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Health Insurance Application Development: Major Features + Cost Of Development

In the US, healthcare and medication are major concerns due to the high costs of medical care. To manage these expenses, most people purchase health insurance to cover hospital bills in case of illness and hospitalization. To make this process simpler, many health insurance companies in the US have launched health insurance application solutions.

The health insurance application is a way to claim insurance as soon as possible with the utmost convenience. The major healthcare areas like pharmacies, medical institutes, hospitals, online billing, and telemedicine are taking a step forward with digital transformation. Similarly, health insurance companies also come to the forefront and deliver adequate experience with health insurance application solutions.

Building a health insurance application improves the healthcare system and allows people to get stress-free treatment without worrying about hefty bill amounts. The increasing demand for healthcare insurance apps in the US is surging due to major factors like the changing nature of healthcare and to meet the competitive market.

If you belong to an insurance company and want to be a standout in this cutting-edge era, then building custom app development for your insurance company will be a good step. Look no further for a trusted mobile app development company. In fact, at MMC Global, we deliver customized and industry-specific mobile app development solutions with a detailed application development life cycle, including exceptional UI UX design with flawless development and testing services. 

However, we have gathered some primary features that should be a must-have for health insurance applications. Let’s discuss the main features of the health insurance application that make it a successful app for your client. 

A Must-Have Health Insurance Application Features 

The market growth of health insurance is upsurging with 8.1% by 2024 and it is projected to reach higher in 2030. The digital shift in healthcare insurance is an instrumental approach to claim insurance for the US resident. To keep the pros of building a health insurance application in mind, we have to cater to all features that solve the maximum problems of the patient. 

User Listing 

With the help of user listing, it creates user profiles and maintains user personal information like name, policy details, emails, phone number, and other details that can help in claiming health insurance. This function contributes to creating a personalized experience and also helps you filter out individual user details.

Information Of Policies

Your health insurance application must play the role of an insurance policy guide that enables users to understand the in-depth details about claiming a policy. It may include the amount of coverage, policy maturity duration, deductibles, premiums, etc. Moreover, the information must be in different languages so that every local and foreigner can easily understand the basic policy information. 

Payment Administration

The insurance policy reimburses the amount that a person pays for treatment. By adding a payment administration feature, users can easily calculate amount deduction and tax. Moreover, it automates invoice generation and e-statement along with sharing and distribution. 

In-App Payment Gateways

Accepting online payment is one of the features that every user admires. There must be multiple payment gateways that allow users to pay their monthly or yearly insurance amount within the app. In fact, your app should accept different payment methods like visa cards, online transfers from different banks, or other financial services.

Core Features of A Health Insurance Application

User-Friendly Interface

Intuitive Navigation

An intuitive navigation system is the cornerstone of any good app. Users should be able to easily find what they’re looking for without unnecessary clicks or confusion. This includes clear menus, logical layout, and accessible design elements.

Personalized Dashboard

A customizable dashboard allows users to tailor the app to their specific needs. However,  important information like policy details, claim status, and upcoming premium due dates should be readily visible.

Accessible Design

Ensure your app is inclusive by incorporating features for users with disabilities. Options such as voice commands, large text settings, and high-contrast modes can make the app accessible to a broader audience.

Registration and Profile Management

Secure Registration

Offer a seamless and secure registration process with options to sign up via email, phone number, or social media accounts. Multi-factor authentication can enhance security.

Profile Customization

Allow users to easily update their personal information, add dependents, and manage their contact details. A well-maintained profile ensures smoother transactions as well as transparent communications.

Policy Management

Policy Overview

Users should have a comprehensive view of their current policies, including coverage details, premiums, and expiration dates. This transparency helps users stay informed and prepared.

Document Uploads

Enable secure uploading and storage of important documents such as policy documents and identification proofs. This feature saves users from the hassle of physical paperwork.

Renewal Reminders

Automated alerts and notifications for policy renewals and premium due dates help users stay on top of their insurance obligations.

Claims Management

Easy Claim Filing

Streamline the claim filing process with a user-friendly, step-by-step guide. Allow users to upload necessary documents directly through the app.

Claim Tracking

Provide real-time updates on the status of claims, with notifications at each stage. This transparency reduces user anxiety and builds trust.

Claim History

Maintain a comprehensive history of all claims made by the user. Easy access to past claims helps users keep track of their healthcare expenses and insurance usage.

Payment Integration

Multiple Payment Options

Support various payment methods including credit/debit cards, bank transfers, and digital wallets. Flexibility in payment options enhances user convenience.

Automatic Payments

Offer an option to set up automatic premium payments to avoid missed payments and lapses in coverage.

Payment History

Keep a detailed log of all transactions, including premium payments and reimbursements. Therefore, users should be able to view and download their payment history for record-keeping purposes.

Coverage and Benefits Information

Plan Comparison

Provide tools to compare different insurance plans based on coverage, premiums, and benefits. This feature helps users make informed decisions.

Coverage Details

Offer clear and detailed information about what is covered under each policy, including exclusions and limitations. Moreover, users should know exactly what they’re paying for.

Benefit Usage

Track benefits used, such as the number of doctor visits, lab tests, and other covered services. This feature helps users manage their health resources effectively.

Provider Directory

Searchable Directory

A comprehensive directory of network doctors, hospitals, clinics, and pharmacies based on location and specialty. This helps users find the right healthcare provider quickly.

Ratings and Reviews

Include user reviews and ratings for providers to help users make informed choices about their healthcare.

Appointment Booking

Enable direct booking of appointments with providers through the app. This convenience can save users a significant amount of time.


Virtual Consultations

Offer access to telehealth services for remote consultations with healthcare professionals. This feature is especially useful for users in remote areas or those unable to visit a doctor in person.

Prescription Management

Allow healthcare providers to send digital prescriptions directly to pharmacies. Users can then pick up their medications or have them delivered.

Health Monitoring

Integrate with wearable devices and health-tracking apps to monitor vital signs and health metrics. This continuous health monitoring can provide valuable data for both users and their healthcare providers.

Health and Wellness Programs

Wellness Tips

Provide personalized health tips, articles, and videos based on the user’s health profile. Keeping users informed and motivated can improve their overall well-being.

Fitness Tracking

Integrate with fitness apps to track physical activity and encourage a healthy lifestyle. Gamification elements like challenges and rewards can further motivate users.

Incentive Programs

Reward users for participating in wellness activities and achieving health goals. Incentives can include discounts on premiums or additional benefits.

Customer Support

24/7 Support

Offer round-the-clock customer service via chat, email, or phone. Quick and responsive support can significantly enhance user satisfaction.

FAQs and Help Center

A comprehensive knowledge base with answers to common questions can help users resolve issues independently.

Feedback Mechanism

Allow users to provide feedback and suggestions for app improvement. This can help in continually enhancing the app based on user needs.

Security Features

Data Encryption

Ensure all user data is encrypted and secure to protect against breaches and unauthorized access.

Two-Factor Authentication

Add an extra layer of security for user accounts with two-factor authentication.

Privacy Settings

Give users control over what information is shared and with whom. Transparent privacy settings build user trust.

Notifications and Alerts

Customizable Alerts

Allow users to set preferences for receiving notifications about policy updates, claim status, and health reminders.

Emergency Alerts

Provide immediate notifications in case of emergencies or urgent health advisories.

Integration with Other Services

Health Records

Integrate with electronic health records (EHR) for seamless access to medical history. In fact, EHR integration helps in providing comprehensive care with a unified platform.

Pharmacy Integration

Directly link to pharmacies for medication refills and delivery services, making the process hassle-free for users.

Laboratory Integration

Provide easy access to lab test results and the ability to book lab tests directly through the app.

Get to know more: Why the healthcare industry Needs ERP Software

Educational Resources

Health Articles

Access to a library of articles on health topics, conditions, and treatments can empower users with knowledge.

Webinars and Workshops

Inform users about upcoming health webinars and workshops to keep them engaged and informed.

A Ballpark Figure To Build Health Insurance Application

Building a health insurance application in the US can cost anywhere from $60,000 to $500,000 or even more.

Here’s a breakdown:

  • Minimum budget: Around $60,000 for a basic app on a single platform (Android or iOS).
  • Higher range: This can go up depending on features, complexity, and the number of platforms (Android and iOS).

Here are some factors that can affect the cost:

  • Features: Simple features like cost calculators or appointment booking will cost less than complex features like integrating with insurance providers or offering telehealth services.
  • Development team: Hiring in-house developers will be more expensive than outsourcing to a development agency. The location and experience of the developers will also impact cost.
  • Security: Health insurance data is sensitive, so robust security measures are essential. This can add to the cost.

It’s recommended to discuss your specific needs with a healthcare app development company to get a more accurate quote.

The Future of Health Insurance Applications

In conclusion, the development of health insurance applications is a crucial step forward in the healthcare industry, especially in a country like the US where medical expenses can be overwhelming. health insurance applications offer a streamlined and user-friendly way to manage policies, file claims, and handle payments, thereby reducing the stress and complexity often associated with health insurance.

Key Takeaways:

  1. User Experience: A health insurance application must prioritize an intuitive user interface and personalized experiences. Features like secure registration, policy management, and easy claim filing are essential to provide users with a seamless experience.
  2. Comprehensive Features: From policy overviews and payment integrations to telemedicine and wellness programs, a robust health insurance application should cover all aspects of healthcare management. This ensures that users have access to all necessary information and services at their fingertips.
  3. Security and Privacy: Given the sensitive nature of health insurance data, strong security measures like data encryption and two-factor authentication are non-negotiable. As a result, users must trust that their information is safe and their privacy is respected.
  4. Customer Support: Offering round-the-clock customer support and a comprehensive help center can greatly enhance user satisfaction. Users should feel supported and have access to assistance whenever they need it.
  5. Integration and Accessibility: The ability to integrate with other services such as electronic health records, pharmacies, and laboratories can make a health insurance application more versatile and user-friendly. Additionally, features that cater to users with disabilities ensure that the app is inclusive and accessible to all.
  6. Cost Considerations: The cost of developing a health insurance application can vary significantly based on the complexity of features and the development team’s location and expertise. It’s essential for companies to have a clear understanding of their requirements and budget before embarking on the development journey.

The Road Ahead:

The digital transformation in healthcare and health insurance is inevitable and necessary. As the demand for health insurance applications continues to rise, companies that invest in developing comprehensive, secure, and user-friendly apps will not only stand out in the competitive market but also provide significant value to their users.

By working with a trusted mobile app development company like MMC Global, you can ensure that your health insurance application meets industry standards and user expectations. Furthermore, MMC Global offers customized solutions that cater to the specific needs of your insurance company, ensuring a flawless development process from start to finish.

Final Thoughts:

Building a health insurance application is not just about keeping up with technological trends; it’s about improving the healthcare experience for millions of users. With the right features and a focus on user experience, a health insurance application can transform how people manage their health and insurance policies, making healthcare more accessible, manageable, as well as stress-free.

However, if you’re ready to take the next step in health insurance application development, consider partnering with a reliable development team to bring your vision to life. Embrace the digital shift and provide your users with the tools they need for a better healthcare experience.

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