Medical Insurance Price Prediction Using ML

The rising significance of health insurance in the aftermath of the COVID-19 pandemic has spurred numerous initiatives aimed at better understanding and managing medical insurance costs. This study presents a machine learning-based approach for predicting health insurance expenses using a dataset sourced from Kaggle. The primary objective is to develop a predictive system that assists individuals in making cost-effective insurance decisions and supports policymakers in identifying and regulating high-cost providers. Various regression algorithms were explored to capture the complex relationships between individual and regional health factors and insurance costs. Few models—Linear Regression, Ridge Regression, Support Vector Regression, Random Forest, XGBoost, Decision Tree and k-Nearest Neighbors—were evaluated for performance. Among these, Random Forest served as a baseline model for predictions. The results highlight the potential of machine learning to improve insurance pricing transparency, reduce unnecessary expenditure, and enhance the efficiency of insurance policy formulation. Early cost prediction empowers users with informed choices and contributes to a more equitable healthcare system.

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Publication Details

Journal
International Research Journal on Advanced Engineering and Management (IRJAEM)
Published
2025-05-26
DOI
https://doi.org/10.47392/irjaem.2025.0333
Primary Topic
Artificial Intelligence in Healthcare
Type
article
Field-Weighted Citation Impact
0.00
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article

Medical Insurance Price Prediction Using ML

M. Varsha, Suresh Perinpanayagam, Ela Kumar, K. Tanusha et al.
International Research Journal on Advanced Engineering and Management (IRJAEM)
Artificial Intelligence in Healthcare
article

Medical Insurance Price Prediction Using ML

M. Varsha, Suresh Perinpanayagam, Ela Kumar, K. Tanusha, K. Pavan Kalayan
article en

Abstract

The rising significance of health insurance in the aftermath of the COVID-19 pandemic has spurred numerous initiatives aimed at better understanding and managing medical insurance costs. This study presents a machine learning-based approach for predicting health insurance expenses using a dataset sourced from Kaggle. The primary objective is to develop a predictive system that assists individuals in making cost-effective insurance decisions and supports policymakers in identifying and regulating high-cost providers. Various regression algorithms were explored to capture the complex relationships between individual and regional health factors and insurance costs. Few models—Linear Regression, Ridge Regression, Support Vector Regression, Random Forest, XGBoost, Decision Tree and k-Nearest Neighbors—were evaluated for performance. Among these, Random Forest served as a baseline model for predictions. The results highlight the potential of machine learning to improve insurance pricing transparency, reduce unnecessary expenditure, and enhance the efficiency of insurance policy formulation. Early cost prediction empowers users with informed choices and contributes to a more equitable healthcare system.

International Research Journal on Advanced Engineering and Management (IRJAEM)Vol. 3(05)
P.V. Narsimha Rao Telangana Veterinary University (IN), CR Rao Advanced Institute of Mathematics, Statistics and Computer Science (IN)
Openalex Percentile: Top 86%
Artificial Intelligence in Healthcare
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