Health · Healthcare & Policy · 4 hrs ago
Doctors’ fees take a larger share of Mexico’s health insurance costs
The Mexican Association of Insurance Institutions, known as AMIS, says doctors’ fees are taking a larger share of health insurance costs in Mexico.
In 2025, hospital expenses and doctors’ fees together accounted for 89% of the cost of individual policies, up from 81% in 2023.
Doctors’ fees rose from 20% to 37% of the bill over those two years, while hospital costs fell from 61% to 53%.
AMIS says insurers spend 99.50 pesos of every 100 pesos they receive on claims and operating costs, leaving 50 centavos in operating profit.
The figures matter because rising medical costs make health insurance more expensive to provide.
AMIS says it cannot explain why about one million people reportedly cancelled policies in a year, because insurers share relevant information annually.
Mexican insurers spent 89% of individual medical insurance policy costs on hospital expenses and doctors’ fees in 2025.
Doctors’ fees rose from 20% of policy costs in 2023 to 37% in 2025.
Hospitalization costs fell from 61% to 53% over the same period.
The Mexican Association of Insurance Institutions said 99.50 pesos of every 100 pesos in medical insurance revenue went to claims and operating costs.
AMIS said insurers’ operating profit was 50 centavos per 100 pesos.
- Who
- The Mexican Association of Insurance Institutions (AMIS) reported the figures.
- What
- Doctors’ fees took a larger share of individual medical insurance policy costs in Mexico, while hospital costs took a smaller share.
- When
- The figures compare 2023 and 2025; AMIS presented them on October 14, 2026.
- Where
- Mexico.
- Why
- AMIS said the rise in overall hospital-related spending was driven by growth in doctors’ fees.
This story does not have two clearly opposing sides.
Insurers spent 20% of individual policy costs on doctors’ fees and 61% on hospitalization.
The shares were 37% for doctors’ fees and 53% for hospitalization, while hospital expenses and doctors’ fees together accounted for 89% of policy costs.
Cancers and tumors were the conditions insurers paid the most for, at 5,576 million pesos.
AMIS presented its figures on how insurers’ medical policy costs were distributed.
- Combined hospital expenses and doctors’ fees
- 89% of individual policy costs in 2025
- Doctors’ fees
- 20% of policy costs in 2023; 37% in 2025
- Hospitalization
- 61% of policy costs in 2023; 53% in 2025
- Claims and operating costs
- 99.50 pesos per 100 pesos of medical insurance revenue
- Operating profit
- 50 centavos per 100 pesos
- Cancers and tumors
- 5,576 million pesos paid through the first quarter of 2026
What people are saying
That is why it is very important for us to keep working to make insurance costs more efficient, and we see that costs have several components, such as claims payments and operating, administrative and acquisition expenses.