The number of people holding private health insurance in Ireland rose modestly in the second quarter of the year, despite sharp increases in premiums that may be beginning to weigh on demand.
Figures from the Health Insurance Authority (HIA) show that just over 2.5 million people held private health insurance between April and June, representing a little more than 46% of the population. The total was up by 4,130 compared with the first quarter, though this marks a significant slowdown in growth compared with previous periods.
In the first three months of 2025, uptake increased by 7,318, while in the third quarter of 2024, the rise was far stronger at 13,633. Analysts suggest that the latest figures reflect growing price sensitivity among consumers after a year of consistent premium hikes.
Currently, there are 344 inpatient plans available on the market, with six new options added since January. Despite greater choice, affordability has become a pressing concern. The HIA reported that the average adult premium stood at €1,830 in the second quarter, up 4.5% since the beginning of the year. Compared with the same period in 2024, this represents an 11% increase in costs.
Further upward pressure on household budgets is expected, as insurers have announced another round of premium increases due to take effect from 1 October.
“Rising costs may be starting to impact growth in the market, and some consumers may be considering whether private health insurance fits within their budget,” said HIA chief executive Brian Lee.
Lee advised policyholders to carefully assess their cover at renewal time, highlighting that many consumers may be paying for benefits they rarely use. “Even if you’re happy with your provider, you might find a better-value plan that suits your needs,” he said.
The HIA operates a free comparison tool to help consumers evaluate their options, and Lee stressed that impartial support is also available by phone or email for those seeking advice.
The findings come at a time when healthcare remains a major concern for households grappling with broader cost-of-living pressures. For many, private insurance offers faster access to care and greater choice of services, but rising premiums are forcing difficult decisions about affordability.
Industry observers say that while the slowdown in new policyholders suggests some caution, overall coverage levels remain robust, with nearly half the population maintaining private health insurance. The coming months, however, may prove a test of resilience as higher premiums take effect.
