Canada Health And Medical Insurance Market Size (2024 - 2029)

The market size of health insurance in Canada is experiencing growth, driven by the unique structure of the country's universal healthcare system, which is primarily tax-funded. While public health insurance covers essential services for all residents, there is a rising demand for private supplemental health insurance to cover additional healthcare costs not included in public plans. This demand has been further accelerated by the COVID-19 pandemic, which highlighted the need for better medical facilities and increased hospitalizations, prompting a surge in health insurance claims. The pandemic also spurred the development of COVID-19-specific policies and the modernization of digital health products, contributing to the expansion of the health insurance market in Canada.

Market Size of Canada Health And Medical Insurance Industry

Canada Health and Medical Insurance Market Summary
Study Period 2020 - 2029
Base Year For Estimation 2023
Market Size (2024) USD 112.29 Billion
Market Size (2029) USD 149.06 Billion
CAGR (2024 - 2029) 5.83 %
Market Concentration Medium

Major Players

Canada Health and Medical Insurance Market Major Players

*Disclaimer: Major Players sorted in no particular order

Canadian Health Insurance Market Analysis

The Canada Health And Medical Insurance Market size is estimated at USD 112.29 billion in 2024, and is expected to reach USD 149.06 billion by 2029, growing at a CAGR of 5.83% during the forecast period (2024-2029).

Canada has a universal health care system funded through taxes. This means that any Canadian citizen or permanent resident can apply for public health insurance. While Medicare provides all the required health services free of charge to all residents, some employers offer private supplemental health insurance as a benefit to attract quality employees. Each province and territory has a different health plan that covers different services and products. Packaged insurance plans are gaining popularity in Canada and include one plan for medical, death, accident, disability, death, and dismemberment. 

Each province holds the responsibility to raise revenue, plan, regulate, and ensure the rightful delivery of healthcare services, although the federal government regulates certain aspects of prescription drugs and subsidizes the province's coverage of services to vulnerable populations. Coverage under the plan changes from province to province, but it generally includes all the coverage mentioned above. The demand for supplementary health insurance plans has also gained momentum, as these cover healthcare costs that are not covered by public health plans, such as prescription drugs, dental, vision, hospitalization, and other services.

The COVID-19 outbreak has impacted the lives and businesses of all individuals in Canada. The pandemic has increased the need for customers to purchase health insurance in order to perceive better medical facilities and healthcare treatments, and the COVID-19 outbreak has resulted in a rapid increase in hospitalizations. Health insurance claims have increased tremendously. The health insurance sector is also coming up with products to meet the requirements for COVID-19-specific policies. The pandemic augmented the market for digital health products, and hence, health insurance providers focused on the process of modernizing and digitizing.

Canadian Health Insurance Industry Segmentation

A complete background analysis of the Canada Health and Medical Insurance Market, including the assessment of the economy, market overview, market size estimation for key segments, emerging trends in the market, market dynamics, and key company profiles, are covered in the report. The Canada Health and Medical Insurance Market is divided into product types, coverage terms, and distribution channels.By product types, the market is segmented into private, and public. By coverage terms, the market is segmented into short, and long, and by distribution channels, the market is segmented into brokers/agents, banks, direct purchases, companies, and other channels of distribution. The report offers market size and forecast values for the Canada Health and Medical Insurance Market in USD for the above segments.

By Product Type
Private Health Insurance (PMI)
Individual Policy Coverage
Group Policy Coverage
Public/Social Security Schemes
By Term of Coverage
Short-term
Long-term
By Channel of Distribution
Brokers/Agents
Banks
Direct
Companies
Other Channels of Distribution
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Canada Health And Medical Insurance Market Size Summary

The health insurance market in Canada is characterized by a blend of public and private systems, with a significant portion of the population relying on Medicare, which covers about seventy percent of healthcare needs. The remaining thirty percent is supplemented by private health insurance, which plays a crucial role in covering services not included in the public system, such as dental, vision, and prescription drugs. The market is fragmented, with over one hundred thirty health insurers operating, and major players like SunLife, Manulife, and Canada Life Assurance Company dominating the landscape. The distribution of health insurance is primarily through medium- and large-sized employers, with channels such as Managing General Agencies (MGAs) and independent agents facilitating the process. The COVID-19 pandemic has further accelerated the demand for health insurance, prompting insurers to innovate and digitize their offerings to meet evolving consumer needs.

Canada's healthcare system is publicly funded and regulated at both federal and provincial levels, with provinces responsible for the delivery and regulation of healthcare services. The federal government plays a role in regulating prescription drugs and subsidizing services for vulnerable populations. The market for packaged insurance plans is growing, offering comprehensive coverage that includes medical, accident, and disability benefits. Despite the strong public healthcare system, there is a notable demand for supplementary private insurance, driven by the need for additional coverage beyond what Medicare provides. The pandemic has highlighted the importance of health insurance, leading to increased hospitalizations and a surge in claims, which has prompted insurers to develop COVID-19-specific policies and enhance digital health products.

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Canada Health And Medical Insurance Market Size - Table of Contents

  1. 1. MARKET DYNAMICS AND INSIGHTS

    1. 1.1 Market Overview

    2. 1.2 Market Dynamics

      1. 1.2.1 Drivers

      2. 1.2.2 Restraints

      3. 1.2.3 Insights on Various Regulatory Trends Shaping the Market

    3. 1.3 Brief on Health Insurance Premiums and Study on the Effect of Medical Trend Rate on Health Plans

    4. 1.4 Role of Private Health Insurance Service Providers in Serving the Healthcare Needs of Canadians

    5. 1.5 Insights on the Private Health Insurance Premiums Growth by Type of Coverage and Duration of Plans

    6. 1.6 Industry Attractiveness - Porter's Five Forces Analysis

    7. 1.7 Impact of COVID-19 on the Market

  2. 2. MARKET SEGMENTATION

    1. 2.1 By Product Type

      1. 2.1.1 Private Health Insurance (PMI)

        1. 2.1.1.1 Individual Policy Coverage

        2. 2.1.1.2 Group Policy Coverage

      2. 2.1.2 Public/Social Security Schemes

    2. 2.2 By Term of Coverage

      1. 2.2.1 Short-term

      2. 2.2.2 Long-term

    3. 2.3 By Channel of Distribution

      1. 2.3.1 Brokers/Agents

      2. 2.3.2 Banks

      3. 2.3.3 Direct

      4. 2.3.4 Companies

      5. 2.3.5 Other Channels of Distribution

Canada Health And Medical Insurance Market Size FAQs

The Canada Health and Medical Insurance Market size is expected to reach USD 112.29 billion in 2024 and grow at a CAGR of 5.83% to reach USD 149.06 billion by 2029.

In 2024, the Canada Health and Medical Insurance Market size is expected to reach USD 112.29 billion.

Health Insurance in Canada Market Size & Share Analysis - Growth Trends & Forecasts (2024 - 2029)