Italy Health Insurance Market Size & Trends
Estimated at USD 52.38 billion in 2024, the size of the health insurance market in Italy, measured by gross written premium (GWP), is predicted to grow at a CAGR of 2.1% from 2025 to 2030. Estimated to be USD 1.56 billion in 2024, the market size in terms of new business premium (NBP) is predicted to grow at a CAGR of 1.8% from 2025 to 2030. Several important elements define the marketthe fast-aging population of the nation, growing acceptance of digital health solutions, growing health consciousness, shifting consumer expectations, and continuous technology developments in insurance and healthcare sectors.
These factors together stimulate demand for more thorough, specialized, and easily available health insurance solutions. While using technology to enhance service delivery and patient involvement, insurers are creating offers addressing chronic illness management, preventative care, and individualized health plans. These developments taken together are guiding the expansion and change of the industry. The Italy 2024 Digital Decade Country Report from the European Commission indicates that the country is achieving continuous development in digital infrastructure, with Fiber to the Premises (FTTP) coverage at 59.6% and Fixed Very High-Capacity Networks (VHCN) at 64%. These developments improve the foundation for digital health and help shape the industry.
Healthcare practitioners use telemedicine and electronic health records (EHRs) as digital capabilities develop to improve the delivery of their treatments. In response, insurance companies modify their offerings because they recognize the necessity of digital technologies for simplifying healthcare. Better data management and simpler access to medical services enable insurers to create customized plans catered to specific health needs and life phases, therefore facilitating their ability to serve Italy's varied population.
Long wait times and restricted access to some optional or specialist services in the public system (Servizio Sanitario Nazionale, SSN) motivate people to obtain additional insurance for faster access and greater service coverage. Rising in Italy and affecting a sizable portion of the population are chronic diseases, including diabetes, cardiovascular disorders, and respiratory illnesses. According to data from the Italian Ministry of Health, chronic diseases afflict around 25% of adults—a figure that has been continuously rising during the past ten years. This growing load emphasizes the requirement of strong health insurance policies offering enough coverage for long-term therapy and care.
Italian homes are more and more vulnerable to out-of-pocket costs for diagnostics, specialist visits, private hospitals, and dental treatments, notwithstanding universal healthcare coverage. This phenomenon drives more people—especially middle-class and high-income groups—along with a financial safety net into private health insurance.
The IVASS Statistical Bulletin "L'attività assicurativa nel comparto salute (2018-2023) Italy's total healthcare expenditure reached USD 197.09 billion (EUR 176.1 billion), showing minimal growth from the previous year (+0.25%), but its share of GDP dropped to 8.3% from 8.8% in 2022. This gap gives insurers chances to increase coverage, offer customized solutions, and highlight private insurance, particularly collective ones, as households look for financial security. Growing insurance intermediation helps to relieve public sector strain, therefore improving the general sustainability of the system.
With the top five corporations owning 66% of premiums and the top five groups 80%, Italy's health insurance industry in 2023 stays extremely highly consolidated. Collective health fund insurance (51.8%) gathers most premiums; other collective (11.3%) and individual policies (36.9%) follow. While average claim expenses have somewhat dropped, claim frequency—especially in collective segments—keeps increasing. Premiums have risen generally in line with different degrees of coverage. It indicates that a small number of big insurers control the market and that collective health fund policies help premium collecting. More claims happening often and steady loss ratios indicate ongoing business, which helps stakeholders assess risk, performance, and competitiveness.
Insurance Type Insights
The insurance type segment comprises the public and private segments. Public insurance is further cross-segmented into corporate policy and retail policy. The public segment dominated the market in 2024 and accounted for the largest revenue share, at 91.14%. Italy's public health insurance system, the Servizio Sanitario Nazionale (SSN), plays a central role in healthcare delivery. The country allocates more than 9% of its GDP to healthcare, surpassing the average spending of many developed nations. Funded primarily through general taxation, the SSN guarantees essential health services to all residents, reducing the need for private insurance. The system covers many services, including hospitalization, outpatient care, and medications, facilitating public reliance on state-provided coverage. Its vital infrastructure, equity-focused access, and consistent government investment sustain its dominance. As demand for healthcare services increases due to aging demographics, the public segment remains the backbone of Italy's health insurance framework.
The private segment in the Italian health insurance industry is anticipated to register the fastest growth over the forecast period. Private insurance is cross-segmented into corporate policy and retail policy. Factors such as Italy's aging population, increasing prevalence of chronic diseases, and longer public healthcare wait times drive individuals to seek private insurance solutions. Insurers are responding by offering tailored plans that include telemedicine, wellness programs, and chronic disease management. According to an article published in May 2023, major insurers are integrating digital health tools to improve service delivery and customer engagement. This shift reflects a broader trend toward consumer-centric healthcare in Italy.
Moreover, government initiatives promoting personal wellness provide an environment where private health insurance becomes increasingly relevant. This combination of factors is expected to sustain robust growth in the private health insurance sector.
Policy Type Insights
The corporate policy segment dominated the largest revenue share in 2024, driven by employers' increasing focus on employee well-being and retention. Companies offer comprehensive health coverage as part of their benefits packages, enhancing job attractiveness. These policies often provide quicker access to private healthcare services, reducing reliance on the public system. In addition, such policies offer tax advantages, incentivizing their adoption and contributing to market growth.
The retail policy segment is the fastest-growing in Italy's health insurance GWP market, driven by increasing consumer demand for personalized and accessible coverage. Factors such as the aging population, rising healthcare costs, and a preference for private healthcare services contribute to this growth. In addition, advancements in digital platforms enable insurers to offer tailored products, which enhances customer engagement. Furthermore, demographic shifts, including an aging population and urbanization trends, influence the demand for health insurance. Older individuals seek better protection due to health concerns and increased vulnerability to health. Urbanization leads to more accidents due to increased city traffic and activity levels, prompting residents to secure adequate coverage.
Report Coverage & Deliverables
The PDF report and online dashboard will help you understand
- Competitive benchmarking
- Historical data & forecasts
- Company revenue shares
- Regional opportunities
- Latest trends & dynamics
Private Health Insurance Market (GWP), By Distribution Channel Insights
The employer-sponsored group plans segment held the largest revenue share in 2024, driven by increasing corporate focus on employee well-being and cost-effective healthcare solutions. Employers offer group plans as part of comprehensive benefits packages to attract and retain talent, especially in competitive industries. These plans provide broader coverage and lower premiums than individual policies, making them appealing to companies and employees. Rising healthcare costs and growing awareness of preventive care drive demand.
For the forecast period, we expect the brokers and intermediaries segment to grow at the fastest rate. This growth is driven by the increasing complexity of health insurance products, which necessitate expert guidance. Consumers seek personalized advice to navigate policy options, making brokers essential in matching clients with suitable coverage. In addition, the rise of digital platforms has enhanced brokers' efficiency, enabling them to offer real-time comparisons and tailored solutions. This digital transformation and the demand for customized insurance plans position brokers as pivotal players in Italy's evolving health insurance landscape.
Key Italy Health Insurance Company Insights
A mix of established domestic providers and international players compete to offer comprehensive coverage solutions amid growing demand. Market share is influenced by digital innovation, customer service quality, product diversification, and the ability to adapt to evolving healthcare needs. Insurers that leverage advanced technologies for claims processing, policy management, and personalized health services are gaining a competitive edge. In addition, those offering flexible plans tailored to aging populations and individuals with chronic conditions are seeing increased uptake.
Key Italian health insurance Companies
- Generali Italia SpA
- Allianz S.P.A.
- Intesa Sanpaolo
- Poste Assicura SpA
- AXA Assicurazioni SpA
- Reale Mutua Assicurazioni
- UnipolSai Assicurazioni
- Cigna Healthcare
- Bupa Global
- APRIL International
- Alleanza Assicurazioni SpA
- Medioinsurance Srl
Recent Developments
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In September 2024, Berkshire Hathaway Specialty Insurance (BHSI) opened a new office in Milan, Italy, as part of its regional expansion strategy. The company aims to provide sustainable, long-term solutions to the local insurance market.
“Since opening our first European offices in 2016, BHSI has been growing thoughtfully and strategically across the region, always with an eye on bringing sustainable, long-term solutions to the marketplace. We are pleased to now expand into Italy with Leo leading our business, building a team with exceptional talent, and bringing the BHSI brand, balance sheet, and service to the marketplace.”
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In June 2024, Ardonagh finalized the acquisitions of Italian insurance brokerage firms Mediass S.p.A. and Mansutti S.r.l. These acquisitions bring a combined customer base of approximately 128,000 clients and add nearly 60 employees to Ardonagh’s operations, positioning Ardonagh Italia among Italy's top ten insurance brokers.
Italy Health Insurance in Terms of GWP Market Report Scope
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Report Attribute |
Details |
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Market size value in 2025 |
USD 53.39 billion |
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Revenue forecast in 2030 |
USD 59.34 billion |
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Growth rate |
CAGR of 2.13% from 2025 to 2030 |
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Actual data |
2018–2024 |
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Forecast data |
2025 - 2030 |
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Quantitative units |
Revenue in USD million/billion and CAGR from 2025 to 2030 |
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Report coverage |
Revenue forecast, company ranking, competitive landscape, growth factors, and trends |
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Segments covered |
Insurance type, policy type, distribution channel |
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Country scope |
Italy |
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Key companies profiled |
Generali Italia SpA; Alianz S.P.A; Intesa Sanpaolo; Poste Assicura SpA; AXA Assicurazioni SpA; Reale Mutua Assicurazioni; UnipolSai Assicurazioni; Cigna Healthcare; Bupa Global; APRIL International; Alleanza Assicurazioni SpA; Medioinsurance Srl |
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Customization scope |
We offer free report customization (equivalent to up to 8 analysts' working days) with every purchase. You can include or modify the scope of the country, region, and segment. |
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Pricing and purchase options |
Avail yourself of customized purchase options to meet your exact research needs. Explore purchase options |
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Report Attribute |
Details |
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Market size value in 2025 |
USD 1.58 billion |
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Revenue forecast in 2030 |
USD 1.73 billion |
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Growth rate |
CAGR of 1.81% from 2025 to 2030 |
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Actual data |
2018–2024 |
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Forecast data |
2025 - 2030 |
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Quantitative units |
Revenue in USD million/billion and CAGR from 2025 to 2030 |
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Report coverage |
Revenue forecast, company ranking, competitive landscape, growth factors, and trends |
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Segments covered |
Insurance type |
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Country scope |
Italy |
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Key companies profiled |
Generali Italia SpA; Alianz S.P.A; Intesa Sanpaolo; Poste Assicura SpA; AXA Assicurazioni SpA; Reale Mutua Assicurazioni; UnipolSai Assicurazioni; Cigna Healthcare; Bupa Global; APRIL International; Alleanza Assicurazioni SpA; Medioinsurance Srl |
|
Customization scope |
We offer free report customization (equivalent to up to 8 analysts' working days) with every purchase. You can include or modify the scope of the country, region, and segment. |
|
Pricing and purchase options |
Avail yourself of customized purchase options to meet your exact research needs. Explore purchase options |
Italy Health Insurance Market Report Segmentation
This report forecasts revenue and volume growth at the country level and provides an analysis of industry trends in each of the subsegments from 2018 to 2030. For this study, MIR Inc. has segmented the report on health insurance in Italy based on insurance type, policy type, and distribution channel
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Insurance Type Outlook (Revenue USD Billion, 2018-2030)
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Italy Health Insurance Market {Gross Written Premiums (GWP)}
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Public
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By Policy Type
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Corporate Policy
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Retail Policy
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By Distribution Channel
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Employer-Based Enrollment
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Direct Enrollment via SSN (ASL/INPS)
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Family Member Inclusion
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Self-Employed/Freelancer Enrollment
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Private
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By Policy Type
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Corporate Policy
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Retail Policy
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By Distribution Channel
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Employer-Sponsored Group Plans
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Brokers & Intermediaries
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Direct-to-Consumer (DTC)
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Credit Institutions
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Mutual Aid & Non-Profit Funds
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Italy Health Insurance Market {New Business Premiums (NBP)}
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Public
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Private
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Policy Type Outlook (Revenue USD Billion, 2018-2030)
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Corporate Policy
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Retail Policy
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Distribution Channel Outlook (Revenue USD Billion, 2018-2030)
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Traditional Distribution Channels
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Digital/Online Distribution Channels
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