Health insurance premiums in Ireland have been rising steadily over the last number of years — and for many individuals and families, it’s becoming an increasingly difficult bill to justify. Whether you’re already paying over €2,000 a year for cover or you’re debating whether to renew, you’re not alone in wondering: why is health insurance so expensive — and what can be done about it?

We’ve broken down the key reasons behind the rising costs, why fewer people in the system can actually push prices up, and what practical steps you can take right now to reduce your premium without losing essential cover.

We hope to help our users find the lowest cost health insurance on the market in Ireland. 

What’s Driving the Rising Cost of Health Insurance in Ireland?

1. Healthcare Inflation

One of the biggest contributors to rising premiums is the simple fact that the cost of healthcare itself is going up. Advances in medical technology, new drug treatments, and increased hospital overheads all come at a price — and insurers are passing those costs on to consumers.

According to the Health Insurance Authority (HIA), premiums have risen across most plans in 2024 and 2025, with many providers citing inflation and increased demand for private care post-COVID.

2. An Ageing Population

Ireland’s population is ageing, and older adults tend to claim more often and require more complex care. Since private health insurance operates as a community-rated system — where everyone pays similar prices regardless of health status — the costs associated with older members are shared across the pool, increasing premiums for everyone.

3. Drop-Off in Younger Members

Younger and healthier people are increasingly opting out of private health insurance, either because they can’t afford it or they don’t see the value. But when these lower-risk individuals leave the pool, the cost is again spread among fewer — and typically higher-risk — members. This imbalance leads to higher premiums for those who remain.

“It’s a bit of a vicious cycle,” says insurance analyst Sarah Kavanagh. “Fewer young people signing up means insurers have to charge more to cover costs, which makes it even less attractive for young people to join.”

4. Lack of Plan Awareness

Many policyholders stick with the same plan year after year, assuming all policies are largely the same or that switching is too much hassle. In reality, hundreds of plans are on the market — and staying loyal to the same provider can mean you’re overpaying by hundreds of euro a year.

Why a Drop in Membership Can Lead to Higher Prices

Health insurance works best when there’s a wide mix of age groups and health profiles in the system. Young, healthy individuals typically make fewer claims, and their premiums help offset the cost of those who need more frequent medical attention.

When these low-claim members drop out, the insurer has a higher concentration of members who are more likely to make claims — leading to increased costs, which are then reflected in higher premiums.

It’s similar to car insurance: if only high-risk drivers were insured, the system would collapse under the weight of claims. The same principle applies here.

How You Can Reduce Your Health Insurance Premium

The good news is there are practical steps you can take to reduce your health insurance premium without compromising on essential benefits.

1. Don’t Auto-Renew – Shop Around Instead

This might be the single biggest thing you can do to save money.

Every year, thousands of Irish policyholders allow their health insurance to automatically renew, often at a higher rate than the year before. But many don’t realise that there are over 300 plans available in Ireland, and the one you signed up for five years ago may no longer be the best value.

That’s where Compare Insurance can help.

Compare Insurance compares all the health insurance policies available in Ireland to find you the plan that best suits your needs , at the lowest possible price.
Whether you want the most affordable hospital cover, mental health services, or maternity benefits, Compare Insurance will show you your options clearly and simply.

2. Review Your Cover Level

Do you really need private room cover in every hospital in Ireland? Or cover for high-end day-to-day expenses you rarely claim?

Sometimes, downgrading your plan slightly — for example, choosing semi-private over private accommodation, or removing benefits you don’t use — can slash hundreds off your annual premium without making a major difference in real-world value.

3. Consider a Higher Excess

Most insurers offer policies with voluntary excess options. Agreeing to pay a higher excess (the amount you pay out-of-pocket when claiming) can reduce your annual premium significantly. If you’re healthy and unlikely to claim, this can be a smart way to cut costs.

4. Use a Corporate Plan

Many insurers offer “corporate” or “group” plans that are also available to individuals — even if you’re not part of a company. These plans often offer better value, more benefits, and broader hospital networks. Again, a broker or comparison service like Compare Insurance can help you identify these hidden gems.

5. Take Advantage of Tax Relief

Don’t forget, you can claim tax relief at 20% on the cost of your health insurance premium (up to a certain limit). This is usually applied at source, but it’s worth checking your payslip or renewal documents to ensure you’re getting the benefit.

Final Thoughts

Health insurance in Ireland isn’t cheap, but overpaying for it is unnecessary.

As the cost of living continues to rise, now more than ever it’s important to take control of your insurance decisions. Reviewing your policy annually, shopping around for better value, and tailoring your cover to your actual needs can make a significant difference to your premium.

And remember: Compare Insurance takes the hassle out of the process by comparing every available health insurance plan in Ireland, helping you find the one that fits your lifestyle and your budget.

Disclaimer: The information provided in this article is for general informational purposes only and should not be construed as financial, tax, or insurance advice. Readers are encouraged to consult with an insurance professional or broker to evaluate their specific needs and explore the best health insurance options for their circumstances.