Germany Health Insurance Market Growth & Trends
The Germany health insurance market size in terms of GWP market size is expected to reach USD 529.70 billion by 2030, registering a CAGR of 5.30% from 2025 to 2030, according to a new report by Grand View Research, Inc.
The increasing aging population in Germany is one of the key drivers contributing to the market growth. As Germany experiences a demographic shift, with a rising number of individuals aged 65 and above, the demand for comprehensive healthcare services is increasing. For instance, the AARP International report indicates that Germany’s population aged 65 and above is expected to increase by 41 percent, reaching 24 million by 2050, which will make up almost one-third of the overall population. This demographic shift has increased the demand for medical services, long-term care, and chronic disease management. As a result, health insurers are expanding their coverage options to meet the needs of the growing elderly population.
Moreover, the increasing proportion of high-income individuals in Germany is anticipated to positively influence the growth of the private health insurance segment. According to data published by GermanPedia in 2025, the top 1% of earners in Germany had a gross annual income exceeding USD 275,248 in 2023, while approximately 15% of the population earned over USD 77,069 annually. This demographic segment typically demonstrates a higher propensity to choose premium private health insurance offerings due to their preference for comprehensive coverage options, quicker access to healthcare services, and personalized medical care. Consequently, this trend is expected to further drive the expansion of the private health insurance market in Germany.
Some of the key players in the market are Allianz SE, Debeka Krankenversicherungsvere A.G., Generali Deutschland, R+V Versicherung AG, AXA Konzern AG, ERGO, Techniker Krankenkasse (TK), BARMER, DKV Deutsche Krankenversicherung, Signal Iduna. Players are adopting key strategic initiatives to expand their business footprint and grow their clientele. For instance, in February 2024, AXA announced its strategic plan "Unlock the Future" for 2024-2026, setting ambitious financial targets. The plan focuses on leveraging AXA's market-leading position and a robust balance sheet to drive revenue growth and meet financial objectives. By prioritizing innovation, digital transformation, and targeted expansion, this strategy is expected to enhance AXA’s competitive edge and drive growth in Germany’s health insurance market.
Germany Health Insurance Market Report Highlights
- Based on insurance type, the public segment held the highest revenue share of 86.5% of the market in 2024. Technological advancements and regulatory reforms are transforming the SHI landscape, thereby driving segmental growth. 
- Based on policy type, the retail policy segment dominated the market in 2024 owing to the increasing healthcare costs and demand for premium services. The integration of digital health technologies is further transforming retail health insurance. 
- Based on distribution channel, the single company brokers segment dominated the market in 2024 owing to the growing complexity of health insurance products. Furthermore, growing demand for expert advisory services, policy customization, and digital consultation platform are fostering segmental growth. 
Germany Health Insurance Market Segmentation
Grand View Research has segmented the Germany health insurance market on the basis of insurance type, policy type, and distribution channel:
Germany Health Insurance Type Outlook (Revenue USD Billion, 2018 - 2030)
- Germany Health Insurance Market {Gross Written Premiums (GWP)} - Public - By Policy Type - Corporate Policy 
- Retail Policy 
 
- By Distribution Channel - Employer-Based Enrollment 
- Direct Enrollment via Public Health Insurance Funds 
- Online Platforms & Digital Enrollment 
- Other Channels (Family Insurance Enrollment, Special Membership Routes such as Künstlersozialkasse (KSK)) 
 
 
- Private - By Policy Type - Corporate Policy 
- Retail Policy 
 
- By Distribution Channel - Single Company Broker 
- Multi-Company Broker 
- Credit Institutions 
- Direct Sales 
- Other Sales 
 
 
 
- Germany Health Insurance Market {New Business Premiums (NBP)} - Public 
- Private 
 
Germany Health Insurance (GWP) Policy Type Outlook (Revenue USD Billion, 2018 - 2030)
- Corporate Policy 
- Retail Policy 
List of Key Players in Germany Health Insurance Market
- Allianz Se 
- Debeka Krankenversicherungsvere A.g. 
- Generali Deutschland 
- Gothaer Kv Ag 
- Axa Konzern Ag 
- Union Krankenvers. 
- Signal Iduna Kranken 
- Barmenia Kv Ag 
- Dkv Deutsche Krankenversicherung 
- Bayerische Beamten K 
- Continentale Kranken 
- Huk-coburg Kranken 
- Hansemerkur Kv Ag 
- Hallesche Kranken 
- Süddeutsche Kranken