NA Health Insurance Market - Industry Trends and Forecast to 2035

NA Health Insurance Market - Industry Trends and Forecast to 2035


The North America health insurance market is expected to reach USD 1,608,583.72 million by 2031 from USD 831,408.14 million in 2023, growing with a CAGR of 8.7% in the forecast period of 2024 to 2031.
Market Segmentation
North America Health Insurance Market, By Type (Product and Solutions), Services (Inpatient Treatment, Outpatient Treatment, Medical Assurance, and Others), Level of Coverage (Bronze, Silver, Gold, and Platinum), Service Providers (Public Health Insurance Providers and Private Health Insurance Providers), Health Insurance Plans (Point of Service (POS), Exclusive Provider Organization (EPOS), Preferred Provider Organization (PPO), Indemnity Health Insurance, Health Maintenance Organization (HMO), Health Savings Account (HSA), Qualified Small Employer Health Reimbursement Arrangements (QSEHRAS), and Others), Demographics (Adults, Minors, and Senior Citizens), Coverage Type (Lifetime Coverage and Term Coverage), End User (Corporates, Individuals, and Others), Distribution Channel (Direct Sales, Financial Institutions, E-Commerce, Hospitals, Clinics, and Others), Country ( U.S., Canada, and Mexico) – Industry Trends and Forecast to 2031
Overview of North America Health Insurance Market Dynamics

Driver
• Increasing cost of medical services

Restraint
• Strict documentation process for claim reimbursement

Opportunity
• Increasing healthcare expenditure

Market Players

Some of the major market players operating in the North America health insurance market are:

• Cigna Healthcare
• Centene Corporation
• Allianz Care (A Subsidiary of Allianz SE)
• Aetna Inc. (A Subsidiary of CVS Health)
• Anthem Insurance Companies, Inc. (A subsidiary of Elevance Health)
• AXA
• Broadstone Corporate Benefits Limited
• Bupa
• HealthCare International Global Network Ltd.
• HBF Health Limited
• Now Health International
• Oracle
• UnitedHealth Group
• Vhi Group
• Vitality (A Subsidiary of Discovery Ltd)
• International Medical Group (A Subsidiary of Sirius Point)

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1 Introduction
1.1 Objectives Of The Study
1.2 Market Definition
1.3 Overview Of The North America Health Insurance Market
1.4 Limitations
1.5 Markets Covered
2 Market Segmentation
2.1 Markets Covered
2.2 Geographical Scope
2.3 Years Considered For The Study
2.4 Currency And Pricing
2.5 Dbmr Tripod Data Validation Model
2.6 Type Lifeline Curve
2.7 Multivariate Modeling
2.8 Primary Interviews With Key Opinion Leaders
2.9 Dbmr Market Position Grid
2.10 Market End-user Coverage Grid
2.11 Dbmr Market Challenge Matrix
2.12 Dbmr Vendor Share Analysis
2.13 Secondary Sources
2.14 Assumptions
3 Executive Summary
4 Premium Insights
4.1 Profitability Margin
5 Market Overview
5.1 Drivers
5.1.1 Increasing Cost Of Medical Services
5.1.2 Growing Number Of Daycare Procedures
5.1.3 Mandatory Provision Of Health Insurance In The Private And Public Sectors
5.2 Restraints
5.2.1 High Cost Of Insurance Premium
5.2.2 Strict Documentation Process For Claim Reimbursement
5.3 Opportunities
5.3.1 Advantages Of Health Insurance Policies
5.3.2 Increasing Healthcare Expenditure
5.4 Challenge
5.4.1 Lack Of Awareness Regarding The Benefits Of Health Insurance
6 North America Health Insurance Market, By Type
6.1 Overview
6.2 Product
6.2.1 Mediclaim Insurance
6.2.2 Individual Coverage Insurance
6.2.3 Family Floater Coverage Insurance
6.2.4 Hospitalization Coverage Insurance
6.2.5 Senior Citizen Coverage Insurance
6.2.6 Critical Illness Insurance
6.2.7 Unit Linked Health Plans
6.2.8 Permanent Health Insurance
6.3 Solutions
6.3.1 Lead Generations Solutions
6.3.2 Revenue Management & Biling Solutions
6.3.3 Robotic Process Automation
6.3.4 Insurance Cloud Solutions
6.3.5 Claims Administration Cloud Solutions
6.3.6 Value-based Payments Solutions
6.3.7 Artificial Intelligence & Block Chain Solutions
6.3.8 Intelligent Case Management Solutions
6.3.9 Others
7 North America Health Insurance Market, By Services
7.1 Overview
7.2 Inpatient Treatment
7.3 Outpatient Treatment
7.4 Medical Assurance
7.5 Others
8 North America Health Insurance Market, By Level Of Coverage
8.1 Overview
8.2 Bronze
8.3 Silver
8.4 Gold
8.5 Platinum
9 North America Health Insurance Market, By Service Providers
9.1 Overview
9.2 Public Health Insurance Providers
9.3 Private Health Insurance Providers
10 North America Health Insurance Market, By Health Insurance Plans
10.1 Overview
10.2 Point Of Service (Pos)
10.3 Exclusive Provider Organization (Epos)
10.4 Preferred Provider Organization (Ppo)
10.5 Indemnity Health Insurance
10.6 Health Maintenance Organization (Hmo)
10.7 Health Savings Account (Hsa)
10.8 Qualified Small Employer Health Reimbursement Arrangements (Qsehras)
10.9 Others
11 North America Health Insurance Market, By Demographics
11.1 Overview
11.2 Adults
11.3 Minors
11.4 Senior Citizens
12 North America Health Insurance Market, By Coverage Type
12.1 Overview
12.2 Lifetime Coverage
12.3 Term Coverage
13 North America Health Insurance Market, By End User
13.1 Overview
13.2 Corporates
13.2.1 Large Corporates
13.2.2 Smes
13.3 Individuals
13.4 Others
14 North America Health Insurance Market, By Distribution Channel
14.1 Overview
14.2 Direct Sales
14.3 Financial Institutions
14.4 E-commerce
14.5 Hospitals
14.6 Clinics
14.7 Others
15 North America Health Insurance Market, By Region
15.1 North America
15.1.1 U.S.
15.1.2 Canada
15.1.3 Mexico
16 North America Health Insurance Market: Company Landscape
16.1 Company Share Analysis: North America
17 Swot Analysis
18 Company Profiles
18.1 Cigna Healthcare
18.1.1 Company Snapshot
18.1.2 Revenue Analysis
18.1.3 Company Share Analysis
18.1.4 Product Portfolio
18.1.5 Recent Developments
18.2 Centene Corporation
18.2.1 Company Snapshot
18.2.2 Revenue Analysis
18.2.3 Company Share Analysis
18.2.4 Product Portfolio
18.2.5 Recent Developments
18.3 Allianz Care (A Subsidiary Of Allianz)
18.3.1 Company Snapshot
18.3.2 Revenue Analysis
18.3.3 Company Share Analysis
18.3.4 Product Portfolio
18.3.5 Recent Developments
18.4 Aetna Inc. (A Subsidiary Of Cvs Health)
18.4.1 Company Snapshot
18.4.2 Revenue Analysis
18.4.3 Company Share Analysis
18.4.4 Product Portfolio
18.4.5 Recent Development
18.5 Anthem Insurance Companies, Inc. (A Subsidiary Of Elevance Health)
18.5.1 Company Snapshot
18.5.2 Revenue Analysis
18.5.3 Product Portfolio
18.5.4 Recent Developments
18.6 Axa
18.6.1 Company Snapshot
18.6.2 Revenue Analysis
18.6.3 Product Portfolio
18.6.4 Recent Developments
18.7 Broadstone Corporate Benefits Limited
18.7.1 Company Snapshot
18.7.2 Product Portfolio
18.7.3 Recent Developments
18.8 Bupa
18.8.1 Company Snapshot
18.8.2 Product Portfolio
18.8.3 Company Share Analysis
18.8.4 Recent Developments
18.9 Healthcare International North America Network Ltd.
18.9.1 Company Snapshot
18.9.2 Product Portfolio
18.9.3 Recent Development
18.10 Hbf Health Limited
18.10.1 Company Snapshot
18.10.2 Product Portfolio
18.10.3 Recent Developments
18.11 International Medical Group, Inc. (A Subsidiary Of Sirius Point Ltd.)
18.11.1 Company Snapshot
18.11.2 Revenue Analysis
18.11.3 Product Portfolio
18.11.4 Recent Developments
18.12 Now Health International
18.12.1 Company Snapshot
18.12.2 Product Portfolio
18.12.3 Recent Developments
18.13 Oracle
18.13.1 Company Snapshot
18.13.2 Revenue Analysis
18.13.3 Product Portfolio
18.13.4 Recent Developments
18.14 Unitedhealth Group
18.14.1 Company Snapshot
18.14.2 Revenue Analysis
18.14.3 Product Portfolio
18.14.4 Recent Developments
18.15 Vhi Group
18.15.1 Company Snapshot
18.15.2 Product Portfolio
18.15.3 Recent Development
18.16 Vitality (A Subsidiary Of Discovery Ltd)
18.16.1 Company Snapshot
18.16.2 Revenue Analysis
18.16.3 Product Portfolio
18.16.4 Recent Developments
19 Questionnaire
20 Related Reports
List Of Tables
Table 1 Average Costs For Common Surgeries
Table 2 List Of Daycare Procedures
Table 3 Average Employee Premiums In The U.S. (2023)
Table 4 North America Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 5 North America Product In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 6 North America Health Insurance Market, By Product, 2022-2031 (Usd Million)
Table 7 North America Solutions In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 8 North America Health Insurance Market, By Solutions, 2022-2031 (Usd Million)
Table 9 North America Health Insurance Market , By Services, 2022-2031 (Usd Million)
Table 10 North America Inpatient Treatment In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 11 North America Outpatient Treatment In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 12 North America Medical Assurance In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 13 North America Others In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 14 North America Health Insurance Market, By Level Of Coverage, 2022-2031 (Usd Million)
Table 15 North America Bronze In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 16 North America Silver In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 17 North America Gold In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 18 North America Platinum In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 19 North America Health Insurance Market, By Service Providers, 2022-2031 (Usd Million)
Table 20 North America Public Health Insurance Providers In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 21 North America Private Health Insurance Providers In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 22 North America Health Insurance Market, By Health Insurance Plans, 2022-2031 (Usd Million)
Table 23 North America Point Of Service (Pos) In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 24 North America Exclusive Provider Organization (Epos) In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 25 North America Preferred Provider Organization (Ppo) In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 26 North America Indemnity Health Insurance In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 27 North America Health Maintenance Organization (Hmo) In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 28 North America Health Savings Account (Hsa) In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 29 North America Qualified Small Employer Health Reimbursement Arrangements (Qsehras) In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 30 North America Others In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 31 North America Health Insurance Market, By Demographics, 2022-2031 (Usd Million)
Table 32 North America Adults In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 33 North America Minors In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 34 North America Senior Citizens In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 35 North America Health Insurance Market , By Coverage Type, 2022-2031 (Usd Million)
Table 36 North America Lifetime Coverage In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 37 North America Term Coverage In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 38 North America Health Insurance Market , By End User, 2022-2031 (Usd Million)
Table 39 North America Corporates In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 40 North America Corporates In Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 41 North America Individuals In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 42 North America Others In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 43 North America Health Insurance Market , By Distribution Channel, 2022-2031 (Usd Million)
Table 44 North America Direct Sales In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 45 North America Financial Institutions In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 46 North America E-commerce In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 47 North America Hospitals In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 48 North America Clinics In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 49 North America Others In Health Insurance Market, By Region, 2022-2031 (Usd Million)
Table 50 North America Health Insurance Market, By Country, 2022-2031 (Usd Million)
Table 51 North America Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 52 North America Health Insurance Market, By Services, 2022-2031 (Usd Million)
Table 53 North America Health Insurance Market, By Level Of Coverage, 2022-2031 (Usd Million)
Table 54 North America Health Insurance Market, By Service Providers, 2022-2031 (Usd Million)
Table 55 North America Health Insurance Market, By Health Insurance Plans, 2022-2031 (Usd Million)
Table 56 North America Health Insurance Market, By Demographics, 2022-2031 (Usd Million)
Table 57 North America Health Insurance Market, By Coverage Type, 2022-2031 (Usd Million)
Table 58 North America Health Insurance Market, By End User, 2022-2031 (Usd Million)
Table 59 North America Corporates In Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 60 North America Health Insurance Market, By Distribution Channel, 2022-2031 (Usd Million)
Table 61 North America Health Insurance Market, By Product, 2022-2031 (Usd Million)
Table 62 North America Health Insurance Market, By Solutions, 2022-2031 (Usd Million)
Table 63 U.S. Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 64 U.S. Health Insurance Market, By Services, 2022-2031 (Usd Million)
Table 65 U.S. Health Insurance Market, By Level Of Coverage, 2022-2031 (Usd Million)
Table 66 U.S. Health Insurance Market, By Service Providers, 2022-2031 (Usd Million)
Table 67 U.S. Health Insurance Market, By Health Insurance Plans, 2022-2031 (Usd Million)
Table 68 U.S. Health Insurance Market, By Demographics, 2022-2031 (Usd Million)
Table 69 U.S. Health Insurance Market, By Coverage Type, 2022-2031 (Usd Million)
Table 70 U.S. Health Insurance Market, By End User, 2022-2031 (Usd Million)
Table 71 U.S. Corporates In Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 72 U.S. Health Insurance Market, By Distribution Channel, 2022-2031 (Usd Million)
Table 73 U.S. Health Insurance Market, By Product, 2022-2031 (Usd Million)
Table 74 U.S. Health Insurance Market, By Solutions, 2022-2031 (Usd Million)
Table 75 Canada Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 76 Canada Health Insurance Market, By Services, 2022-2031 (Usd Million)
Table 77 Canada Health Insurance Market, By Level Of Coverage, 2022-2031 (Usd Million)
Table 78 Canada Health Insurance Market, By Service Providers, 2022-2031 (Usd Million)
Table 79 Canada Health Insurance Market, By Health Insurance Plans, 2022-2031 (Usd Million)
Table 80 Canada Health Insurance Market, By Demographics, 2022-2031 (Usd Million)
Table 81 Canada Health Insurance Market, By Coverage Type, 2022-2031 (Usd Million)
Table 82 Canada Health Insurance Market, By End User, 2022-2031 (Usd Million)
Table 83 Canada Corporates In Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 84 Canada Health Insurance Market, By Distribution Channel, 2022-2031 (Usd Million)
Table 85 Canada Health Insurance Market, By Product, 2022-2031 (Usd Million)
Table 86 Canada Health Insurance Market, By Solutions, 2022-2031 (Usd Million)
Table 87 Mexico Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 88 Mexico Health Insurance Market, By Services, 2022-2031 (Usd Million)
Table 89 Mexico Health Insurance Market, By Level Of Coverage, 2022-2031 (Usd Million)
Table 90 Mexico Health Insurance Market, By Service Providers, 2022-2031 (Usd Million)
Table 91 Mexico Health Insurance Market, By Health Insurance Plans, 2022-2031 (Usd Million)
Table 92 Mexico Health Insurance Market, By Demographics, 2022-2031 (Usd Million)
Table 93 Mexico Health Insurance Market, By Coverage Type, 2022-2031 (Usd Million)
Table 94 Mexico Health Insurance Market, By End User, 2022-2031 (Usd Million)
Table 95 Mexico Corporates In Health Insurance Market, By Type, 2022-2031 (Usd Million)
Table 96 Mexico Health Insurance Market, By Distribution Channel, 2022-2031 (Usd Million)
Table 97 Mexico Health Insurance Market, By Product, 2022-2031 (Usd Million)
Table 98 Mexico Health Insurance Market, By Solutions, 2022-2031 (Usd Million)
List Of Figures
Figure 1 North America Health Insurance Market: Segmentation
Figure 2 North America Health Insurance Market: Data Triangulation
Figure 3 North America Health Insurance Market: Droc Analysis
Figure 4 North America Health Insurance Market: North America Vs Regional Market Analysis
Figure 5 North America Health Insurance Market: Company Research Analysis
Figure 6 North America Health Insurance Market: Type Life Line Curve
Figure 7 North America Health Insurance Market: Multivariate Modelling
Figure 8 North America Health Insurance Market: Interview Demographics
Figure 9 North America Health Insurance Market: Dbmr Market Position Grid
Figure 10 North America Health Insurance Market: End-user Coverage Grid
Figure 11 North America Health Insurance Market: Challenge Matrix
Figure 12 North America Health Insurance Market: Vendor Share Analysis
Figure 13 North America Health Insurance Market: Segmentation
Figure 14 Increasing Cost Of Medical Services Is Driving The Growth Of The North America Health Insurance Market In The Forecast Period Of 2024 To 2031
Figure 15 Product Segment Is Expected To Account For The Largest Share Of The North America Health Insurance Market In 2022 And 2031
Figure 16 Drivers, Restraints, Opportunities, And Challenge Of The North America Health Insurance Market
Figure 17 Percentage Of Out-of-pocket Expenditure On Health (2019)
Figure 18 Health Insurance Coverage
Figure 19 North America Health Insurance Market : By Type, 2023
Figure 20 North America Health Insurance Market : By Type, 2024-2031 (Usd Million)
Figure 21 North America Health Insurance Market : By Type, Cagr (2024-2031)
Figure 22 North America Health Insurance Market : By Type, Lifeline Curve
Figure 23 North America Health Insurance Market : By Services, 2023
Figure 24 North America Health Insurance Market : By Services, 2024-2031 (Usd Million)
Figure 25 North America Health Insurance Market : By Services, Cagr (2024-2031)
Figure 26 North America Health Insurance Market : By Services, Lifeline Curve
Figure 27 North America Health Insurance Market : By Level Of Coverage, 2023
Figure 28 North America Health Insurance Market : By Level Of Coverage, 2024-2031 (Usd Million)
Figure 29 North America Health Insurance Market : By Level Of Coverage, Cagr (2024-2031)
Figure 30 North America Health Insurance Market : By Level Of Coverage, Lifeline Curve
Figure 31 North America Health Insurance Market : By Service Providers, 2023
Figure 32 North America Health Insurance Market : By Service Providers, 2024-2031 (Usd Million)
Figure 33 North America Health Insurance Market : By Service Providers, Cagr (2024-2031)
Figure 34 North America Health Insurance Market : By Service Providers, Lifeline Curve
Figure 35 North America Health Insurance Market : By Health Insurance Plans, 2023
Figure 36 North America Health Insurance Market : By Health Insurance Plans, 2024-2031 (Usd Million)
Figure 37 North America Health Insurance Market : By Health Insurance Plans, Cagr (2024-2031)
Figure 38 North America Health Insurance Market : By Health Insurance Plans, Lifeline Curve
Figure 39 North America Health Insurance Market : By Demographics, 2023
Figure 40 North America Health Insurance Market : By Demographics, 2024-2031 (Usd Million)
Figure 41 North America Health Insurance Market : By Demographics, Cagr (2024-2031)
Figure 42 North America Health Insurance Market : By Demographics, Lifeline Curve
Figure 43 North America Health Insurance Market : By Coverage Type, 2023
Figure 44 North America Health Insurance Market : By Coverage Type, 2024-2031 (Usd Million)
Figure 45 North America Health Insurance Market : By Coverage Type, Cagr (2024-2031)
Figure 46 North America Health Insurance Market : By Coverage Type, Lifeline Curve
Figure 47 North America Health Insurance Market : By End User, 2023
Figure 48 North America Health Insurance Market : By End User, 2024-2031 (Usd Million)
Figure 49 North America Health Insurance Market : By End User, Cagr (2024-2031)
Figure 50 North America Health Insurance Market : By End User, Lifeline Curve
Figure 51 North America Health Insurance Market : By Distribution Channel, 2023
Figure 52 North America Health Insurance Market : By Distribution Channel, 2024-2031 (Usd Million)
Figure 53 North America Health Insurance Market : By Distribution Channel, Cagr (2024-2031)
Figure 54 North America Health Insurance Market : By Distribution Channel, Lifeline Curve
Figure 55 North America Health Insurance Market: Company Share 2023 (%)

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