Malaysia Private Health Insurance Market Analysis

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Malaysia Private Health Insurance Market Analysis

  • Healthcare IT
  • Published Report
  • Apr 2022
  • Country Level
  • 350 Pages
  • No of Tables: 35
  • No of Figures: 29

Table of Content

1 INTRODUCTION

1.1 OBJECTIVES OF THE STUDY

1.2 MARKET DEFINITION

1.3 OVERVIEW OF MALAYSIA PRIVATE HEALTH INSURANCE MARKET

1.4 LIMITATION

1.5 MARKETS COVERED

2 MARKET SEGMENTATION

2.1 MARKETS COVERED

2.2 GEOGRAPHICAL SCOPE

2.3 YEARS CONSIDERED FOR THE STUDY

2.4 CURRENCY AND PRICING

2.5 DBMR TRIPOD DATA VALIDATION MODEL

2.6 AGE GROUP LIFE LINE CURVE

2.7 MULTIVARIATE MODELING

2.8 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS

2.9 DBMR MARKET POSITION GRID

2.1 DBMR MARKET CHALLENGE MATRIX

2.11 VENDOR SHARE ANALYSIS

2.12 SECONDARY SOURCES

2.13 ASSUMPTIONS

3 EXECUTIVE SUMMARY

4 PREMIUM INSIGHTS

4.1 SOUTH EAST ASIA PRIVATE HEALTH INSURANCE MARKET- PESTEL ANALYSIS

4.1.1 OVERVIEW

4.1.2 POLITICAL FACTORS

4.1.3 ENVIRONMENTAL FACTORS

4.1.4 SOCIAL FACTORS

4.1.5 TECHNOLOGICAL FACTORS

4.1.6 ECONOMICAL FACTORS

4.1.7 LEGAL FACTORS

4.1.8 CONCLUSION

4.2 PORTER’S FIVE FORCES:

4.2.1 THREAT OF NEW ENTRANTS:

4.2.2 THREAT OF SUBSTITUTES:

4.2.3 CUSTOMER BARGAINING POWER:

4.2.4 SUPPLIER BARGAINING POWER:

4.2.5 INTERNAL COMPETITION (RIVALRY):

4.3 SOUTH EAST ASIA INSURANCE SCENARIO VS GLOBAL

4.4 CUSTOMIZED DELIVERABLE

4.4.1 HOW ARE INSURANCE CLAIMS EVALUATED (I.E., PROCESS FOR FILING FROM HOSPITALS, PHYSICIAN JUSTIFICATION)

4.4.2 DATA INTERPRETATION

5 INDUSTRY INSIGHTS

5.1 DEMOGRAPHIC TRENDS:-

5.1.1 AGE

5.1.2 GENDER

5.1.3 OCCUPATION

5.1.4 FAMILY SIZE

5.2 NUMBER OF CLAIMS BY TYPE

5.2.1 CASHLESS VS. REIMBURSEMENT CLAIMS

5.3 EXTRA CARE/TOP-UP INSURANCE OFFERINGS BY COMPANIES

5.4 INVESTMENT & FUNDING

5.5 PENETRATION OF PRIVATE INSURANCE & DENSITY

5.6 INTERVIEWS WITH KEY HOSPITALS AND INSURANCE COMPANIES

5.7 POLICY SUPPORT FOR LIFE INSURANCE IN SOUTH EAST ASIA

5.7.1 MALAYSIA

5.7.2 PHILIPPINES

5.7.3 THAILAND

5.7.4 VIETNAM

5.8 PUBLIC VS PRIVATE HEALTH INSURANCE

5.9 OTHER KOL SNAPSHOTS

5.1 PREMIUM/COPAY/COINSURANCE

6 REGULATORY FRAMWORK

7 MARKET OVERVIEW

7.1 DRIVERS

7.1.1 INCREASING COST FOR MEDICAL SERVICES

7.1.2 GROWING NUMBER OF DAY CARE PROCEDURES

7.1.3 MANDATORY OPTING FOR HEALTH INSURANCE IN PUBLIC AND PRIVATE SECTOR

7.1.4 INCREASING OLD AGE POPULATION

7.2 RESTRAINTS

7.2.1 HIGH COST OF PREMIUM

7.2.2 STRICT DOCUMENTATION PROCESS FOR CLAIM REIMBURSEMENT

7.3 OPPORTUNITIES

7.3.1 INCREASING AWARENESS ABOUT THE BENEFITS OF HEALTH INSURANCE

7.3.2 INCREASING HEALTH CARE EXPENDITURE

7.3.3 GROWING MEDICAL TOURISM AMONG COUNTRIES

7.4 CHALLENGE

7.4.1 LACK OF AWARENESS REGARDING HEALTH INSURANCE

8 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY TYPE

8.1 OVERVIEW

8.2 INDIVIDUAL HEALTH INSURANCE

8.3 FAMILY HEALTH INSURANCE

8.4 CRITICAL ILLNESS INSURANCE

8.5 DISEASE-SPECIFIC INSURANCE

8.6 OTHERS

9 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY HEALTH PLAN CATEGORY/METAL LEVELS

9.1 OVERVIEW

9.2 BRONZE

9.3 SILVER

9.4 GOLD

9.5 PLATINUM

9.6 OTHERS

10 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY PROVIDER TYPE

10.1 OVERVIEW

10.2 HEALTH MAINTENANCE ORGANIZATIONS (HMOS)

10.3 PREFERRED PROVIDER ORGANIZATIONS (PPOS)

10.4 EXCLUSIVE PROVIDER ORGANIZATIONS (EPOS)

10.5 POINT-OF-SERVICE (POS) PLANS

10.6 HIGH-DEDUCTIBLE HEALTH PLANS (HDHPS)

10.7 OTHERS

11 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY AGE GROUP

11.1 OVERVIEW

11.2 MIDDLE ADULTHOOD (45-64 YEARS)

11.3 YOUNG ADULTHOOD (19-44 YEARS)

11.4 OLDER ADULTHOOD (65 YEARS AND ABOVE)

12 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY DISTRIBUTION CHANNEL

12.1 OVERVIEW

12.2 DIRECT INSURANCE COMPANIES

12.3 INSURANCE AGGREGATORS

12.4 OTHERS

13 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY COUNTRY

13.1 MALAYSIA

14 MALAYSIA PRIVATE HEALTH INSURANCE THERMAL INSULATION PACKAGING MARKET, COMPANY LANDSCAPE

14.1 COMPANY SHARE ANALYSIS: MALAYSIA

14.2 MERGER & ACQUISITION

14.3 EXPANSIONS

14.4 NEW PRODUCT DEVELOPMENT

14.5 PARTNERSHIP

15 SWOT ANALYSIS

16 COMPANY PROFILE

16.1 AETNA INC. (A SUBSIDIARY OF CVS HEALTH)

16.1.1 COMPANY SNAPSHOT

16.1.2 REVENUE ANALYSIS

16.1.3 PRODUCT PORTFOLIO

16.1.4 RECENT DEVELOPMENTS

16.2 CIGNA

16.2.1 COMPANY SNAPSHOT

16.2.2 REVENUE ANALYSIS

16.2.3 PRODUCT PORTFOLIO

16.2.4 RECENT DEVELOPMENTS

16.3 AIA GROUP LIMITED

16.3.1 COMPANY SNAPSHOT

16.3.2 REVENUE ANALYSIS

16.3.3 PRODUCT PORTFOLIO

16.3.4 RECENT UPDATE

16.4 HCF

16.4.1 COMPANY SNAPSHOT

16.4.2 REVENUE ANALYSIS

16.4.3 PRODUCT PORTFOLIO

16.4.4 RECENT UPDATES

16.5 ALLIANZ

16.5.1 COMPANY SNAPSHOT

16.5.2 REVENUE ANALYSIS

16.5.3 PRODUCT PORTFOLIO

16.5.4 RECENT UPDATES

16.6 SUNCORP GROUP

16.6.1 COMPANY SNAPSHOT

16.6.2 REVENUE ANALYSIS

16.6.3 PRODUCT PORTFOLIO

16.6.4 RECENT UPDATES

16.7 MEDIBANK PRIVATE LIMITED

16.7.1 COMPANY SNAPSHOT

16.7.2 REVENUE ANALYSIS

16.7.3 PRODUCT PORTFOLIO

16.7.4 RECENT DEVELOPMENTS

16.8 DAI-ICHI LIFE VIETNAM

16.8.1 COMPANY SNAPSHOT

16.8.2 PRODUCT PORTFOLIO

16.8.3 RECENT UPDATE

16.9 HSBC GROUP

16.9.1 COMPANY SNAPSHOT

16.9.2 REVENUE ANALYSIS

16.9.3 PRODUCT PORTFOLIO

16.9.4 RECENT UPDATE

16.1 ACCURO HEALTH INSURANCE

16.10.1 COMPANY SNAPSHOT

16.10.2 PRODUCT PORTFOLIO

16.10.3 RECENT UPDATE

16.11 AIG ASIA PACIFIC INSURANCE PTE. LTD

16.11.1 COMPANY SNAPSHOT

16.11.2 PRODUCT PORTFOLIO

16.11.3 RECENT UPDATE

16.12 ASSICURANZIONI GENERALI S.P.A.

16.12.1 COMPANY SNAPSHOT

16.12.2 FINANCIAL ANALYSIS

16.12.3 PRODUCT PORTFOLIO

16.12.4 RECENT UPDATES

16.13 AXA

16.13.1 COMPANY SNAPSHOT

16.13.2 REVENUE ANALYSIS

16.13.3 PRODUCT PORTFOLIO

16.13.4 RECENT UPDATE

16.14 BNI LIFE

16.14.1 COMPANY SNAPSHOT

16.14.2 REVENUE ANALYSIS

16.14.3 PRODUCT PORTFOLIO

16.14.4 RECENT UPDATES

16.15 BUPA GLOBAL

16.15.1 COMPANY SNAPSHOT

16.15.2 PRODUCT PORTFOLIO

16.15.3 RECENT UPDATE

16.16 ETIQA

16.16.1 COMPANY SNAPSHOT

16.16.2 PRODUCT PORTFOLIO

16.16.3 RECENT UPDATE

16.17 GREAT EASTERN HOLDINGS LIMITED

16.17.1 COMPANY SNAPSHOT

16.17.2 PRODUCT PORTFOLIO

16.17.3 RECENT UPDATE

16.18 HONG LEONG ASSURANCE BERHAD

16.18.1 COMPANY SNAPSHOT

16.18.2 PRODUCT PORTFOLIO

16.18.3 RECENT UPDATES

16.19 INCOME

16.19.1 COMPANY SNAPSHOT

16.19.2 PRODUCT PORTFOLIO

16.19.3 RECENT UPDATES

16.2 MANULIFE HOLDINGS BERHAD

16.20.1 COMPANY SNAPSHOT

16.20.2 REVENUE ANALYSIS

16.20.3 PRODUCT PORTFOLIO

16.20.4 RECENT UPDATES

16.21 NIB NZ LIMITED

16.21.1 COMPANY SNAPSHOT

16.21.2 PRODUCT PORTFOLIO

16.21.3 RECENT UPDATE

16.22 NOW HEALTH INTERNATIONAL

16.22.1 COMPANY SNAPSHOT

16.22.2 PRODUCT PORTFOLIO

16.22.3 RECENT DEVELOPMENTS

16.23 PACIFIC CROSS

16.23.1 COMPANY SNAPSHOT

16.23.2 PRODUCT PORTFOLIO

16.23.3 RECENT UPDATE

16.24 PARTNERS LIFE

16.24.1 COMPANY SNAPSHOT

16.24.2 PRODUCT PORTFOLIO

16.24.3 RECENT UPDATES

16.25 PRUDENTIAL ASSURANCE MALAYSIA BERHAD

16.25.1 COMPANY SNAPSHOT

16.25.2 PRODUCT PORTFOLIO

16.25.3 RECENT UPDATE

16.26 RAFFLES MEDICAL GROUP

16.26.1 COMPANY SNAPSHOT

16.26.2 REVENUE ANALYSIS

16.26.3 PRODUCT PORTFOLIO

16.26.4 RECENT UPDATE

16.27 SOUTHERN CROSS

16.27.1 COMPANY SNAPSHOT

16.27.2 PRODUCT PORTFOLIO

16.27.3 RECENT UPDATES

16.28 THE ROYAL AUTOMOBILE CLUB OF WA (INC.).

16.28.1 COMPANY SNAPSHOT

16.28.2 PRODUCT PORTFOLIO

16.28.3 RECENT UPDATES

16.29 TOKIO MARINE

16.29.1 COMPANY SNAPSHOT

16.29.2 PRODUCT PORTFOLIO

16.29.3 RECENT UPDATE

16.3 UNIMED

16.30.1 COMPANY SNAPSHOT

16.30.2 PRODUCT PORTFOLIO

16.30.3 RECENT UPDATES

16.31 ZURICH

16.31.1 COMPANY SNAPSHOT

16.31.2 REVENUE ANALYSIS

16.31.3 PRODUCT PORTFOLIO

16.31.4 RECENT UPDATES

17 QUESTIONNAIRES

18 RELATED REPORTS

List of Table

TABLE 1 NUMBER OF ADULTS HAVE PRIVATE HEALTH INSURANCE, BY AGE GROUP, MILLION, 2021

TABLE 2 NUMBER OF ADULTS HAVE PRIVATE HEALTH INSURANCE, BY INSURANCE COMPANY, MILLION, 2021

TABLE 3 NUMBER OF ADULTS HAVE PRIVATE HEALTH INSURANCE, BY PROVIDER TYPE, MILLION, 2021

TABLE 4 NEW ZEALAND PRIVATE HEALTH INSURANCE MARKET, BY AGE GROUP, 2020-2029 (USD MILLION)

TABLE 5 DETAILS OF AETNA INC. (A SUBSIDIARY OF CVS HEALTH) OF HEALTH MAINTENANCE ORGANIZATIONS (HMOS), BY TYPE , USD MILLION, 2021

TABLE 6 DETAILS OF AETNA INC. (A SUBSIDIARY OF CVS HEALTH) OF PREFERRED PROVIDER ORGANIZATIONS (PPOS), BY TYPE , USD MILLION, 2021

TABLE 7 DETAILS OF AETNA INC. (A SUBSIDIARY OF CVS HEALTH) OF EXCLUSIVE PROVIDER ORGANIZATIONS (EPOS), BY TYPE , USD MILLION, 2021

TABLE 8 DETAILS OF AETNA INC. (A SUBSIDIARY OF CVS HEALTH) OF POINT-OF-SERVICE (POS) PLANS, BY TYPE , USD MILLION, 2021

TABLE 9 DETAILS OF AETNA INC. (A SUBSIDIARY OF CVS HEALTH) OF HIGH-DEDUCTIBLE HEALTH PLANS (HDHPS), BY TYPE , USD MILLION, 2021

TABLE 10 DETAILS OF AETNA INC. (A SUBSIDIARY OF CVS HEALTH) OF OTHERS, BY TYPE , USD MILLION, 2021

TABLE 11 DETAILS OF CIGNA OF HEALTH MAINTENANCE ORGANIZATIONS (HMOS), BY TYPE , USD MILLION, 2021

TABLE 12 DETAILS OF CIGNA OF PREFERRED PROVIDER ORGANIZATIONS (PPOS), BY TYPE , USD MILLION, 2021

TABLE 13 DETAILS OF CIGNA OF EXCLUSIVE PROVIDER ORGANIZATIONS (EPOS), BY TYPE , USD MILLION, 2021

TABLE 14 DETAILS OF CIGNA OF POINT-OF-SERVICE (POS) PLANS, BY TYPE , USD MILLION, 2021

TABLE 15 DETAILS OF CIGNA OF HIGH-DEDUCTIBLE HEALTH PLANS (HDHPS), BY TYPE , USD MILLION, 2021

TABLE 16 DETAILS OF CIGNA OF OTHERS, BY TYPE , USD MILLION, 2021

TABLE 17 DETAILS OF AIA GROUP LIMITED OF HEALTH MAINTENANCE ORGANIZATIONS (HMOS), BY TYPE , USD MILLION, 2021

TABLE 18 DETAILS OF AIA GROUP LIMITED OF PREFERRED PROVIDER ORGANIZATIONS (PPOS), BY TYPE , USD MILLION, 2021

TABLE 19 DETAILS OF AIA GROUP LIMITED OF EXCLUSIVE PROVIDER ORGANIZATIONS (EPOS), BY TYPE , USD MILLION, 2021

TABLE 20 DETAILS OF AIA GROUP LIMITED OF POINT-OF-SERVICE (POS) PLANS, BY TYPE , USD MILLION, 2021

TABLE 21 DETAILS OF AIA GROUP LIMITED OF HIGH-DEDUCTIBLE HEALTH PLANS (HDHPS), BY TYPE , USD MILLION, 2021

TABLE 22 DETAILS OF AIA GROUP LIMITED OF OTHERS, BY TYPE , USD MILLION, 2021

TABLE 23 CHIEF MEDICAL OFFICER

TABLE 24 LIST OF DAY CARE PROCEDURES

TABLE 25 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY TYPE, 2020-2029 (USD MILLION)

TABLE 26 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY HEALTH PLAN CATEGORY/METAL LEVELS, 2020-2029 (USD MILLION)

TABLE 27 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY PROVIDER TYPE, 2020-2029 (USD MILLION)

TABLE 28 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY AGE GROUP, 2020-2029 (USD MILLION)

TABLE 29 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY DISTRIBUTION CHANNEL, 2020-2029 (USD MILLION)

TABLE 30 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY COUNTRY, 2020-2029 (USD MILLION)

TABLE 31 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY TYPE, 2020-2029 (USD MILLION)

TABLE 32 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY HEALTH PLAN CATEGORY/METAL LEVELS, 2020-2029 (USD MILLION)

TABLE 33 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY PROVIDER TYPE, 2020-2029 (USD MILLION)

TABLE 34 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY AGE GROUP, 2020-2029 (USD MILLION)

TABLE 35 MALAYSIA PRIVATE HEALTH INSURANCE MARKET, BY DISTRIBUTION CHANNEL, 2020-2029 (USD MILLION)

List of Figure

FIGURE 1 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: SEGMENTATION

FIGURE 2 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: DATA TRIANGULATION

FIGURE 3 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: DROC ANALYSIS

FIGURE 4 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: MALAYSIA VS. REGIONAL MARKET ANALYSIS

FIGURE 5 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: COMPANY RESEARCH ANALYSIS

FIGURE 6 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: THE AGE GROUP LIFE LINE CURVE

FIGURE 7 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: MULTIVARIATE MODELLING

FIGURE 8 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: INTERVIEW DEMOGRAPHICS

FIGURE 9 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: DBMR MARKET POSITION GRID

FIGURE 10 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: THE MARKET CHALLENGE MATRIX

FIGURE 11 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: VENDOR SHARE ANALYSIS

FIGURE 12 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: SEGMENTATION

FIGURE 13 MANDATORY OPTING FOR HEALTH INSURANCE IN PUBLIC AND PRIVATE SECTOR IS DRIVING THE MALAYSIA PRIVATE HEALTH INSURANCE MARKET IN THE FORECAST PERIOD OF 2022 TO 2029

FIGURE 14 INDIVIDUAL HEALTH INSURANCE SEGMENT IS EXPECTED TO ACCOUNT FOR THE LARGEST SHARE OF THE MALAYSIA PRIVATE HEALTH INSURANCE MARKET IN 2022 & 2029

FIGURE 15 SOUTH EAST ASIA PRIVATE HEALTH INSURANCE MARKET: PESTEL ANALYSIS

FIGURE 16 DRIVERS, RESTRAINTS, OPPORTUNITIES, AND CHALLENGE OF MALAYSIA PRIVATE HEALTH INSURANCE MARKET

FIGURE 17 HEALTHCARE EXPENDITURE IN MALAYSIA, (RM MILLION)

FIGURE 18 MALAYSIA REVENUE TRAVEL INDUSTRY SIZE, BY REVENUE (RM MILLION)

FIGURE 19 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: BY TYPE, 2021

FIGURE 20 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: BY HEALTH PLAN CATEGORY/METAL LEVELS, 2021

FIGURE 21 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: BY PROVIDER TYPE, 2021

FIGURE 22 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: BY AGE GROUP, 2021

FIGURE 23 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: BY DISTRIBUTION CHANNEL, 2021

FIGURE 24 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: SNAPSHOT (2021)

FIGURE 25 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: BY COUNTRY (2021)

FIGURE 26 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: BY COUNTRY (2022 & 2029)

FIGURE 27 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: BY COUNTRY (2021 & 2029)

FIGURE 28 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: BY TYPE (2022-2029)

FIGURE 29 MALAYSIA PRIVATE HEALTH INSURANCE MARKET: COMPANY SHARE 2021 (%)

Frequently Asked Questions

The Malaysia private health insurance market size will be worth USD 2,353.93 million by the year 2029.
The growth rate of the Malaysia private health insurance market is 1.6% in the forecast period by 2029.
The major companies in the Malaysia private health insurance marketare AIA Group Limited (Hong Kong), HCF (Australia), Allianz (Germany), HSBC Group (Hong Kong), Great Eastern Holdings Limited (Malaysia), Zurich (Switzerland), ASSICURAZIONI GENERALI S.P.A. (Italy), AXA (France), Etiqa (Malaysia), Prudential Assurance Malaysia Berhad (Malaysia), Hong Leong Assurance Berhad (Malaysia), Manulife Holdings Berhad (Malaysia).
Type, health plan category/metal levels, provider type, age group and distribution channel are the factors on which the Malaysia private health insurance market research is based.
Increasing cost of medical services, Growing number of daycare procedures & Mandatory opting for health insurance in public and private sector are the growth drivers of the Malaysia private health insurance market.