Marché de l'assurance maladie privée aux Philippines - Tendances et prévisions du secteur jusqu'en 2029

Analyse et taille du marché

Une police d'assurance santé comprend plusieurs types de prestations et d'avantages. Elle offre une couverture financière aux assurés contre certains traitements. Elle offre également des avantages tels que l'hospitalisation sans espèces, la couverture du remboursement avant et après l'hospitalisation et divers compléments.

Dans le cadre du régime d'assurance maladie, plusieurs types de couvertures sont disponibles, notamment les demandes de remboursement et les demandes de remboursement sans espèces. La prestation sans espèces est disponible lorsque l'assuré se fait soigner dans les hôpitaux du réseau de la compagnie d'assurance. Si l'assuré se fait soigner dans les hôpitaux qui ne font pas partie du réseau répertorié, dans ce cas, l'assuré prend en charge tous les frais médicaux et demande ensuite le remboursement à la compagnie d'assurance en soumettant toutes les factures médicales. Cette assurance maladie privée apporte un soutien financier à l'assuré car elle couvre tous les frais médicaux lorsque l'assuré est hospitalisé pour un traitement.

Selon les analyses de Data Bridge Market Research, le marché de l’assurance maladie privée aux Philippines devrait atteindre la valeur de 1 273,12 millions USD d’ici 2029, à un TCAC de 1,2 % au cours de la période de prévision. « L’assurance maladie individuelle » représente le segment de type le plus important sur le marché concerné en raison de l’augmentation de l’assurance maladie privée. Le rapport de marché élaboré par l’équipe de Data Bridge Market Research comprend une analyse approfondie des experts, une analyse des importations/exportations, une analyse des prix, une analyse de la consommation de production et un scénario de chaîne climatique.

Définition du marché

L'assurance maladie couvre tous les types de frais chirurgicaux ainsi que les traitements médicaux résultant d'une maladie ou d'une blessure. L'assurance maladie s'applique à une gamme complète ou limitée de services médicaux, offrant une couverture totale ou partielle des coûts de services spécifiques. L'assurance maladie fournit un soutien financier à l'assuré car elle couvre tous les frais médicaux lorsque l'assuré est hospitalisé pour le traitement. L'assurance maladie couvre également les frais avant et après l'hospitalisation.

Cadre réglementaire

Règles et règlements de la loi sur l'assurance maladie nationale de 2013

Dans la poursuite de ce principe, les Règles et règlements d'application (RRI) du Programme national d'assurance maladie (PNAM), ci-après dénommé le Programme, adopteront les principes directeurs suivants :

Affectation des ressources nationales à la santé – Le programme soulignera l’importance pour le gouvernement d’accorder la priorité à la santé comme stratégie pour accélérer le développement économique et améliorer la qualité de vie ;

Universalité – Le programme doit fournir à tous les citoyens un mécanisme leur permettant d’accéder financièrement aux services de santé, en combinaison avec d’autres programmes de santé publics. Le programme doit accorder la plus haute priorité à la couverture de l’ensemble de la population par un ensemble minimum de prestations d’assurance maladie ;

Équité – Le programme doit prévoir des prestations de base uniformes. L’accès aux soins doit être fonction des besoins de santé d’une personne plutôt que de sa capacité à payer;

Le COVID-19 a eu un impact minime sur le marché de l'assurance maladie privée

COVID-19 impacted various manufacturing and service-providing industries in the year 2020-2021 as it led to the closure of workplaces, disruption of supply chains, and restrictions on transportation. However, the imbalance between demand and supply and its impact on pricing is considered short-term and is expected to recover as this pandemic comes to an end. Due to the outbreak of COVID-19 throughout the globe, the demand for private health insurance has increased tremendously. Also, the fear of the pandemic and the increased cost of medical services helped the health insurance market grow during the pandemic. In addition, health insurance companies introduced packages and solutions for covering the medical costs of treating covid19 infected insurers. Thus, even though the other industries suffered a lot during covid19 outbreak, the private health insurance industry was growing significantly.

The Market Dynamics of Private Health Insurance Market Include:

Drivers/Opportunities in the Private Health Insurance Market

• Increasing cost of medical services

Health insurance provides financial support in cases of serious sickness or accident. Increasing medical services’ costs for surgeries and hospital stays has created a new financial epidemic around the world. The cost of medical services is comprised of the cost of surgery, doctor fee, hospital stay cost, cost of the emergency room, and diagnostic testing cost, among others. Therefore, this increase in the cost of medical services propels the growth of the market.

• Growing number of daycare procedures

Daycare procedures are those types of medical procedure or surgery that primarily requires less stay time in the hospitals. In the daycare procedure patients are required to stay in the hospital for a short period. Most of the health insurance companies are now covering the procedures of daycare in their insurance plans, and for the claim of such types of surgery, there is no compulsion on spending 24 hours in the hospital, which is the minimum stay in the hospital to claim insurance. While most of the health insurance plans cover hospital stays and major surgeries, the policyholders can also claim daycare procedures under their health insurance policy, which propels the demand of the market.

• Mandatory opting for health insurance in public and private sector

Buying a healthcare insurance policy is a mandatory provision for the employees in the public as well as the private sector. Health insurance offers key medical benefits which the employee can avail of while working in a corporate. In case of any emergency or medical issues, the health insurance cover is highly useful to meet treatment expenses. The employee’s health insurance is an extended benefit, given by the individual employer to their employees. The health insurance provided not only covers the employee but also covers their family members under the same policy plan. Also, in certain cases, the employer may pay a part of a premium or insurance coverage of the health insurance policy.

• Increasing old age population

Old age people are likely to have more health problems due to aging and weak immune system, which may include dental issues, heart issues, cancer issues, and terminal illnesses. A good senior citizen health insurance can help senior citizens to opt for good health insurance services to reduce future financial worries. Thus, an increasing number of old age population can boost the growth of the health insurance market.

• Increasing awareness about the benefits of health insurance

In the face of a medical emergency, health insurance allows the consumers to take their mind off the stress related to healthcare costs and focus on the treatment instead with health insurance. Medical emergencies can happen at any time, regardless of our current good health or disciplined lifestyle. Therefore, it is important to plan for and protect our families and ourselves from any unforeseen medical situations, especially when there are elderly parents at home as they are more susceptible to infections or other illnesses.

Restraints/Challenges Faced by the Philippines Private Health Insurance Market

• High cost of premiums

Health insurance covers all types of medical treatment costs. It provides financial support to the policyholder since it covers all the medical expenses when the policyholder is hospitalized for the treatment. Health insurance also covers pre as well as post-hospitalization expenses. To purchase health insurance, the policyholder has to pay insurance premiums regularly to keep the health insurance policy active. The cost of insurance premium is high in the majority of cases based on the insurance plan, which is hampering the growth of the market.

• Lack of awareness regarding health insurance

In the field of healthcare, a large portion of the world population is still not aware of the benefits of health insurance policies. The expenses of medical care are increasing across the world with advancements made in the field. Through the advancement in technology, the healthcare sector is one of the growing segments, however, the penetration rate of health insurance policies remains low due to a lack of awareness regarding the benefits offered by them

This Philippines private health insurance market report provides details of new recent developments, trade regulations, import-export analysis, production analysis, value chain optimization, market share, the impact of domestic and localized market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market. To gain more info on the private health insurance market contact Data Bridge Market Research for an Analyst Brief. Our team will help you make an informed market decision to achieve market growth.

Recent Developments

• In February 2022, Assicuranzioni Generali S.P.A. signed an agreement for the acquisition of La Me´dicale, which is an insurance company for healthcare professionals. This development also foresees the sale of Predica’s1 death coverage portfolio, marketed and managed by La Me´dicale.
• In March 2022, Allianz Real Estate, one of the world’s largest real estate investment managers, entered into an agreement to acquire a portfolio of prime multi-family residential assets in Tokyo for approximately USD 90 million, on behalf of the Allianz Real Estate Asia-Pacific Japan Multi-Family Fund. This has in turn helped the company to earn more profit in the long run.

Philippines Private Health Insurance Market Scope

Philippines private health insurance market is segmented on the basis of type, health plan category/metal levels, provider type, age group, and distribution channel. The growth amongst these segments will help you analyze growth segments in the industries and provide the users with a valuable market overview and market insights to help them make strategic decisions for identifying core market applications.

Type

• Critical Illness Insurance
• Individual Health Insurance
• Family Health Insurance
• Disease-Specific Insurance
• Others

On the basis of type, Philippines private health insurance market is segmented into critical illness insurance, individual health insurance, family health insurance, disease-specific insurance and others.

Health Plan Category/Metal Levels

• Bronze
• Silver
• Gold
• Platinum
• Others

On the basis of health plan category/metal levels, Philippines private health insurance market is segmented into bronze, silver, gold platinum and others. 

 Provider Type

• Health maintenance organizations (HMOS)
• Preferred provider organizations (PPOS)
• Exclusive provider organizations (EPOS)
• Point-of-service (POS) plans
• High-deductible health plans (HDHPS)
• Others

On the basis of provider type, Philippines private health insurance market is segmented into health maintenance organizations (HMOS), preferred provider organizations (PPOS), exclusive provider organizations (EPOS), point-of-service (POS) plans, high-deductible health plans (HDHPS) and others.

Age Group

• Young Adulthood (19-44 Years)
• Middle Adulthood (45-64 Years)
• Âge adulte avancé (65 ans et plus)

 Sur la base de la tranche d'âge, le marché de l'assurance maladie privée aux Philippines est segmenté en jeunes adultes (19-44 ans), adultes moyens (45-64 ans) et adultes plus âgés (65 ans et plus).

Canal de distribution

• Compagnies d'assurance directes
• Agrégateurs d'assurance
• Autres

Sur la base du canal de distribution, le marché de l'assurance maladie privée aux Philippines est segmenté en compagnies d'assurance directes, agrégateurs d'assurance et autres.

Analyse du paysage concurrentiel et des parts de marché de l'assurance maladie privée

Le paysage concurrentiel du marché de l'assurance maladie privée aux Philippines fournit des détails par concurrents. Les détails inclus sont la présentation de l'entreprise, les finances de l'entreprise, les revenus générés, le potentiel du marché, les investissements dans la recherche et le développement, les nouvelles initiatives du marché, la présence aux Philippines, les sites et installations de production, les capacités de production, les forces et les faiblesses de l'entreprise, le lancement du produit, la largeur et l'étendue du produit, la domination des applications. Les points de données ci-dessus fournis ne concernent que l'orientation des entreprises liées au marché de l'assurance maladie privée aux Philippines.

Certains des principaux acteurs opérant sur le marché de l'assurance maladie privée sont Aetna Inc. (une filiale de CVS Health) (États-Unis), AIA Group Limited (Hong Kong), Allianz (Allemagne), HSBC Group (Hong Kong), Pacific Cross (Philippines), ASSICURAZIONI GENERALI SPA (Italie), entre autres.

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