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Health

Medical expense insurance: voluntary and supplementary health cover.Data updated 11 Nov 2026 · what changed
18 markets, largest first

By market

Premium in the line, its weight in each market, growth, the leader and the market's ratios after reinsurance (gross, marked, where insurers with half the line's premium give no net figures). Ratios marked ≈ are approximate and leave out expenses. Top three = the three largest insurers' share of the line. Select a heading to sort.

All figures

Five years

Premium, all markets

Combined ratio, largest markets

By market and year

What's happening

Short notes on health in the region, in Polisa's words, each with its source and date. Updated 20 Oct 2026.

  • Serbia and Lithuania grow fastest among the larger markets. Health premium rose 31% a year in local currency in Serbia and 26% in Lithuania from 2021 to 2025, 24% in Hungary and 11% in Poland, the largest health market.

    Polisa figures · FY 2021–2025
  • Polish private health cover grows double digits again. Premiums reached PLN 2.65bn in 2025, up 14.8%, and cover passed 5.8 million people (+8.6%). The insurers' chamber links demand to a gap of nearly PLN 30bn in the public NFZ budget. PIU counts a narrower set of covers than Polisa's health line, which also includes the health cover sold by life insurers.

    PIU · 14 May 2026
  • Romanian voluntary health cover passes 872,000 people. That is 37% more than in 2022, according to data from members of the insurers' association UNSAR.

    Revista Biz (UNSAR data) · 30 Apr 2026
  • Slovenia's compulsory health contribution keeps rising. It replaced supplementary insurance sold by insurers in January 2024: €35 a month at first, €37.17 from March 2025, and an expected €39.36 from March 2026.

    RTV Slovenija · 20 Feb 2026
  • Croatia raises the public supplementary premium by 60%. The health fund HZZO's policy went from €9.29 to €15 a month on 1 February 2026, the first rise in 12 years; more than 2.1 million people hold it.

    Index.hr (Hina) · 1 Feb 2026
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  • Lux Med licensed as an insurer. Poland's supervisor KNF licensed the medical group's new insurer in August 2025; its main product is to be hospital cover using the group's 16 hospitals, from early 2026.

    XYZ.pl · 27 Aug 2025

Largest insurers in Health

All figures

Share of line = the insurer's share of this line in its own market. Ratios after reinsurance (net claims and expenses over net earned premium, S.05.01) where the insurer gives them, else gross, marked; lines under €1m earned are left out. Green below 95%, amber 95–100%, red above 100%.