The France health insurance market size in terms of gross written premium (GWP) was estimated at USD 187.19 billion in 2024 and is expected to grow at a CAGR of 2.93% from 2025 to 2030. The rising cost of healthcare in France is significantly boosting the demand for both public and private health insurance.
The France health insurance market size in terms of new business premium (NBP) was estimated at USD 10.33 billion in 2024 and is expected to grow at a CAGR of 2.92% from 2025 to 2030.
Medical expenses in the country have been steadily increasing due to the growing prevalence of chronic diseases, the costs of advanced medical treatments, and ongoing expansions of healthcare infrastructure. The public sector dominates the market, covering around 70-100% of necessary medical expenses; however, there is a growing trend towards private health insurance as individuals seek additional coverage for services not fully reimbursed by the public system, such as alternative therapies and certain prescription drugs.
The employee contribution rates are as follows:
Contribution Type |
Employer Rate of the gross salary (for office-based workers) |
Employee Rate of the gross salary (for office-based workers) |
Description |
Old-age insurance |
8.55% |
6.90% |
Apply to earnings up to USD 52,720.4 annually. Contributions above this threshold are subject to different rates. |
Supplementary pension (Tranche 1) |
4.72% |
3.15% |
For earnings up to USD 52,720.4. |
Supplementary pension (Tranche 2) |
12.95% |
8.64% |
For earnings between USD 52,720.4 and USD 421,763. |
Health insurance |
7% or 13% |
0% |
Employer rate varies; employee rate is 0%. |
Unemployment insurance |
4.05% |
0% |
Employer rate through 2021; employee rate is 0%. |
Family allowances |
3.45% or 5.25% |
0% |
The employer rate varies based on employee income; the employee rate is 0%. |
General Social Contribution (CSG) |
0% |
9.20% |
Employee rate is 9.2%; employer rate is 0%. |
Social Debt Repayment Contribution (CRDS) |
0% |
0.50% |
Employee rate is 0.5%; employer rate is 0%. |
Source: Remote Technology, Inc.
Economic stability significantly influences the expansion of the health insurance sector. As people’s disposable incomes increase, they are more inclined to purchase supplementary private health insurance policies to enhance their basic public coverage. For instance, in France, Generali has partnered with INCO Ventures, a well-known fund management firm, to create an impact investment fund. With an initial value of USD 13.6 million, this fund aims to support companies that help integrate refugees into society and enhance the living conditions of vulnerable families and children. The investment focus areas include education access, healthcare services, food security, and housing key elements for promoting stability and growth within these communities. The table below outlines the main funds and their respective roles in compensating victims in various circumstances, along with the types of coverage each fund offers.
In addition, innovations such as telematics and digital platforms have transformed how health insurance is marketed and managed. Insurers are now able to offer personalized policies based on individual behavior and risk profiles, which enhances customer engagement and satisfaction. Furthermore, technology facilitates quicker claims processing and better fraud detection mechanisms. For instance, Allianz France offers Insurance Copilot, an AI-powered tool designed to revolutionize claims management. Debuting in 2024 for automotive claims, this solution enhances workflows and automates essential tasks, thereby boosting efficiency and accuracy throughout the claims process.
A notable instance of technological advancements influencing the France health insurance market is the adoption of telemedicine services by leading health insurers. For instance, The AXA Global healthcare app allows customers to oversee their international health insurance policy, tap into extra medical services offered by third-party providers, and focus on their well-being. This app serves as a vital sales support tool by enhancing customer engagement and satisfaction through its user-friendly interface and comprehensive features.
Furthermore, as per the grand view research analysis and estimates there is a steady growth in the profitability of health insurance market indicating further expansion.
Private Health Insurance Profitability Estimates
Metric |
Overall Market Estimate |
Riders (Add-On Policies) Estimate |
Stand-Alone Policies Estimate |
Health Loss Ratio (Health Claims / Health Premiums) |
~71% |
~70% |
~82% |
Health Combined Ratio (CoR) (Health Claims + Expenses / Health Premiums) |
~96% |
~78% |
~93% |
Source: Grand View Research Estimates
Health expenditure by sources of funding (USD Million)
2020 |
2021 |
2022 |
2023 |
2024 |
|
Total Expenditure on Health |
499,048.63 |
541,312.06 |
569,837.11 |
569,386.86 |
611,957.28 |
General Government Excluding Social Security Funds |
36,592.07 |
50,626.06 |
58,488.42 |
32,140.72 |
31,272.05 |
Statutory Health Insurance |
274,575.27 |
290,120.33 |
301,756.39 |
317,316.23 |
341,723.08 |
Social Long-Term Care Insurance |
53,634.56 |
58,722.64 |
65,594.67 |
66,066.52 |
73,588.91 |
Statutory Pension Insurance |
5,413.26 |
5,748.67 |
5,956.74 |
6,593.46 |
7,299.54 |
Statutory Accident Insurance |
7,100.57 |
7,127.85 |
7,388.23 |
7,929.44 |
8,353.54 |
Private Health Insurance |
40,256.62 |
41,758.60 |
43,782.46 |
46,457.82 |
51,336.69 |
Employers |
20,372.77 |
20,985.61 |
22,040.75 |
24,286.32 |
26,830.93 |
Private Households/ Private Non-Profit Organisations |
61,105.79 |
66,221.15 |
64,829.47 |
68,595.21 |
71,551.41 |
Source: Statistisches Bundesamt (Destatis)
Moreover, increasing launch of new products on the market to cater to the growing demand is supplementing France health insurance industry growth. For instance, in August 2024, PassportCard announced the expansion of its operations into the French international private medical insurance (iPMI) market. This strategic move is part of PassportCard's broader initiative to enhance its presence across Europe, particularly in countries with significant expatriate populations. The decision to enter France comes in response to increasing demand for flexible and comprehensive health insurance solutions among expatriates and internationally mobile employees. PassportCard has already gained traction in France, where it has become a preferred choice for both individuals and corporate clients due to its ability to meet the unique needs of these demographics.
The insurance type segment comprises public and private. Public insurance is further cross segmented into corporate policy and retail policy. The public segment dominated the market and accounted for the largest revenue share of 76.80% in 2024. The French healthcare system operates under a statutory health insurance model known as Sécurité Sociale, which provides essential medical care to all residents. As the population ages, there is an increasing demand for healthcare services, particularly for chronic conditions that require ongoing management. This demographic shift necessitates robust public health insurance to cover the escalating medical expenses associated with older age groups.
Furthermore, the French Social Security System, established in 1945, covers the vast majority of employees in France, with nearly 90 million people covered by social insurance programs. These programs include sickness, maternity, unemployment, old age, and long-term care, as well as workers' compensation for accidents and occupational diseases.
Private segment in France health insurance industry is anticipated to register the fastest CAGR over the forecast period. Private insurance is further cross segmented into corporate policy and retail policy. The growth of private health insurance in France is primarily driven by increasing consumer awareness of the importance of financial protection against unforeseen events and a rise in disposable incomes. As individuals become more aware of the potential risks associated with health, there is a growing demand for comprehensive coverage that can mitigate financial losses resulting from personal health issues. The French market is also witnessing a shift towards personalized insurance solutions, where policies are tailored to individual needs and driving behaviors, further fueling demand.
For instance, below is the product offered by AXA, a private insurer:
Product/Service |
Coverage Details |
Average Premium (USD) |
Target Client |
Expat Health Insurance |
Availability of a multilingual support team that operates 24/7. Option to obtain an independent second medical opinion. This is particularly valuable for individuals who may have doubts about their diagnosis or treatment plan. The Virtual Doctor service allows clients to consult with a real doctor via phone or video chat at their convenience. |
USD 32.7/month |
These services collectively aim to provide comprehensive support for individuals seeking medical assistance through insurance plans |
Moreover, government initiatives promoting personal wellness contribute to 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.
The corporate policy segment dominated the market and accounted for the largest revenue share of 80.55% in 2024. The growth of corporate policy in the French health insurance market is driven by several key factors, including increasing regulatory requirements, heightened awareness of workplace safety, and the rising costs associated with employee benefits. In addition, the increasing focus on employee well-being has led organizations to prioritize health insurance as part of their overall employee benefits package. Companies recognize that providing adequate coverage protects employees and enhances job satisfaction and retention rates. Furthermore, the rising costs of healthcare and compensation claims have prompted businesses to seek more effective risk management strategies through corporate health insurance policies.
Retail policy segment in France health insurance market is anticipated to register significant growth over the forecast period, driven by the growing regulatory changes shaping the health insurance landscape. The French government has implemented stricter regulations mandating certain types of coverage, increasing compliance rates, and expanding the retail policies' customer base. Introducing innovative insurance products tailored to meet consumer needs, such as customizable plans and usage-based pricing models, has also contributed to market expansion.
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 higher accidents due to increased city traffic and activity levels, prompting residents to secure adequate coverage.
The brokers/independent advisors segment dominated the market in 2024. The industry's digital transformation drives the growth of brokers and independent advisors as brokers increasingly adopt technology to enhance customer engagement and streamline operations. This includes utilizing online platforms for policy comparisons and claims processing, which improves accessibility for clients. Furthermore, as the demand for comprehensive health coverage rises due to changing lifestyles and increased mobility, brokers are well-positioned to offer specialized services that meet these evolving needs. These drivers contribute to a robust growth trajectory for brokers in France's health insurance market.
Direct sales (online/phone) segment in France health insurance industry is anticipated to register the fastest growth over the forecast period. The increasing digitization of the insurance industry has transformed consumer behavior, with more individuals preferring to purchase insurance online due to its convenience and accessibility. A growing demand for personalized services drives this shift as consumers seek tailored insurance products that meet their needs.
Moreover, technological advancements such as AI and data analytics enable insurers to offer enhanced customer experience through streamlined processes and improved service delivery. The COVID-19 pandemic further accelerated this trend, as lockdowns prompted many consumers to turn to online platforms for their insurance needs. As a result, the online distribution channel has become a vital component of the health insurance market in France, facilitating easier policy comparisons and purchases while allowing insurers to reach a broader audience efficiently.
The private health insurance sector is considerably fragmented. Notable insurers in this segment include Allianz, one of the world's largest insurance groups, offering diverse and comprehensive accident insurance products tailored to various customer segments. Credit Agricole leading player, holds a substantial market share primarily among civil servants and high-income individuals. Other prominent private insurers, including AXA, Covea, and Generali all competing by offering flexible, personalized coverage and enhanced customer experience
In January 2025, DUAL Europe announced the launch of its Accident & Health (A&H) business, marking a significant development in the European insurance market. This initiative is led by Samia Baliad, who has over 20 years of experience in the A&H sector. The establishment of this new division is part of DUAL Europe's strategy to diversify its product offerings and respond to the increasing demand for healthcare services across Europe.
In December 2023, AXA Group revealed that its subsidiary, AXA France Vie, has formed a major reinsurance deal with AXA Réassurance Vie France (ARVF). This agreement centers on an existing savings portfolio and carries significant financial consequences for both organizations.
Report Attribute |
Details |
Market size value in 2025 |
USD 191.23 billion |
Revenue forecast in 2030 |
USD 220.96 billion |
Growth rate |
CAGR of 2.93% from 2025 to 2030 |
Actual data |
2018 - 2024 |
Forecast data |
2025 - 2030 |
Quantitative units |
Revenue in USD million/billion, and CAGR from 2025 to 2030 |
Report coverage |
Revenue forecast, company ranking, competitive landscape, growth factors, and trends |
Segments covered |
Insurance type, policy type, distribution channel |
Country scope |
France |
Key companies profiled |
Allianz France; Generali France; AXA; Covea; Credit Agricole; Groupama-Gan; Crédit Mutuel; Mutuelle d'Assurances des Artisans de France (MAAF); La Maif, Mutuelle Verte; CNP Assurances; Mutualité Française |
Customization scope |
Free report customization (equivalent up to 8 analysts working days) with purchase. Addition or alteration to country, regional & segment scope. |
Pricing and purchase options |
Avail customized purchase options to meet your exact research needs. Explore purchase options |
Report Attribute |
Details |
Market size value in 2025 |
USD 10.61 billion |
Revenue forecast in 2030 |
USD 12.26 billion |
Growth rate |
CAGR of 2.92% from 2025 to 2030 |
Actual data |
2018 - 2024 |
Forecast data |
2025 - 2030 |
Quantitative units |
Revenue in USD million/billion, and CAGR from 2025 to 2030 |
Report coverage |
Revenue forecast, company ranking, competitive landscape, growth factors, and trends |
Segments covered |
Insurance Type |
Country scope |
France |
Key companies profiled |
Allianz France; Generali France; AXA; Covea; Credit Agricole; Groupama-Gan; Crédit Mutuel; Mutuelle d'Assurances des Artisans de France (MAAF); La Maif; Mutuelle Verte; CNP Assurances; Mutualité Française |
Customization scope |
Free report customization (equivalent up to 8 analysts working days) with purchase. Addition or alteration to country, regional & segment scope. |
Pricing and purchase options |
Avail customized purchase options to meet your exact research needs. Explore purchase options |
This report forecasts revenue and volume growth at a country level and provides an analysis of industry trends in each of the sub-segments from 2018 to 2030. For this study, Grand View Research, Inc. has segmented the France health insurance market report based on the insurance type, policy type, and distribution channel:
Insurance Type Outlook (Revenue, USD Billion, 2018 - 2030)
France 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
Other Channels (Digital, Family Insurance Enrollment, Special Membership)
Private
By Policy Type
Corporate Policy
Retail Policy
By Distribution Channel
Exclusive Agents
Brokers/Independent Advisors
Direct Sales (Online/Phone)
Banks and Partnerships
Salaried Sales Force
France Health Insurance Market (New Business Premiums (NBP))
Public
Private
(GWP) Policy Type Outlook (Revenue, USD Billion, 2018 - 2030)
Corporate Policy
Retail Policy
(GWP) Distribution Channel Outlook (Revenue, USD Billion, 2018 - 2030)
Traditional Distribution Channels
Digital/ Online Distribution Channels
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