Understanding Premium Pricing Models
Last updated: 9 October 2025
TL;DR
This guide summarizes the key points about understanding premium pricing models. Use the table of contents to jump to a section.
Table of Contents
Premium Calculation Factors
Insurance companies determine premiums based on age, city, plan tier and number of dependents. In our Health Premium Calculator, a base of 100 TL is adjusted by age (1 + 1.5% for each year over 30), city factors (Istanbul +12%, Ankara +8%, Izmir +6%), tier factors (Premium +18%, Elite +35%) and dependents (+25% per person). Understanding these inputs helps you predict your costs.
Sample Premium Table
| Age | City | Tier | Dependents | Estimated Premium (TL) |
|---|---|---|---|---|
| 35 | Istanbul | Standard | 0 | 100 × 1.075 × 1.12 = 120 TL |
| 45 | Ankara | Premium | 1 | 100 × 1.225 × 1.08 × 1.18 × 1.25 ≈ 196 TL |
| 55 | Izmir | Elite | 2 | 100 × 1.375 × 1.06 × 1.35 × 1.50 ≈ 294 TL |
Tips
Use our calculator to experiment with different scenarios. Consider moving to a lower‑cost city or selecting a lower tier to reduce premiums. Maintain a healthy lifestyle to qualify for discounts when available.
Frequently Asked Questions
Who regulates health insurance in Turkey?
The Social Security Institution (SGK) oversees compulsory health insurance for residents【709035627920171†L116-L132】. Private insurers offer supplemental plans.
What is the waiting period for maternity coverage?
Many insurers require that maternity coverage be part of a broader health plan and may impose a waiting period; one provider notes a 5‑month wait before pregnancy for full cover【125686836929988†L114-L188】.
Do I need travel insurance for a Schengen visa?
Yes. You must provide travel health insurance with at least €30,000 in medical coverage for Schengen visa applications【856552496298626†L119-L160】.
Are earthquakes covered by property insurance?
Compulsory Earthquake Insurance (DASK) protects structural elements of your home against earthquake damage【389714370070008†L38-L68】. Movable property and loss of rent are excluded【389714370070008†L69-L80】.
Sources
- Premium calculation model defined by InsuranceTR tools