菲律宾私人健康保险市场 - 行业趋势和 2029 年预测

市场分析和规模

健康保险政策包含多种功能和福利。它为投保人提供针对某些治疗的财务保障。它还提供包括无现金住院、住院前和住院后报销保障和各种附加服务等优势。

在健康保险计划中，有几种类型的保险可供选择，包括无现金和报销索赔。当保单持有人在保险公司的网络医院接受治疗时，可享受无现金福利。如果保单持有人在不在名单网络内的医院接受治疗，在这种情况下，保单持有人将承担所有医疗费用，然后通过提交所有医疗账单向保险公司索赔报销。这种私人健康保险为保单持有人提供财务支持，因为它涵盖了保单持有人住院治疗时的所有医疗费用。

Data Bridge Market Research 分析称，菲律宾私人健康保险市场预计到 2029 年将达到 12.7312 亿美元的价值，预测期内的复合年增长率为 1.2%。由于私人健康保险的兴起，“个人健康保险”在相关市场中占据最突出的类型部分。Data Bridge Market Research 团队策划的市场报告包括深入的专家分析、进出口分析、定价分析、生产消费分析和气候链情景。

Market Definition

Health insurance provides coverage for all types of surgical expenses as well as medical treatment incurred from the illness or injury. Health insurance applies to a comprehensive or limited range of medical services providing the coverage of full or partial costs of specific services. Health insurance provides financial support to the policyholder as 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.

Regulatory Framework

Rules and Regulations of the National Health Insurance Act of 2013

In pursuit of this principle, the Implementing Rules and Regulations (IRR) of the National Health Insurance Program (NHIP) herein referred to as the Program, shall adopt the following guiding principles:

Allocation of National Resources for Health – The Program shall underscore the importance for the government to give priority to health as a strategy for bringing about faster economic development and improving quality of life;

Universality – The Program shall provide all citizens with the mechanism to gain financial access to health services, in combination with other government health programs. The Program shall give the highest priority to achieving coverage of the entire population with at least a basic minimum package of health insurance benefits;

Equity – The Program shall provide for uniform basic benefits. Access to care must be a function of a person’s health needs rather than ability to pay;

COVID-19 had a Minimal Impact on Private Health Insurance Market

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

这份菲律宾私人健康保险市场报告详细介绍了最新发展、贸易法规、进出口分析、生产分析、价值链优化、市场份额、国内和本地市场参与者的影响，分析了新兴收入来源、市场法规变化、战略市场增长分析、市场规模、类别市场增长、应用领域和主导地位、产品批准、产品发布、地域扩展、市场技术创新等方面的机会。如需了解有关私人健康保险市场的更多信息，请联系 Data Bridge Market Research 获取分析师简报。我们的团队将帮助您做出明智的市场决策，以实现市场增长。

最新动态

• 2022 年 2 月，Assicuranzioni Generali SPA 签署了收购 La Me´dicale 的协议，La Me´dicale 是一家医疗专业人士保险公司。此举还预示着 Predica 1 死亡保险组合的出售，该组合由 La Me´dicale 营销和管理。
• 2022 年 3 月，全球最大的房地产投资管理公司之一安联房地产代表安联房地产亚太日本多户型基金签署协议，以约 9000 万美元收购东京优质多户型住宅资产组合。这反过来又帮助该公司在长期内赚取了更多利润。

菲律宾私人健康保险市场范围

菲律宾私人健康保险市场根据类型、健康计划类别/金属级别、提供商类型、年龄组和分销渠道进行细分。这些细分市场之间的增长将帮助您分析行业中的增长细分市场，并为用户提供有价值的市场概览和市场洞察，帮助他们做出战略决策，确定核心市场应用。

类型

• 重大疾病保险
• 个人健康保险
• 家庭健康保险
• 特定疾病保险
• 其他的

根据类型，菲律宾私人健康保险市场分为重疾保险、个人健康保险、家庭健康保险、特定疾病保险和其他。

健康计划类别/金属级别

• 青铜
• 银
• 金子
• 铂
• 其他的

根据健康计划类别/金属级别，菲律宾私人健康保险市场分为青铜级、白银级、黄金白金级和其他级。 

 提供商类型

• 健康维护组织（HMOS）
• 首选供应商组织 (PPOS)
• 独家供应商组织 (EPOS)
• 服务点 (POS) 计划
• 高免赔额健康计划 (HDHPS)
• 其他的

根据提供商类型，菲律宾私人健康保险市场分为健康维护组织（HMOS）、优先提供商组织（PPOS）、独家提供商组织（EPOS）、服务点（POS）计划、高免赔额健康计划（HDHPS）等。

年龄组

• 青年期（19-44 岁）
• 中年（45-64岁）
• 老年人（65 岁及以上）

 根据年龄组，菲律宾私人健康保险市场分为青年期（19-44岁）、中年期（45-64岁）和老年期（65岁及以上）。

分销渠道

• 直接保险公司
• 保险聚合商
• 其他的

根据分销渠道，菲律宾私人健康保险市场分为直接保险公司、保险聚合商和其他公司。

竞争格局和私人健康保险市场份额分析

菲律宾私人健康保险市场竞争格局提供了竞争对手的详细信息。详细信息包括公司概况、公司财务状况、产生的收入、市场潜力、研发投资、新市场计划、菲律宾业务、生产基地和设施、生产能力、公司优势和劣势、产品发布、产品宽度和广度、应用主导地位。以上提供的数据点仅与公司对菲律宾私人健康保险市场的关注有关。

私人健康保险市场的一些主要参与者包括 Aetna Inc.（CVS Health 的子公司）（美国）、友邦保险集团有限公司（香港）、安联（德国）、汇丰集团（香港）、Pacific Cross（菲律宾）、ASSICURAZIONI GENERALI SPA（意大利）等。

SKU-68135