Abraham, a construction worker in Ghana, had never held an insurance policy in his life. When a sudden illness landed him in hospital, he faced the difficult choice of missing work and losing income, or delaying treatment and risking his health.
What changed everything was a smartphone. When Abraham purchased his device through M-KOPA Ghana’s “More than a Phone” instalment plan in January 2025, he didn’t know it came bundled with hospital cash cover from Turaco. Months later, when sickness struck, the policy paid out, covering his hospital bills and providing daily cash to manage expenses during his recovery.
“I didn’t have an income during the days I was sick in the hospital. Because they covered my hospital bills, I had cash to take care of my daily expenses,” Abraham said, as detailed in M-KOPA Ghana’s latest impact report, released Wednesday.
Abraham is one of 556,000 Ghanaians who have accessed credit through M-KOPA since 2021, and part of a quiet revolution in how insurance reaches Africa’s low-income earners, according to the report, which found that 67% of insured customers accessed health coverage for the first time through M-KOPA’s partnership with Turaco.
For decades, selling insurance to Africa’s informal sector was considered a tough gig. Premiums were too high, distribution was too fragmented, and trust was virtually non-existent. Across the continent, insurance penetration remains at just 2.7% of GDP, which is less than half the global average of approximately 7%. In Ghana, where mobile technology now contributes GHC 94 B (~USD 8 B) to the economy, roughly 8% of GDP, millions remain locked out of formal protection.
M-KOPA is cracking the code by making insurance incidental. Individuals buy a smartphone on credit with the coverage baked in, eliminating the hurdle of shopping for a policy.
The January 2025 launch of “More than a Phone”, which bundles health insurance, affordable data, and device protection directly into every smartphone instalment, drove a fourfold surge in sales and expanded operations across all 16 regions of Ghana.
For many users, the services attached to the device now matter more than the device itself. Forty-four percent of customers accessed a formal product or service for the first time through M-KOPA, and 36% said their financed smartphone was the first phone they had ever owned.
“M-KOPA Ghana works to dismantle barriers to formal financial services, and this report shows what’s possible when Every Day Earners get access,” said Chioma D. Agogo, General Manager, M-KOPA Ghana.
“From first-time smartphone ownership to first-time health insurance, we’re proving that bundling meaningful services with connectivity changes what people can achieve.”
Forty-three percent of female customers said they chose an M-KOPA phone specifically for the health insurance, and 67% of insured customers now feel more confident handling health expenses, according to the report.
Before M-KOPA, 40% of insured customers relied on harmful coping mechanisms – borrowing money, selling assets, cutting back on food, or delaying treatment – to manage medical costs. Today, that vulnerability is being systematically dismantled, one smartphone at a time.
The model is now being replicated and scaled. Across M-KOPA’s five markets, the fintech is nearing 10 million customers and onboarding over 10,000 new users daily, according to a May 12 company announcement. Revenue grew more than 65% in 2024, with growth remaining profitable into 2025 and 2026.
