the costs associated with medical treatments are expected to escalate further.The proportion of out-of-pocket healthcare expenditure in India, which is one of the highest in the world at about 62%, further emphasizes the need for better health coverage, driving the growth of the health insurance market in India. The increase in the number of chronic diseases and medical emergencies amplifies this need, pushing more individuals to seek health insurance as a financial safeguard against escalating healthcare costs.


Growing Middle-Class Population


The expanding middle-class population in India is a vital driver influencing the India Health Insurance Market industry. According to a report published by the World Economic Forum, the number of middle-class individuals in India is expected to rise from 300 million in 2019 to 600 million by 2030. This demographic shift brings about a greater awareness and demand for health insurance as middle-class families seek to secure financial protection against possible health emergencies.


Established insurance companies such as Max Bupa and HDFC ERGO are now tailoring their products to cater to the specific needs of this burgeoning middle class, offering affordable and comprehensive health insurance schemes. The growing economic stability among the middle class fuels their interest in investing in health insurance, paving the way for a more robust health insurance market in India.


Government Initiatives and Regulations


Government initiatives aimed at enhancing healthcare accessibility significantly bolster the India Health Insurance Market industry. The Ayushman Bharat scheme initiated by the Indian government aims to provide health insurance coverage to approximately 500 million individuals, particularly in rural areas, thereby greatly improving healthcare access. As per reports from the Ministry of Health and Family Welfare, this scheme not only offers coverage for secondary and tertiary care hospitalization but also raises awareness about health insurance benefits among the general population.


The push for digital solutions and telemedicine during the COVID-19 pandemic has further accelerated the adoption of health insurance policies, as organizations like Star Health and Allied Insurance capitalized on this need by introducing online policy purchasing options. Such government-led initiatives are instrumental in expanding the health insurance market in India, making healthcare more accessible and affordable for millions.


Increasing Awareness of Health Risks


The rising awareness of health risks among the Indian population acts as a significant driver for the growth of the India Health Insurance Market industry. Reports from the Ministry of Health indicate that lifestyle-related diseases, such as diabetes and hypertension, are on the rise, affecting approximately 72 million and 30 million people, respectively, as of 2020. Such alarming statistics have made individuals more conscious of the importance of being insured against health-related financial crises.


Campaigns and education by organizations like the Indian Medical Association and various health NGOs are aiding in disseminating knowledge regarding preventive healthcare and the significance of having health insurance. This empowerment of the population through knowledge leads to a growing inclination toward securing health insurance coverage, consequently impacting the health insurance market positively.


India Health Insurance Market Segment Insights


Health Insurance Market Demographic Insights


The India Health Insurance Market is experiencing significant growth driven by demographic factors that influence the demand for health insurance. The demographic segmentation encompassing minors, adults, and senior citizens plays a crucial role in shaping the market dynamics. With a substantial portion of the population being young, minors represent an important demographic that emphasizes preventive care and disease management, largely due to increasing awareness of health issues and rising healthcare costs. 


This segment is often influenced by parents' purchasing decisions, reflecting a growing trend towards securing health insurance for the younger population, which in turn drives the overall market growth. Adults dominate the demographic landscape, reflecting their need for comprehensive health insurance due to lifestyle-related issues, rising medical expenses, and an increased lifespan. This group typically seeks coverage that aligns with their health concerns and family needs, making it a significant contributor to the India Health Insurance Market revenue.


The adult demographic also plays a pivotal role in the workforce, underscoring the importance of health benefits and employer-sponsored health plans. As for senior citizens, this age group increasingly recognizes the importance of having health insurance, primarily due to the aging population and the rise in chronic illnesses among the elderly. The growing government initiatives and schemes targeting healthcare for seniors highlight the significance of this demographic, as many older individuals seek financial security against medical expenses in their later years.


With a focus on preventive care and chronic disease management, this segment continues to gain traction, enhancing the importance of health insurance tailored to their specific needs. Overall, the demographic landscape of the India Health Insurance Market is intricate, with each age group contributing uniquely to the market's expansion and development in various ways, influenced by their distinct healthcare requirements and the socio-economic factors prevalent in India.


India Health Insurance Market Segment


Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


Health Insurance Market Type Insights


The India Health Insurance Market is characterized by various types, which include Health Maintenance Organizations (HMOs), Exclusive Provider Organizations (EPOs), Point-Of-Service (POS) Plans, and Preferred Provider Organizations (PPOs). HMOs offer a focused approach by providing comprehensive health services to members through a network of providers, thus promoting preventive care and reducing costs. On the other hand, EPOs streamline the healthcare experience by allowing members to utilize network services without the need for primary care physician referrals, catering to those who seek flexibility.


POS plans combine features of HMOs and PPOs, allowing members to choose their network providers while encouraging them to use in-network services for lower costs. Meanwhile, PPOs provide members with the freedom to see any healthcare provider, but they benefit from lower rates by staying within the network. The segmentation in the India Health Insurance Market serves to address varied consumer preferences, offering choice and tailored solutions that contribute to a growing awareness of health insurance. This segmentation not only supports market growth but also aligns with government initiatives to increase healthcare access, resulting in a better-informed and health-conscious population.


Health Insurance Market Period Insights


The India Health Insurance Market has been experiencing notable developments, particularly in the Period segment, which includes Lifetime Coverage and Term Insurance plans. Lifetime Coverage is increasingly preferred due to the rising awareness of health-related expenses over a prolonged period, as it provides continuous protection and peace of mind to policyholders. This segment caters to a demographic that values long-term security in healthcare financing, especially considering India's growing elderly population. On the other hand, Term Insurance, which is designed for a specified duration, appeals to younger individuals looking for affordable coverage options while they build their financial stability.


This flexibility allows individuals to tailor their health insurance solutions based on their life stage and risk profile. The growing penetration of digital channels has also contributed to the heightened interest in these products, making them more accessible to a wider audience. Overall, the India Health Insurance Market revenue reflects a growing trend towards comprehensive health coverage, driven by enhanced consumer awareness, government health initiatives, and the evolving landscape of healthcare needs. With an emphasis on the importance of safeguarding health against future uncertainties, both Lifetime Coverage and Term Insurance play crucial roles in addressing the diverse requirements of the Indian population.


Health Insurance Market Service Provider Insights


The Service Provider segment of the India Health Insurance Market is a crucial component of the overall industry landscape, playing a pivotal role in delivering essential health coverage to the population. With a rapidly growing overall market projected to reach significant valuations in the coming years, this segment reflects a shift toward expanding access to healthcare solutions. Within this landscape, both public and private providers cater to diverse needs, contributing to the evolving market dynamics. Public health insurance schemes work towards universal healthcare goals, ensuring coverage for economically disadvantaged groups, while private providers often dominate in offering tailored policies and faster access to healthcare services.


As the standard of living improves and healthcare awareness increases among the Indian populace, the demand for both public and private services is expected to expand, showcasing significant market growth potential. The growing prevalence of lifestyle diseases and the rising healthcare costs underscore the importance of health insurance, positioning this segment as a key driver of broader market trends. Factors such as governmental initiatives and rising disposable incomes present substantial opportunities for growth, making it a dynamic area within the India Health Insurance Market landscape.


India Health Insurance Market Key Players and Competitive Insights


The India Health Insurance Market is characterized by a fierce competitive landscape influenced by a rapidly growing demand for healthcare solutions. As health awareness among the population increases, a variety of players in the sector are vying for market share, each striving to offer innovative products that cater to diverse consumer needs. The competitive insights reveal that companies are employing various strategies, including enhanced customer service, digital transformation, and tailored health plans to attract and retain customers in this evolving market. 


Additionally, partnerships with healthcare providers and technological advancements in policy administration are increasingly becoming critical factors for companies aiming to establish a solid presence in the market, thereby driving growth and reshaping the industry dynamics.Religare Health Insurance has made significant strides in the India Health Insurance Market by focusing heavily on customer satisfaction and wide-ranging service offerings. The company has been known for its comprehensive health insurance plans, which are designed to address the specific needs of different demographic segments, helping to enhance its market presence. 


Religare's robust digital platform allows for seamless policy management, ensuring a user-friendly experience that stands out. Furthermore, their strong emphasis on innovative health solutions, like wellness programs, positions them favorably among consumers looking for preventive healthcare options. The company’s financial stability and reputation for hassle-free claims processing have also contributed to strengthening its competitive edge in this crowded marketplace.Max Bupa Health Insurance presents a formidable presence in the India Health Insurance Market, recognized for its customer-centric approach and a variety of healthcare products. The company offers a wide range of health insurance plans, including individual and family floater policies, critical illness cover, and top-up plans, ensuring comprehensive options for policyholders. 


With a focus on enhancing customer experience, Max Bupa has invested in technology to facilitate easy access to insurance services and streamline claims processes. The company has also pursued strategic mergers and acquisitions to bolster its market position, extending its outreach and product capabilities. Max Bupa's strong brand presence and partnerships with numerous hospitals across India further enhance its service network, making it a preferred choice for many consumers looking for reliable health insurance solutions in the country.


Key Companies in the India Health Insurance Market Include



  • Religare Health Insurance

  • Max Bupa Health Insurance

  • SBI Health Insurance

  • Kotak Mahindra General Insurance

  • TATA AIG General Insurance

  • New India Assurance

  • United India Insurance

  • HDFC ERGO Health Insurance

  • Oriental Insurance

  • Bajaj Allianz General Insurance

  • Aditya Birla Health Insurance

  • Future Generali India Insurance

  • ICICI Lombard General Insurance

  • Star Health and Allied Insurance


India Health Insurance Market Industry Developments


The India Health Insurance Market has witnessed several significant developments recently. In October 2023, it was announced that SBI Health Insurance had launched a new comprehensive health insurance plan targeting a broader customer demographic aimed at increasing policy accessibility. Meanwhile, Max Bupa Health Insurance continues to enhance its digital platform to streamline claims processes and improve customer experience. 


Additionally, in July 2023, Kotak Mahindra General Insurance expanded its offerings by introducing specialized health insurance products catering to chronic illness patients. Notable mergers include HDFC ERGO Health Insurance's acquisition of a minor stake in Star Health and Allied Insurance in June 2023, strengthening their market position. The sector has also seen growth in market valuations, with companies like Bajaj Allianz General Insurance and Religare Health Insurance reporting significant increases in policyholder numbers, reflecting rising consumer demand for health coverage amid ongoing health challenges in the country. 


Future Generali India Insurance has also introduced innovative wellness programs to encourage preventive healthcare among its policyholders. As the awareness of health insurance continues to grow in India, the market is poised for further expansion and innovation.


India Health Insurance Market Segmentation Insights




  • Health Insurance Market Demographic Outlook



  • Minor

  • Adult

  • Senior Citizens


  • Health Insurance Market Type Outlook



  • Health Maintenance Organizations (HMOs)

  • Exclusive Provider Organizations (EPOs)

  • Point-Of-Service (POS) Plans

  • Preferred Provider Organizations


  • Health Insurance Market Period Outlook



  • Lifetime Coverage

  • Term Insurance


  • Health Insurance Market Service Provider Outlook



  • Public

  • Private

Report Attribute/Metric Source: Details
MARKET SIZE 2018 5.7(USD Billion)
MARKET SIZE 2024 6.6(USD Billion)
MARKET SIZE 2035 20.5(USD Billion)
COMPOUND ANNUAL GROWTH RATE (CAGR) 10.853% (2025 - 2035)
REPORT COVERAGE Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
BASE YEAR 2024
MARKET FORECAST PERIOD 2025 - 2035
HISTORICAL DATA 2019 - 2024
MARKET FORECAST UNITS USD Billion
KEY COMPANIES PROFILED Religare Health Insurance, Max Bupa Health Insurance, SBI Health Insurance, Kotak Mahindra General Insurance, TATA AIG General Insurance, New India Assurance, United India Insurance, HDFC ERGO Health Insurance, Oriental Insurance, Bajaj Allianz General Insurance, Aditya Birla Health Insurance, Future Generali India Insurance, ICICI Lombard General Insurance, Star Health and Allied Insurance
SEGMENTS COVERED Demographic, Type, Period, Service Provider
KEY MARKET OPPORTUNITIES Rising middle-class income, Expanding digital health solutions, Increasing government health initiatives, Growth in chronic disease prevalence, Demand for personalized insurance products
KEY MARKET DYNAMICS Rising healthcare costs, Growing awareness, Government initiatives, Increasing insurance penetration, Technological advancements
COUNTRIES COVERED India


Frequently Asked Questions (FAQ) :

The India Health Insurance Market is expected to be valued at 6.6 USD Billion in 2024.

By 2035, the market is projected to reach 20.5 USD Billion.

The expected CAGR for the India Health Insurance Market from 2025 to 2035 is 10.853 percent.

Key players include Religare Health Insurance, Max Bupa Health Insurance, SBI Health Insurance, and TATA AIG General Insurance among others.

The market size for Health Insurance for Adults is valued at 3.5 USD Billion in 2024.

By 2035, the market size for Health Insurance for Minors is expected to reach 4.0 USD Billion.

The market value for Health Insurance for Senior Citizens in 2024 is projected at 1.8 USD Billion.

Growth drivers include increasing awareness of health insurance, rising healthcare costs, and a growing population.

Challenges include regulatory hurdles, lack of awareness, and the need for better customer service.

The market for Adults is expected to experience the fastest growth, escalating from 3.5 USD Billion in 2024 to 10.5 USD Billion by 2035.

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