TABLE OF CONTENTS
1 INTRODUCTION 36
1.1 OBJECTIVES OF THE STUDY 36
1.2 MARKET DEFINITION 36
1.3 OVERVIEW OF GLOBAL HEALTH INSURANCE MARKET 36
1.4 LIMITATIONS 38
1.5 MARKETS COVERED 38
2 MARKET SEGMENTATION 41
2.1 MARKETS COVERED 41
2.2 GEOGRAPHICAL SCOPE 42
2.3 YEARS CONSIDERED FOR THE STUDY 43
2.4 CURRENCY AND PRICING 43
2.5 DBMR TRIPOD DATA VALIDATION MODEL 44
2.6 MULTIVARIATE MODELLING 47
2.7 PRODUCTS LIFELINE CURVE 47
2.8 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS 48
2.9 DBMR MARKET POSITION GRID 49
2.10 VENDOR SHARE ANALYSIS 50
2.11 SECONDARY SOURCES 51
2.12 ASSUMPTIONS 51
3 EXECUTIVE SUMMARY 52
4 PREMIUM INSIGHTS 56
5 MARKET OVERVIEW 59
5.1 DRIVERS 61
5.1.1 INCREASING COST FOR MEDICAL SERVICES 61
5.1.2 GROWING NUMBER OF DAY CARE PROCEDURES 62
5.1.3 MANDATORY PROVISION OF HEALTHCARE INSURANCE IN PUBLIC AND PRIVATE SECTORS 64
5.2 RESTRAINTS 65
5.2.1 HIGH COST OF PREMIUMS 65
5.2.2 STRICT DOCUMENTATION PROCESS FOR CLAIM REIMBURSEMENT 66
5.3 OPPORTUNITIES 67
5.3.1 ADVANTAGES AND FEATURES OF HEALTH INSURANCE POLICIES WILL INCREASE THE ADOPTION 67
5.3.2 INCREASING HEALTHCARE EXPENDITURE 68
5.4 CHALLENGE 68
5.4.1 LACK OF AWARENESS REGARDING THE BENEFITS OF HEALTH INSURANCE 68
6 GLOBAL HEALTH INSURANCE MARKET, BY TYPE 70
6.1 OVERVIEW 71
6.2 PRODUCT 74
6.2.1 MEDICLAIM INSURANCE 74
6.2.2 INDIVIDUAL COVERAGE INSURANCE 74
6.2.3 FAMILY FLOATER COVERAGE INSURANCE 75
6.2.4 HOSPITALIZATION INSURANCE 75
6.2.5 SENIOR CITIZEN COVERAGE INSURANCE 75
6.2.6 CRITICAL ILLNESS INSURANCE 75
6.2.7 UNIT LINKED HEALTH PLANS 75
6.2.8 PERMANENT HEALTH INSURANCE 75
6.3 SOLUTIONS 76
6.3.1 LEAD GENERATION SOLUTIONS 76
6.3.2 REVENUE MANAGEMENT AND BILLING SOLUTIONS 76
6.3.3 ROBOTIC PROCESS AUTOMATION 77
6.3.4 INSURANCE CLOUD SOLUTIONS 77
6.3.5 CLAIMS ADMINISTRATION CLOUD SOLUTIONS 77
6.3.6 VALUE-BASED PAYMENTS SOLUTIONS 77
6.3.7 ARTIFICIAL INTELLIGENCE & BLOCKCHAIN SOLUTIONS 77
6.3.8 INTELLIGENT CASE MANAGEMENT SOLUTIONS 77
6.3.9 OTHERS 77
7 GLOBAL HEALTH INSURANCE MARKET, BY SERVICES 78
7.1 OVERVIEW 79
7.2 INPATIENT TREATMENT 81
7.3 OUTPATIENT TREATMENT 82
7.4 MEDICAL ASSISTANCE 82
7.5 OTHERS 83
8 GLOBAL HEALTH INSURANCE MARKET, BY LEVEL OF COVERAGE 84
8.1 OVERVIEW 85
8.2 BRONZE 88
8.3 SILVER 88
8.4 GOLD 89
8.5 PLATINUM 89
?
9 GLOBAL HEALTH INSURANCE MARKET, BY SERVICE PROVIDERS 90
9.1 OVERVIEW 91
9.2 PUBLIC HEALTH INSURANCE PROVIDERS 94
9.3 PRIVATE HEALTH INSURANCE PROVIDERS 94
10 GLOBAL HEALTH INSURANCE MARKET, BY HEALTH INSURANCE PLANS 95
10.1 OVERVIEW 96
10.2 POINT OF SERVICE (POS) 99
10.3 EXCLUSIVE PROVIDER ORGANIZATION (EPOS) 99
10.4 INDEMNITY HEALTH INSURANCE 100
10.5 HEALTH SAVINGS ACCOUNT (HSA) 100
10.6 QUALIFIED SMALL EMPLOYER HEALTH REIMBURSEMENT ARRANGEMENTS (QSEHRAS) 101
10.7 PREFERRED PROVIDER ORGANIZATION (PPO) 101
10.8 HEALTH MAINTENANCE ORGANIZATION (HMO) 102
10.9 OTHERS 102
11 GLOBAL HEALTH INSURANCE MARKET, BY DEMOGRAPHICS 103
11.1 OVERVIEW 104
11.2 ADULTS 107
11.3 MINORS 107
11.4 SENIOR CITIZENS 108
12 GLOBAL HEALTH INSURANCE MARKET, BY COVERAGE TYPE 109
12.1 OVERVIEW 110
12.2 LIFETIME COVERAGE 113
12.3 TERM COVERAGE 113
13 GLOBAL HEALTH INSURANCE MARKET, BY END USER 114
13.1 OVERVIEW 115
13.2 CORPORATES 118
13.3 INDIVIDUALS 118
13.4 OTHERS 119
14 GLOBAL HEALTH INSURANCE MARKET, BY DISTRIBUTION CHANNEL 120
14.1 OVERVIEW 121
14.2 DIRECT SALES 124
14.3 FINANCIAL INSTITUTIONS 124
14.4 E-COMMERCE 125
14.5 HOSPITALS 125
14.6 CLINICS 126
14.7 OTHERS 126
15 GLOBAL HEALTH INSURANCE MARKET, BY GEOGRAPHY 127
15.1 OVERVIEW 128
15.2 NORTH AMERICA 133
15.2.1 U.S. 140
15.2.2 CANADA 144
15.2.3 MEXICO 148
15.3 EUROPE 152
15.3.1 GERMANY 160
15.3.2 U.K. 164
15.3.3 FRANCE 168
15.3.4 NETHERLANDS 172
15.3.5 ITALY 176
15.3.6 SPAIN 180
15.3.7 SWITZERLAND 184
15.3.8 BELGIUM 188
15.3.9 RUSSIA 192
15.3.10 TURKEY 196
15.3.11 REST OF EUROPE 200
15.4 ASIA-PACIFIC 201
15.4.1 CHINA 209
15.4.2 JAPAN 213
15.4.3 SOUTH KOREA 217
15.4.4 AUSTRALIA 221
15.4.5 INDIA 225
15.4.6 THAILAND 229
15.4.7 SINGAPORE 233
15.4.8 MALAYSIA 237
15.4.9 INDONESIA 241
15.4.10 PHILIPPINES 245
15.4.11 REST OF ASIA-PACIFIC 249
15.5 SOUTH AMERICA 250
15.5.1 BRAZIL 257
15.5.2 ARGENTINA 261
15.5.3 REST OF SOUTH AMERICA 265
15.6 MIDDLE EAST AND AFRICA 266
15.6.1 UAE 273
15.6.2 SOUTH AFRICA 277
15.6.3 SAUDI ARABIA 281
15.6.4 KUWAIT 285
15.6.5 REST OF MIDDLE EAST AND AFRICA 289
16 GLOBAL HEALTH INSURANCE MARKET, COMPANY LANDSCAPE 290
16.1 COMPANY SHARE ANALYSIS: GLOBAL 290
16.2 COMPANY SHARE ANALYSIS: NORTH AMERICA 291
16.3 COMPANY SHARE ANALYSIS: EUROPE 292
16.4 COMPANY SHARE ANALYSIS: ASIA-PACIFIC 293
17 COMPANY PROFILE 299
17.1 UNITEDHEALTH GROUP 299
17.1.1 COMPANY SNAPSHOT 299
17.1.2 REVENUE ANALYSIS 299
17.1.3 COMPANY SHARE ANYALYSIS 300
17.1.4 PRODUCT PORTFOLIO 300
17.1.5 RECENT DEVELOPMENTS 301
17.2 ANTHEM INSURANCE COMPANIES, INC. (A SUBSIDIARY OF ANTHEM, INC.) 302
17.2.1 COMPANY SNAPSHOT 302
17.2.2 REVENUE ANALYSIS 302
17.2.3 COMPANY SHARE ANYALYSIS 303
17.2.4 PRODUCT PORTFOLIO 303
17.2.5 RECENT DEVELOPMENT 304
17.3 AETNA INC. (A SUBSIDIARY OF CVS HEALTH) 305
17.3.1 COMPANY SNAPSHOT 305
17.3.2 REVENUE ANALYSIS 305
17.3.3 GEOGRAPHICAL PRESENCE 306
17.3.4 COMPANY SHARE ANYALYSIS 306
17.3.5 PRODUCT PORTFOLIO 307
17.3.6 COUNTRIES WHERE THE COMPANY COVERS INDIVIDUALS INTERNATIONAL HEALTH INSURANCE 307
17.3.7 AETNA INSURANCE FEATURES 307
17.3.8 DESCRIPTION OF INTERNATIONAL HEALTH INSURANCE PLAN 308
17.3.8.1 AETNA PIONEER PLAN BENEFITS-AT-A-GLANCE 308
17.3.8.2 PLAN HIGHLIGHTS MOBILE HEALTH CARE 309
17.3.9 RECENT DEVELOPMENTS 310
17.4 CENTENE CORPORATION 311
17.4.1 COMPANY SNAPSHOT 311
17.4.2 REVENUE ANALYSIS 311
17.4.3 GEOGRAPHICAL PRESENCE 312
17.4.4 PRODUCT PORTFOLIO 312
17.4.5 RECENT DEVELOPMENTS 312
17.5 CIGNA 314
17.5.1 COMPANY SNAPSHOT 314
17.5.2 REVENUE ANALYSIS 314
17.5.3 GEOGRAPHICAL PRESENCE 315
17.5.4 PRODUCT PORTFOLIO 315
17.5.5 PLANS AND SERVICES 316
17.5.6 COUNTRIES WHERE THE COMPANY COVERS BUSINESS AND PERSONAL INSURANCE 316
17.5.7 RECENT DEVELOPMENTS 317
17.6 ALLIANZ CARE (A SUBSIDIARY OF ALLIANZ) 318
17.6.1 COMPANY SNAPSHOT 318
17.6.2 REVENUE ANALYSIS 318
17.6.3 GEOGRAPHICAL PRESENCE 319
17.6.4 PRODUCT PORTFOLIO 319
17.6.5 RECENT DEVELOPMENTS 320
17.7 AXA 321
17.7.1 COMPANY SNAPSHOT 321
17.7.2 REVENUE ANALYSIS 322
17.7.3 GEOGRAPHICAL PRESENCE 323
17.7.4 PRODUCT PORTFOLIO 323
17.7.5 COUNTRIES WHERE THE COMPANY COVERS HEALTH INSURANCE 324
17.7.6 DETAIL COVERAGE OF INSURANCE PLAN 324
17.7.6.1 INTERNATIONAL HEALTH PLAN DETAILS 324
17.7.6.2 SHORT-TERM INTERNATIONAL HEALTH INSURANCE 325
17.7.7 RECENT DEVELOPMENT 326
17.8 ASSICURAZIONI GENERALI S.P.A. 327
17.8.1 COMPANY SNAPSHOT 327
17.8.2 REVENUE ANALYSIS 328
17.8.3 GEOGRAPHICAL PRESENCE 329
17.8.4 PRODUCT PORTFOLIO 329
17.8.5 RECENT DEVELOPMENTS 330
17.9 BUPA 331
17.9.1 COMPANY SNAPSHOT 331
17.9.2 REVENUE ANALYSIS 332
17.9.3 GEOGRAPHICAL PRESENCE 333
17.9.4 PRODUCT AND SERVICE PORTFOLIO 333
17.9.5 OPERATING SEGMENTS IN BRIEF 334
17.9.6 COUNTRIES WHERE THE COMPANY COVERS 335
17.9.7 RECENT DEVELOPMENTS 335
?
17.10 AIA GROUP LIMITED 336
17.10.1 COMPANY SNAPSHOT 336
17.10.2 REVENUE ANALYSIS 337
17.10.3 GEOGRAPHICAL PRESENCE 338
17.10.4 SOLUTION PORTFOLIO 338
17.10.5 RECENT DEVELOPMENTS 339
17.11 AVIVA 340
17.11.1 COMPANY SNAPSHOT 340
17.11.2 REVENUE ANALYSIS 341
17.11.3 GEOGRAPHICAL PRESENCE 342
17.11.4 PRODUCT PORTFOLIO 342
17.11.5 RECENT DEVELOPMENT 342
17.12 BMI HEALTHCARE 343
17.12.1 COMPANY SNAPSHOT 343
17.12.2 PRODUCT PORTFOLIO 343
17.12.3 RECENT DEVELOPMENT 343
17.13 BROADSTONE CORPORATE BENEFITS LIMITED 344
17.13.1 COMPANY SNAPSHOT 344
17.13.2 SOLUTION PORTFOLIO 344
17.13.3 RECENT DEVELOPMENT 344
17.14 HBF HEALTH LIMITED 345
17.14.1 COMPANY SNAPSHOT 345
17.14.2 REVENUE ANALYSIS 345
17.14.3 PRODUCT PORTFOLIO 346
17.14.4 RECENT DEVELOPMENT 347
17.15 HEALTHCARE INTERNATIONAL GLOBAL NETWORK LTD. 348
17.15.1 COMPANY SNAPSHOT 348
17.15.2 PRODUCT PORTFOLIO 348
17.15.3 RECENT DEVELOPMENT 348
17.16 INTERNATIONAL MEDICAL GROUP, INC. (A SUBSIDIARY OF SIRIUS INTERNATIONAL INSURANCE GROUP LTD.) 349
17.16.1 COMPANY SNAPSHOT 349
17.16.2 REVENUE ANALYSIS 349
17.16.3 PRODUCT PORTFOLIO 350
17.16.4 RECENT DEVELOPMENTS 350
17.17 MAPFRE 351
17.17.1 COMPANY SNAPSHOT 351
17.17.2 REVENUE ANALYSIS 351
17.17.3 GEOGRAPHICAL PRESENCE 352
17.17.4 PRODUCT PORTFOLIO 352
17.17.5 RECENT DEVELOPMENT 353
17.18 NOW HEALTH INTERNATIONAL 354
17.18.1 COMPANY SNAPSHOT 354
17.18.2 GEOGRAPHICAL PRESENCE 354
17.18.3 PRODUCT PORTFOLIO 355
17.18.4 BRIEF ABOUT THE COVERAGE OF WORLDCARE AT A GLANCE 355
17.18.5 COUNTRIES WHERE THE COMPANY COVERS HEALTH INSURANCE 356
17.18.6 RECENT DEVELOPMENTS 357
17.19 ORACLE 358
17.19.1 COMPANY SNAPSHOT 358
17.19.2 REVENUE ANALYSIS 359
17.19.3 GEOGRAPHICAL PRESENCE 360
17.19.4 PRODUCT PORTFOLIO 360
17.19.5 RECENT DEVELOPMENTS 361
17.20 VHI GROUP 362
17.20.1 COMPANY SNAPSHOT 362
17.20.2 PRODUCT PORTFOLIO 362
17.20.3 RECENT DEVELOPMENT 362
17.21 VITALITY CORPORATE SERVICES LIMITED (A SUBSIDIARY OF DISCOVERY LIMITED) 363
17.21.1 COMPANY SNAPSHOT 363
17.21.2 REVENUE ANALYSIS 363
17.21.3 GEOGRAPHICAL PRESENCE 364
17.21.4 PRODUCT PORTFOLIO 364
17.21.5 RECENT DEVELOPMENT 365
18 QUESTIONNAIRE 366
19 RELATED REPORTS 370