SIP Health Cost Index 2025
Global Pricing of Private Healthcare and Medical Insurance
The SIP Health Cost Index (SIP HCI) provides a clear, data-driven view of how private healthcare costs compare across borders. Built on standardized international health insurance quotes for multiple personas, the premiums serve as a proxy for the real private healthcare cost of individuals and families rather than theoretical measures of public spending. By benchmarking average private medical insurance premium in 50 key countries, the SIP HCI offers a reliable approximation of each country’s private healthcare cost level.
Designed for globally mobile individuals, families, expatriates, athletes, family offices, and corporate HR teams, the SIP HCI reveals where high-quality private medical care is most expensive—and where it remains more accessible. While it ranks countries by cost, the SIP HCI does not seek to compare insurance premiums and benefits of the referenced insurance plans. Individuals and corporates should always seek professional advise and personalized comparisons based on their needs.
Explore now the SIP Health Cost Index 2026.
The SIP HCI provides a ranking of the most important healthcare systems in terms of cost for private medical care, as a reflection on the country-specific insurance premiums paid per year for international private medical insurance. The index includes 50 countries and evaluates the country-based premium assessment of seven globally leading international health insurance providers.
Global Ranking – 2025
| Average yearly IPMI based cost (in USD) | |||||
|---|---|---|---|---|---|
| Rank | Country | Persona 1* | Persona 2** | Persona 3*** | Average |
| 1 | United States | 18’764.87 | 22’368.00 | 12’773.14 | 17’968.67 |
| 2 | Hong Kong (SAR) | 15’822.38 | 21’343.67 | 11’360.06 | 16’175.37 |
| 3 | Singapore | 13’967.11 | 18’662.48 | 10’064.57 | 14’231.39 |
| 4 | China | 12’012.43 | 16’156.40 | 8’282.61 | 12’150.48 |
| 5 | United Kingdom | 11’513.35 | 15’476.05 | 8’190.55 | 11’726.65 |
| 6 | Japan | 9’320.58 | 14’915.16 | 6’815.54 | 10’350.43 |
| 7 | Brazil | 9’596.37 | 13’739.81 | 7’067.63 | 10’134.60 |
| 8 | Mexico | 9’829.88 | 13’257.44 | 6’967.12 | 10’018.15 |
| 9 | Thailand | 9’620.51 | 13’047.02 | 6’894.83 | 9’854.12 |
| 10 | United Arab Emirates | 7’977.37 | 13’930.83 | 7’132.29 | 9’680.16 |
| 11 | Greece | 9’638.46 | 12’506.07 | 6’820.16 | 9’654.90 |
| 12 | Taiwan | 8’779.06 | 13’348.60 | 6’600.16 | 9’575.94 |
| 13 | Bahrain | 8’607.04 | 12’051.60 | 6’463.21 | 9’040.61 |
| 14 | Spain | 8’948.87 | 11’702.14 | 6’338.39 | 8’996.47 |
| 15 | Switzerland | 8’017.26 | 12’328.45 | 6’391.53 | 8’912.42 |
| 16 | Australia | 8’451.04 | 11’135.19 | 6’035.04 | 8’540.42 |
| 17 | Chile | 8’296.55 | 11’185.73 | 5’900.19 | 8’460.82 |
| 18 | Qatar | 6’553.27 | 12’051.60 | 6’463.21 | 8’356.02 |
| 19 | South Korea | 8’003.05 | 11’157.62 | 5’564.22 | 8’241.63 |
| 20 | Colombia | 8’046.99 | 10’791.06 | 5’745.52 | 8’194.52 |
| 21 | Cyprus | 8’067.80 | 10’747.64 | 5’730.47 | 8’181.97 |
| 22 | France | 7’837.09 | 10’553.86 | 5’624.66 | 8’005.20 |
| 23 | Indonesia | 7’931.84 | 10’290.82 | 5’604.45 | 7’942.37 |
| 24 | Italy | 7’777.87 | 10’428.18 | 5’485.20 | 7’897.08 |
| 25 | Canada | 7’573.16 | 10’579.73 | 5’343.22 | 7’832.04 |
| 26 | New Zealand | 7’615.33 | 10’298.59 | 5’471.58 | 7’795.17 |
| 27 | Portugal | 7’686.30 | 10’184.36 | 5’485.04 | 7’785.23 |
| 28 | Turkey | 7’356.75 | 10’497.93 | 5’490.64 | 7’781.77 |
| 29 | Monaco | 6’403.95 | 11’006.24 | 5’491.09 | 7’633.76 |
| 30 | Kuwait | 7’483.88 | 9’977.86 | 5’290.51 | 7’584.08 |
| 31 | Belgium | 7’569.96 | 9’897.35 | 5’282.44 | 7’583.25 |
| 32 | Saudi Arabia | 6’840.00 | 10’256.48 | 4’972.94 | 7’356.47 |
| 33 | Malaysia | 7’242.09 | 9’611.53 | 5’145.97 | 7’333.20 |
| 34 | Germany | 7’098.89 | 9’740.61 | 5’081.39 | 7’306.96 |
| 35 | Azerbaijan | 6’862.93 | 9’885.95 | 5’103.92 | 7’284.27 |
| 36 | Austria | 7’141.98 | 9’587.13 | 5’112.18 | 7’280.43 |
| 37 | South Africa | 7’121.65 | 9’458.36 | 5’017.53 | 7’199.18 |
| 38 | Argentina | 6’705.14 | 9’666.99 | 5’085.65 | 7’152.59 |
| 39 | Sweden | 6’781.19 | 9’340.03 | 4’885.46 | 7’002.23 |
| 40 | Luxembourg | 6’759.39 | 9’123.54 | 4’890.91 | 6’924.61 |
| 41 | Philippines | 6’482.32 | 9’243.30 | 4’800.34 | 6’841.98 |
| 42 | Vietnam | 6’763.33 | 8’945.24 | 4’776.34 | 6’828.30 |
| 43 | Norway | 6’586.45 | 8’931.13 | 4’776.56 | 6’764.71 |
| 44 | Netherlands | 6’538.77 | 8’931.13 | 4’747.68 | 6’739.19 |
| 45 | India | 6’883.75 | 9’112.26 | 4’194.64 | 6’730.21 |
| 46 | Egypt | 6’533.99 | 8’656.30 | 4’595.24 | 6’595.18 |
| 47 | Kenya | 6’598.41 | 8’659.56 | 4’519.25 | 6’592.41 |
| 48 | Nigeria | 6’176.89 | 8’790.51 | 4’572.47 | 6’513.29 |
| 49 | Romania | 6’201.96 | 8’249.84 | 4’447.51 | 6’299.77 |
| 50 | Morocco | 5’925.16 | 8’429.55 | 4’399.65 | 6’251.45 |
Data as at August 2025
Personas
*Persona 1: 35 year old, male, British national
**Persona 2: 50 year old, female, American national
***Persona 3: 24 year old, female, Indian national
The SIP HCI reflects on the actuarial pricing of seven insurance companies, 50 countries, and three personas with their individual ranking. The individual and cross-persona comparison provides insight into private insurance premium and healthcare cost exposure across different demographics that can be particularly valuable to private individuals, families, and multinational companies when comparing international relocation, insurance, and treatment cost.
This index does not seek to compare insurance premiums and benefits between the referenced international health insurance companies and international health insurance plans. Insurance benefits and services differ between the plans quoted, explaining the differences in premiums for the same persona in the same country. Individual comparison for private individuals or corporate international health insurance should be sought, requiring additional personal information and personal insurance demands and needs to identify the best cover or optimize existing cover.
Persona 1 Ranking – 2025
Persona 2 Ranking – 2025
Persona 3 Ranking – 2025
The SIP HCI is a data-driven tool that compares the healthcare cost levels across a carefully curated selection of countries. Unlike traditional indexes that are based on national healthcare spending or public healthcare cost, this index is focused on the true cost expectation in private healthcare for globally mobile individuals and families.
The index benchmarks countries on the basis of the cost of international private medical insurance (IPMI). Being the health insurance class for executives, wealthy families, and global citizens, IPMI is provided by international insurance companies that operate globally, with insured individuals being domiciled across the world. This allows insurers to have useful comparable insights into what individuals pay for private healthcare across countries. The premiums of international private medical insurance policies are priced mainly on the expected healthcare cost in a specific country, but also taking into account that privately insured individuals may access medical care abroad due to the limitations of the quality of care, or the absence of relevant medical procedures and tests locally in their home country.
In the SIP HCI, for each country the cost of international private medical insurance for several personas is compared between selected insurance providers. The country