Medical Insurance Price Prediction Using ML

Authors

  • K. Tanusha UG-Computer Science and Engineering (AIML), Sphoorthy Engineering College, Hyderabad, Telangana, India. Author
  • M. Varsha UG-Computer Science and Engineering (AIML), Sphoorthy Engineering College, Hyderabad, Telangana, India. Author
  • E. Naveen Kumar UG-Computer Science and Engineering (AIML), Sphoorthy Engineering College, Hyderabad, Telangana, India. Author
  • K. Pavan Kalayan UG-Computer Science and Engineering (AIML), Sphoorthy Engineering College, Hyderabad, Telangana, India. Author
  • P.M. Suresh Assistant Professor, Computer Science and Engineering (AIML), Sphoorthy Engineering College, Hyderabad, Telangana, India. Author

DOI:

https://doi.org/10.47392/IRJAEM.2025.0333

Keywords:

Health Insurance, Machine Learning, Medical Costs Prediction, Regression Models, Random Forest, Insurance Pricing, COVID-19, Predictive Modeling, Policy Optimization, Healthcare Expenditure, Supervised Learning, Insurance Dataset, Cost Estimation, Algorithm Comparison, Insurance Policy Design

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.

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Published

2025-05-26