Market share of health insurance gross premiums in Europe by country 2020
47 billion euros.
Germany, which has the oldest social health care system in the world runs a statutory health insurance plan. Those employed pay 50 percent of their insurance directly from their wages, with the company picking up the rest of the bill. Those who are self employed must pay for the complete cover. In 2020, the market share of the German health insurance market was 23.1 percent.
With a third of domestic health insurance gross direct premiums written in Europe, the Netherlands has by far the highest share of total premiums. In the Netherlands, private health insurance is mandatory. Insurance companies in the Netherlands must offer a universal healthcare package at a fixed price for all ages and status of health. In 2019, health benefit gross premiums on the insurance market in the Netherlands amounted to almost Germany, which has the oldest social health care system in the world runs a statutory health insurance plan. Those employed pay 50 percent of their insurance directly from their wages, with the company picking up the rest of the bill. Those who are self employed must pay for the complete cover. In 2020, the market share of the German health insurance market was 23.1 percent.