Health and Medical Insurance Market in Germany Size & Share Analysis - Growth Trends & Forecasts (2024 - 2029)

The Report Covers Health Insurance Companies in Germany and the Market is Segmented by Product Type (Statutory Health Insurance, Private Health Insurance), Term of Coverage (Short-Term, Long-term), Channel of Distribution (Single Tied or Insurance Group Intermediaries, Broker and Multiple Agents, Credit Institutions, Direct Selling, Other Channels of Distribution), And Income Level (Employed Annual Income Less Than EUR 50, 850, Employed Annual Income Greater Than EUR 50850, Self-employed, Civil Servants). The Market Size and Forecasts are Provided in Terms of Value (USD) for all the Above Segments.

Germany Health & Medical Insurance Market Size

Germany Health And Medical Insurance Market Summary
Study Period 2020 - 2029
Base Year For Estimation 2023
Market Size (2024) USD 54.16 Billion
Market Size (2029) USD 65.04 Billion
CAGR (2024 - 2029) 3.73 %
Market Concentration Medium

Major Players

Germany Health And Medical Insurance Market Major Players

*Disclaimer: Major Players sorted in no particular order


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Germany Health & Medical Insurance Market Analysis

The Germany Health And Medical Insurance Market size in terms of gross written premiums value is expected to grow from USD 54.16 billion in 2024 to USD 65.04 billion by 2029, at a CAGR of 3.73% during the forecast period (2024-2029).

The COVID-19 pandemic affected the German health and medical insurance industry, as there was an increase in claims during the pandemic. Moreover, some companies leveraged the challenge into an opportunity by inducing insurance policies related to the pandemic in their portfolios.

Health insurance is mandatory in Germany. Approximately 86 percent of the population is enrolled in statutory health insurance, which provides inpatient, outpatient, mental health, and prescription drug coverage. The administration is handled by nongovernmental insurers known as sickness funds. The government has virtually no role in the direct delivery of health care. Sickness funds are financed through general wage contributions (14.6%) and a dedicated supplementary contribution (1% of wages, on average), both shared by employers and workers. Copayments apply to inpatient services and drugs, and sickness funds offer a range of deductibles. Germans earning more than USD 68,000 can opt out of SHI and choose private health insurance instead. There are no government subsidies for private insurance.

The market is driven by an increase in the overall health expenditure and rising medical costs, rising disposable incomes across different economic classes, increasing stress on the public to attain Universal Health Care coverage to meet all kinds of healthcare needs, increasing demand from the healthcare sector, population growth, demographic shifts, and the unhealthy lifestyle of the public.

The increased use of modern technologies to improve claim management services allows insurance firms to speed up the patient's payment lifecycle more efficiently and prevent fraudulent claim settlement activities. In addition, an increase in the number of diseases and accidents and a rise in awareness of health insurance in rural regions are driving the industry forward. Many operational challenges within the private insurance sector lead to inequalities in healthcare coverage.

Germany Health & Medical Insurance Market Trends

Increase in Usage of Advanced Technologies is Driving the Insurance Market

The administration of health insurance claims has improved in Germany. This is due to the use of Nuxeo, a healthcare claims management software, by health insurance companies across Germany to streamline the medical claims process. By using insurance claim management software, insurance firms may shorten the time it takes for patients to pay and stop fraudulent claim settlement operations. Additionally, the increased use of cutting-edge technologies in claim management systems, such as artificial intelligence and machine learning, to provide reasonable insurance premiums accelerates the selling of health insurance plans among consumers.

Additionally, as wearable devices like fitness trackers, smart watches, wearable ECG monitors, and wearable blood pressure monitors become more popular among consumers, insurance companies can gather a tonne of information about the health of their insured and enhance claim processing. As a result, German market growth is accelerating due to health insurance companies' usage of advanced technologies.

Germany Health And Medical Insurance Market: Total Premium Income For Primary Insurance Companies Germany, in Billion Euros, 2018-2022

Developments in Legislature to Boost Market

The recent legislative changes in the country's health code are one of the major driving aspects of the market in Germany over the forecast period. Aside from encouraging the increasing use of telemedicine and mHealth, the bill includes essential measures for electronic health records (EHR). For example, the new legislation states that all individuals covered by statutory health insurance (SHI) will have access to electronic health records. Nearly 90% of the German population is covered by statutory health insurance (SHI), with the remaining 10% covered by private insurers, who are also expected to reimburse various smart types of healthcare solutions under the new law, which is expected to drive the adoption in Germany. As a result, significant R&D investments and increased participation of major and emerging players in the development of new technologies are likely to drive market expansion over the forecast period.

Germany Health And Medical Insurance Market: Health Insurance Popularity By Brand in Germany 2022

Germany Health & Medical Insurance Industry Overview

The report covers major international players operating in Germany's health and medical insurance market. Regarding market share, some of the major players currently dominate the market, like AOK, Techniker Krankenkasse (TK), Allianz, Barmer, DAK, Debeka, Gothaer Group, and AXA, among others. However, with technological advancement and product innovation, mid-size to smaller companies are increasing their market presence by securing new contracts and tapping new markets.

Germany Health & Medical Insurance Market Leaders

  1. Allianz

  2. AOK

  3. Techniker Krankenkasse (TK)

  4. Barmer

  5. DAK

*Disclaimer: Major Players sorted in no particular order

Germany Health And Medical Insurance Market Concentration
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Germany Health & Medical Insurance Market News

  • February 2023: Generali Germany and the Bundesverband Der Mittelstand, BVMW eV, are intensifying their partnership to support small and medium-sized companies and their insurance needs.
  • October 2022: Allianz completed the acquisition of a majority stake in Jubilee’s general insurance business in East Africa.
  • July 2022: Generali Deutschland announced it was further developing company health insurance with Business+.
  • July 2022: Allianz Direct and CHECK24 launched a strategic partnership in Germany and Spain: in the future, consumers in both countries are expected to be able to access Allianz Direct products on CHECK24's comparison portals.

Germany Health & Medical Insurance Market Report - Table of Contents


    1. 1.1 Study Assumptions and Market Definition

    2. 1.2 Scope of the Study




    1. 4.1 Market Overview

    2. 4.2 Market Drivers

    3. 4.3 Market Restraints

    4. 4.4 Industry Attractiveness: Porter's Five Forces Analysis

      1. 4.4.1 Bargaining Power of Suppliers

      2. 4.4.2 Bargaining Power of Buyers

      3. 4.4.3 Threat of New Entrants

      4. 4.4.4 Threat of Substitutes

      5. 4.4.5 Intensity of Competitive Rivalry

    5. 4.5 Insights into Technological Advancements in the Industry

    6. 4.6 Insights on Various Regulatory Trends Shaping the Market

    7. 4.7 Insights on Statutory Health Insurance (SHI) and the Factors Considered by Germans to Procure any Private Health Insurance (PHI)

    8. 4.8 Impact of COVID-19 on the Market


    1. 5.1 By Product Type

      1. 5.1.1 Statutory Health Insurance

      2. 5.1.2 Private Health Insurance

    2. 5.2 By Term of Coverage

      1. 5.2.1 Short-term

      2. 5.2.2 Long-term

    3. 5.3 By Channel of Distribution

      1. 5.3.1 Single Tied or Insurance Group Intermediaries

      2. 5.3.2 Broker and Multiple Agents

      3. 5.3.3 Credit Institutions

      4. 5.3.4 Direct Selling

      5. 5.3.5 Other Channels of Distribution

    4. 5.4 By Income Level

      1. 5.4.1 Employed Annual Income < EUR 64,350

      2. 5.4.2 Employed Annual Income > EUR 64,350

      3. 5.4.3 Self-employed

      4. 5.4.4 Civil Servants


    1. 6.1 Market Concentration Overview

    2. 6.2 Company Profiles

      1. 6.2.1 Debeka

      2. 6.2.2 Aetna

      3. 6.2.3 Allianz

      4. 6.2.4 Cigna

      5. 6.2.5 AXA

      6. 6.2.6 Gothaer Group

      7. 6.2.7 DKV Health & Wellness

      8. 6.2.8 AOK - Die Gesundheitskasse

      9. 6.2.9 Techniker Krankenkasse

      10. 6.2.10 Barmer GEK

      11. 6.2.11 Die BMW BKK

      12. 6.2.12 DAK-Gesundheit

      13. 6.2.13 KKH Kaufmannische Krankenkasse

      14. 6.2.14 DKV

      15. 6.2.15 Signal Iduna

      16. 6.2.16 Continentale

      17. 6.2.17 HanseMerkur

      18. 6.2.18 Ergo Direkt*

    3. *List Not Exhaustive


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Germany Health & Medical Insurance Industry Segmentation

Health insurance is an insurance product that covers an insured individual's medical and surgical expenses. It reimburses the expenses incurred due to illness or injury or pays the care provider of the insured individual directly. Medical insurance offers limited coverage for hospitalization expenses and treatment for pre-specified ailments and accidents. Medical insurance does not offer any add-on coverage like health insurance. The report covers a complete background analysis of the German health and medical insurance industry, which includes an assessment of the national health accounts and economy, emerging market trends by segments, significant changes in market dynamics, and a market overview.

Germany's health and medical insurance market is segmented by product type (statutory health insurance, private health insurance), term of coverage (short-term, long-term), channel of distribution (single-tied or insurance group intermediaries, brokers and multiple agents, credit institutions, direct selling, other channels of distribution), and income level (employed annual income less than EUR 64,350, employed annual income greater than EUR 64,350, self-employed, civil servants).

The market size and forecasts are provided in terms of value (USD) for all the above segments.

By Product Type
Statutory Health Insurance
Private Health Insurance
By Term of Coverage
By Channel of Distribution
Single Tied or Insurance Group Intermediaries
Broker and Multiple Agents
Credit Institutions
Direct Selling
Other Channels of Distribution
By Income Level
Employed Annual Income < EUR 64,350
Employed Annual Income > EUR 64,350
Civil Servants
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Germany Health & Medical Insurance Market Research FAQs

The Germany Health and Medical Insurance Market size is expected to reach USD 54.16 billion in 2024 and grow at a CAGR of 3.73% to reach USD 65.04 billion by 2029.

In 2024, the Germany Health and Medical Insurance Market size is expected to reach USD 54.16 billion.

Allianz, AOK, Techniker Krankenkasse (TK), Barmer and DAK are the major companies operating in the Germany Health and Medical Insurance Market.

In 2023, the Germany Health and Medical Insurance Market size was estimated at USD 52.14 billion. The report covers the Germany Health and Medical Insurance Market historical market size for years: 2020, 2021, 2022 and 2023. The report also forecasts the Germany Health and Medical Insurance Market size for years: 2024, 2025, 2026, 2027, 2028 and 2029.

Health Insurance in Germany Industry Report

Statistics for the 2024 Health Insurance in Germany market share, size and revenue growth rate, created by Mordor Intelligence™ Industry Reports. Health Insurance in Germany analysis includes a market forecast outlook to 2029 and historical overview. Get a sample of this industry analysis as a free report PDF download.

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Health and Medical Insurance Market in Germany Size & Share Analysis - Growth Trends & Forecasts (2024 - 2029)