Individual Health Insurance Market Forecast, Size, and Growth 2031

Coverage: Individual Health Insurance Market covers analysis by Age Group (Below 24 Years, 25 – 50 Years, and Above 50 Years); Service Providers (Public Health Insurance Providers and Private Health Insurance Providers); and Geography

  • Report Code : TIPRE00039248
  • Category : Banking, Financial Services, and Insurance
  • No. of Pages : 150
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Individual Health Insurance Market Scope 2031 | Growth Analysis

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The Individual Health Insurance market size is anticipated to expand at a CAGR of 8.1% from 2023 to 2031. Individual health insurance coverage often covers a wide range of medical expenses, including hospitalization, childcare operations, hospital room rent, and more. Individual health insurance plans provide each member with their own sum insured amount.

Individual Health Insurance Market Analysis

The individual health insurance market forecast is estimated on the basis of various secondary and primary research findings such as key company publications, association data, and databases. Individual health insurance is a type of insurance that provides medical coverage to individuals based on their individual sum insured. It refers to the sort of health insurance plan that must be acquired individually for each family member. It helps you to tailor the coverage to your own health requirements rather than the complete family's. Most individual health insurance plans cover an individual's emergency medical expenses associated with hospitalization, daycare procedures, road ambulance services, alternative therapy, organ donor expenses, and so on. However, the price and coverage of an individual health insurance policy cannot be shared by family members.

Individual Health Insurance Industry Overview

  • Individuals seek coverage independently as more people work as freelancers, part-time workers, or in jobs that do not provide health benefits. Rising healthcare prices and uncertainties surrounding employer-sponsored plans drive people to seek out more affordable choices.  Individual plans provide greater flexibility in coverage options, allowing people to personalize their plans to suit specific needs rather than depending on one-size-fits-all employment plans. Individual health insurance coverage becomes more necessary as people age out of parental policies, divorce, or retire early. Government policies, such as the Affordable Care Act (ACA) in the United States, may require individuals to have health insurance, boosting market demand.
  • According to a January 2024 report by Health and Human Services, the Biden-Harris Administration stated that 21.3 million consumers chose an Affordable Care Act Health Insurance Marketplace plan during the 2024 Open Enrollment Period. More than five million people, or roughly one-fourth of all plan selections, are new to the Marketplaces, with another 16 million renewing their coverage. The Biden-Harris Administration stated that 21.3 million consumers chose an Affordable Care Act Health Insurance Marketplace plan during the 2024 Open Enrollment Period. More than five million people, or roughly one-fourth of all plan selections, are new to the Marketplaces, with another 16 million renewing their coverage.

Individual Health Insurance Market Driver

Insurtech to Drive the Individual Health Insurance Market

  • Technological improvements and regulatory changes are propelling the health insurance industry forward. Insurers are using cutting-edge technologies to position themselves for a future that values efficiency and sustainability. The primary goal of these radical improvements is to democratize health insurance, raise service standards for beneficiaries, increase consumer well-being, and, ultimately, lower total costs. From automated claims processing to individualized products, InsurTech solutions are causing a systemic upheaval.
  • AI and ML algorithms are used to analyze potential consumers' risk profiles by analyzing a variety of data points, including age, occupation, medical history, and lifestyle preferences. These algorithms can determine the possibility of an individual filing a claim or participating in risky behavior.

Individual Health Insurance Market Report Segmentation Analysis

  • Based on the service providers, the individual health insurance market report is segmented into public health insurance providers and private health insurance providers. The public health insurance providers segment is expected to hold a significant individual health insurance market share in 2023.
  • The dominant provider in the individual health insurance market varies by area and market dynamics. In many countries, public health insurance providers, such as government-sponsored programs or national health services, play an important role in providing coverage to citizens, particularly for basic or universal healthcare. However, private health insurance companies frequently provide a broader selection of coverage alternatives, including more comprehensive plans with additional benefits and services.

Individual Health Insurance Market Analysis by Geography

The scope of the Individual Health Insurance market report is primarily divided into five regions - North America, Europe, Asia Pacific, Middle East & Africa, and South America. North America is experiencing rapid growth and is anticipated to hold a significant Individual Health Insurance market share. The region's significant development in the field of healthcare has contributed to this growth. North America is home to many developing countries like the US and Canada, driving the individual health insurance market growth.

Individual Health Insurance Market Report Scope

The "Individual Health Insurance Market Analysis" was carried out based on core investment strategies and geography. In terms of service providers, the market is segmented into public health insurance providers and private health insurance providers. Based on geography, the market is segmented into North America, Europe, Asia Pacific, the Middle East & Africa, and South America.

Individual Health Insurance Market News and Recent Developments

Companies adopt inorganic and organic strategies such as mergers and acquisitions in the Individual Health Insurance market. A few recent key market developments are listed below:

  • In September 2023, Cigna Healthcare's International Health division, the worldwide health benefits provider of The Cigna Group, today announced the launch of a new, customized health benefits plan geared at supporting the health and vitality of globally mobile persons aged 60 and older. The 'Cigna Healthcare Global Plan for Seniors' is intended to address rising consumer demand and supports recent Cigna Healthcare research that predicts the market will reach 450,000 people by 2025.

[Source: Cigna Global, Company Website]

Individual Health Insurance Market Report Coverage & Deliverables

The market report "Individual Health Insurance Market Size and Forecast (2021–2031)" provides a detailed analysis of the market covering below areas-

  • Market size & forecast at global, regional, and country levels for all the key market segments covered under the scope.
  • Market dynamics such as drivers, restraints, and key opportunities.
  • Key future trends.
  • Detailed PEST & SWOT analysis
  • Global and regional market analysis covering key market trends, key players, regulations, and recent market developments.
  • Industry landscape and competition analysis covering market concentration, heat map analysis, key players, and recent developments.
  • Detailed company profiles.
REGIONAL FRAMEWORK
World Geography

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Report Coverage
Report Coverage

Revenue forecast, Company Analysis, Industry landscape, Growth factors, and Trends

Segment Covered
Segment Covered

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to segments covered.

Regional Scope
Regional Scope

North America, Europe, Asia Pacific, Middle East & Africa, South & Central America

Country Scope
Country Scope

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to country scope.

The Insight Partners performs research in 4 major stages: Data Collection & Secondary Research, Primary Research, Data Analysis and Data Triangulation & Final Review.

  1. Data Collection and Secondary Research:

As a market research and consulting firm operating from a decade, we have published many reports and advised several clients across the globe. First step for any study will start with an assessment of currently available data and insights from existing reports. Further, historical and current market information is collected from Investor Presentations, Annual Reports, SEC Filings, etc., and other information related to company’s performance and market positioning are gathered from Paid Databases (Factiva, Hoovers, and Reuters) and various other publications available in public domain.

Several associations trade associates, technical forums, institutes, societies and organizations are accessed to gain technical as well as market related insights through their publications such as research papers, blogs and press releases related to the studies are referred to get cues about the market. Further, white papers, journals, magazines, and other news articles published in the last 3 years are scrutinized and analyzed to understand the current market trends.

  1. Primary Research:

The primarily interview analysis comprise of data obtained from industry participants interview and answers to survey questions gathered by in-house primary team.

For primary research, interviews are conducted with industry experts/CEOs/Marketing Managers/Sales Managers/VPs/Subject Matter Experts from both demand and supply side to get a 360-degree view of the market. The primary team conducts several interviews based on the complexity of the markets to understand the various market trends and dynamics which makes research more credible and precise.

A typical research interview fulfils the following functions:

  • Provides first-hand information on the market size, market trends, growth trends, competitive landscape, and outlook
  • Validates and strengthens in-house secondary research findings
  • Develops the analysis team’s expertise and market understanding

Primary research involves email interactions and telephone interviews for each market, category, segment, and sub-segment across geographies. The participants who typically take part in such a process include, but are not limited to:

  • Industry participants: VPs, business development managers, market intelligence managers and national sales managers
  • Outside experts: Valuation experts, research analysts and key opinion leaders specializing in the electronics and semiconductor industry.

Below is the breakup of our primary respondents by company, designation, and region:

Research Methodology

Once we receive the confirmation from primary research sources or primary respondents, we finalize the base year market estimation and forecast the data as per the macroeconomic and microeconomic factors assessed during data collection.

  1. Data Analysis:

Once data is validated through both secondary as well as primary respondents, we finalize the market estimations by hypothesis formulation and factor analysis at regional and country level.

  • 3.1 Macro-Economic Factor Analysis:

We analyse macroeconomic indicators such the gross domestic product (GDP), increase in the demand for goods and services across industries, technological advancement, regional economic growth, governmental policies, the influence of COVID-19, PEST analysis, and other aspects. This analysis aids in setting benchmarks for various nations/regions and approximating market splits. Additionally, the general trend of the aforementioned components aid in determining the market's development possibilities.

  • 3.2 Country Level Data:

Various factors that are especially aligned to the country are taken into account to determine the market size for a certain area and country, including the presence of vendors, such as headquarters and offices, the country's GDP, demand patterns, and industry growth. To comprehend the market dynamics for the nation, a number of growth variables, inhibitors, application areas, and current market trends are researched. The aforementioned elements aid in determining the country's overall market's growth potential.

  • 3.3 Company Profile:

The “Table of Contents” is formulated by listing and analyzing more than 25 - 30 companies operating in the market ecosystem across geographies. However, we profile only 10 companies as a standard practice in our syndicate reports. These 10 companies comprise leading, emerging, and regional players. Nonetheless, our analysis is not restricted to the 10 listed companies, we also analyze other companies present in the market to develop a holistic view and understand the prevailing trends. The “Company Profiles” section in the report covers key facts, business description, products & services, financial information, SWOT analysis, and key developments. The financial information presented is extracted from the annual reports and official documents of the publicly listed companies. Upon collecting the information for the sections of respective companies, we verify them via various primary sources and then compile the data in respective company profiles. The company level information helps us in deriving the base number as well as in forecasting the market size.

  • 3.4 Developing Base Number:

Aggregation of sales statistics (2020-2022) and macro-economic factor, and other secondary and primary research insights are utilized to arrive at base number and related market shares for 2022. The data gaps are identified in this step and relevant market data is analyzed, collected from paid primary interviews or databases. On finalizing the base year market size, forecasts are developed on the basis of macro-economic, industry and market growth factors and company level analysis.

  1. Data Triangulation and Final Review:

The market findings and base year market size calculations are validated from supply as well as demand side. Demand side validations are based on macro-economic factor analysis and benchmarks for respective regions and countries. In case of supply side validations, revenues of major companies are estimated (in case not available) based on industry benchmark, approximate number of employees, product portfolio, and primary interviews revenues are gathered. Further revenue from target product/service segment is assessed to avoid overshooting of market statistics. In case of heavy deviations between supply and demand side values, all thes steps are repeated to achieve synchronization.

We follow an iterative model, wherein we share our research findings with Subject Matter Experts (SME’s) and Key Opinion Leaders (KOLs) until consensus view of the market is not formulated – this model negates any drastic deviation in the opinions of experts. Only validated and universally acceptable research findings are quoted in our reports.

We have important check points that we use to validate our research findings – which we call – data triangulation, where we validate the information, we generate from secondary sources with primary interviews and then we re-validate with our internal data bases and Subject matter experts. This comprehensive model enables us to deliver high quality, reliable data in shortest possible time.

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