Sjúkratryggingar

What Sjúkratryggingar does

Sjúkratryggingar (Icelandic Health Insurance) is the statutory public health insurance agency of Iceland, operating under the country's Ministry of Health. It administers universal health insurance coverage, reimbursements, sickness benefits, and cross-border health coverage for all Icelandic residents. The agency is a government state entity headquartered at Vínlandsleið 16, 113 Reykjavík (company registration number kt. 480408-0550), with in-person service available Monday–Thursday 10:00–15:00, and it is funded through social security contributions and government allocations rather than commercial pricing.

Its service portfolio spans healthcare and medical cost coverage, prescription medication reimbursement (with maximum co-payment limits), dental care and orthodontics, hearing aids and assistive devices, psychological services, physiotherapy/occupational therapy/speech therapy, nutritional supplements and special foods, sick pay (sjúkradagpeningar) for those unable to work due to illness or accident, accident compensation (slysabætur), and the European Health Insurance Card for cross-border coverage in EEA countries. Services are organized by benefit category rather than as a unified software product, reflecting its role as a social insurance agency rather than a technology company.

Sjúkratryggingar distributes services through both physical office locations and a digital infrastructure centered on the island.is government portal, including dedicated data portals for individuals (umsokn-gagnaskil.sjukra.is) and healthcare professionals (gg.sjukra.is) for claims and submissions. The core technology is a digital government services platform integrated with island.is. Operating segments include universal residents, individual citizens (Einstaklingar), and healthcare professionals (Fagaðilar). No AI/ML, proprietary IP, M&A activity, partnerships, or competitive positioning beyond its statutory mandate is disclosed.

Name

Sjúkratryggingar

Legal name

Sjúkratryggingar

Website

https://sjukra.is

Company type

Public

Operating status

Operating

Short description

Sjúkratryggingar (Icelandic Health Insurance) is Iceland's statutory government health insurance agency, administering universal public health insurance, reimbursements, sickness benefits, and cross-border coverage for all Icelandic residents under the Ministry of Health.

Ownership category

akta.pro rank

Product category

Public Health Insurance

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411), Health and Welfare Funds (525120)

SIC

Accident & Health Insurance (6321)

akta.pro industry

PRIMARYFSAIAEAK

Individual Health Insurance Administration (TPA/ASO)

Financial & Insurance/Insurance — Life & Health/Individual Health Insurance

Keywords

• Public health insurance
• Medical cost coverage
• Healthcare reimbursement
• Sick pay benefits
• Prescription drug coverage

Headquarters

HQ city

Reykjavík

HQ country

Iceland

HQ region

Europe

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D

Distribution channels2 records

Marketing channels2 records

Core offering

Sjúkratryggingar (Icelandic Health Insurance) administers Iceland's statutory national health insurance scheme, providing universal coverage for medical expenses, prescription medications with maximum co-payment limits, dental care and orthodontics, hearing aids and assistive devices, physiotherapy/occupational/speech therapy, psychological services, nutritional supplements, sick pay for those unable to work due to illness, and accident compensation. It also issues the European Health Insurance Card for cross-border coverage and operates digital service portals for both insured individuals and healthcare professionals.

Product overview

Sjúkratryggingar (Icelandic Health Insurance) is Iceland's national health insurance authority operating under the Ministry of Health. The organization provides a comprehensive portfolio of health insurance services through both direct service delivery and the island.is digital platform. Core offerings include medical cost coverage, medication reimbursement, the European Health Insurance Card for cross-border healthcare, sick pay compensation, dental and orthodontic coverage, hearing aids and assistive devices, psychological services, and rehabilitation therapies (physiotherapy, occupational therapy, speech therapy). The organization maintains digital service portals for both individuals (Gagnaskil) and healthcare professionals (Gagnagátt fagaðila) for data management and claims processing. Services are organized by benefit category rather than as a unified software platform, reflecting its role as a government social insurance agency rather than a technology product company.

Differentiator

Problem solved

Functional benefit

Products and services

• European Health Insurance Card Provides coverage for necessary healthcare services for Icelandic travelers within European countries under the European Health Insurance scheme, enabling cross-border access to medically necessary treatment.
• Healthcare and Medical Cost Coverage Coverage and reimbursement for general healthcare services and medical expenses incurred by insured individuals under Iceland's national health insurance scheme.
• Dental Care and Orthodontics Coverage for dental treatments, orthodontics, and dental injuries from accidents, including cost information and reimbursement procedures for insured individuals.
• Hearing Aids and Assistive Devices Partial coverage for the purchase of hearing aids and other assistive devices for eligible individuals under Iceland's national health insurance scheme.
• Psychology Services Coverage conditions for psychological services including eligibility requirements and participation costs for insured individuals seeking mental health treatment.
• Sick Pay (Sjúkradagpeningar) Financial compensation paid to individuals who are completely unable to work due to their own illness or injury, providing income replacement during periods of incapacity.
• Physiotherapy, Occupational Therapy, and Speech Therapy Coverage participation for physiotherapy, occupational therapy, and speech therapy services for insured individuals requiring rehabilitative treatment.
• Medication Cost Coverage (Lyfjakostnaður) Coverage for prescription medications with information on maximum participation limits and reimbursement systems for insured individuals.
• Nutrition and Special Food Coverage Coverage for nutritional supplements and special food products for individuals with specific medical conditions requiring dietary support.
• Health Insurance Between Countries (Sjúkratryggingar milli landa) Application for health insurance coverage and information about insurance status in Iceland and abroad for individuals, supporting cross-border coordination of coverage.
• Accident Compensation (Slysabætur) Compensation for injuries resulting from accidents, covering medical expenses and other related costs for insured individuals.
• Healthcare Registration Service Registration with primary healthcare services and ability to change healthcare provider, enabling insured individuals to formally establish their relationship with a primary care practice.
• Data Portal for Individuals (Gagnaskil einstaklinga) Online portal for individuals to access and manage their health insurance data and submissions with the Icelandic Health Insurance agency.
• Professional Data Portal (Gagnagátt fagaðila) Online portal for healthcare professionals to access patient insurance data and submit reimbursement claims to the Icelandic Health Insurance agency.

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Recent moves4 records

Expansion highlights4 records

Broad incumbents

• Centers for Medicare & Medicaid Services (CMS): CMS administers the US Medicare and Medicaid programs — the largest public health insurance administrators globally. Comparable role in claims processing, provider reimbursement, and benefit policy, though serving a multi-program federal structure rather than a single-payer scheme.
• AOK (Germany): AOK is the largest statutory health insurer in Germany, providing universal statutory coverage, sick pay, and dental/medical reimbursements. Comparable in statutory-coverage mandate and benefit breadth though organized as a not-for-profit carrier rather than a single state agency.
• CNAM (Caisse Nationale d'Assurance Maladie, France): CNAM manages France's universal health insurance scheme covering ~67M beneficiaries with reimbursements, sick pay, and EHIC-equivalent coordination. Same statutory universal-coverage role, at much larger scale, providing a benchmark for administrative efficiency and digital services.

Regional players

• Kela (Social Insurance Institution of Finland): Kela administers statutory Finnish social security including sickness allowances, medical reimbursements, and cross-border EHIC services. Direct functional analogue with comparable Nordic population scale and benefit portfolio.
• Försäkringskassan (Swedish Social Insurance Agency): Swedish statutory agency administering social and health insurance including sickness benefits and cross-border coverage. Comparable in operating model and Nordic context, though broader in scope (covers parental, dental, and disability benefits beyond health insurance).

Direct peers

• HELFO (Norwegian Health Economics Administration): HELFO administers Norway's National Insurance Scheme health benefits, including reimbursements to providers, EHIC coordination, and sick-pay processing. It is a near-identical Nordic peer to Sjúkratryggingar, sharing model, scale of population (~5.5M), and benefit categories.
• NHS England: NHS England commissions and administers publicly funded universal healthcare for UK residents. It is the closest direct peer to Sjúkratryggingar: both are statutory, government-controlled administrators of universal health coverage with analogous functions in claims reimbursement, primary care registration, and cross-border coverage coordination.

Others

• Medibank (Australia): Australian private health insurer operating alongside the public Medicare scheme. Comparable in offering dental, physiotherapy, and mental health cover, but operates commercially rather than as a statutory monopoly, providing contrast in administrative model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/sjukra.is
• LinkedInlinkedin.com/company/sjukra

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Sjúkratryggingar