Table of Content
1 INTRODUCTION
1.1 OBJECTIVES OF THE STUDY
1.2 MARKET DEFINITION
1.3 OVERVIEW OF PHILIPPINES 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 PHILIPPINES 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 PHILIPPINES 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 PHILIPPINES 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 PHILIPPINES 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 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY DISTRIBUTION CHANNEL
12.1 OVERVIEW
12.2 DIRECT INSURANCE COMPANIES
12.3 INSURANCE AGGREGATORS
12.4 OTHERS
13 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY COUNTRY
13.1 PHILIPPINES
14 PHILIPPINES PRIVATE HEALTH INSURANCE THERMAL INSULATION PACKAGING MARKET, COMPANY LANDSCAPE
14.1 COMPANY SHARE ANALYSIS: PHILIPPINES
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 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY TYPE, 2020-2029 (USD MILLION)
TABLE 26 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY HEALTH PLAN CATEGORY/METAL LEVELS, 2020-2029 (USD MILLION)
TABLE 27 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY PROVIDER TYPE, 2020-2029 (USD MILLION)
TABLE 28 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY AGE GROUP, 2020-2029 (USD MILLION)
TABLE 29 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY DISTRIBUTION CHANNEL, 2020-2029 (USD MILLION)
TABLE 30 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY COUNTRY, 2020-2029 (USD MILLION)
TABLE 31 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY TYPE, 2020-2029 (USD MILLION)
TABLE 32 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY HEALTH PLAN CATEGORY/METAL LEVELS, 2020-2029 (USD MILLION)
TABLE 33 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY PROVIDER TYPE, 2020-2029 (USD MILLION)
TABLE 34 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY AGE GROUP, 2020-2029 (USD MILLION)
TABLE 35 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET, BY DISTRIBUTION CHANNEL, 2020-2029 (USD MILLION)
List of Figure
FIGURE 1 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: SEGMENTATION
FIGURE 2 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: DATA TRIANGULATION
FIGURE 3 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: DROC ANALYSIS
FIGURE 4 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: PHILIPPINES VS. REGIONAL MARKET ANALYSIS
FIGURE 5 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: COMPANY RESEARCH ANALYSIS
FIGURE 6 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: THE AGE GROUP LIFE LINE CURVE
FIGURE 7 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: MULTIVARIATE MODELLING
FIGURE 8 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: INTERVIEW DEMOGRAPHICS
FIGURE 9 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: DBMR MARKET POSITION GRID
FIGURE 10 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: THE MARKET CHALLENGE MATRIX
FIGURE 11 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: VENDOR SHARE ANALYSIS
FIGURE 12 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: SEGMENTATION
FIGURE 13 MANDATORY OPTING FOR HEALTH INSURANCE IN PUBLIC AND PRIVATE SECTOR IS DRIVING THE PHILIPPINES 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 PHILIPPINES 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 PHILIPPINES 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 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: BY TYPE, 2021
FIGURE 20 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: BY HEALTH PLAN CATEGORY/METAL LEVELS, 2021
FIGURE 21 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: BY PROVIDER TYPE, 2021
FIGURE 22 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: BY AGE GROUP, 2021
FIGURE 23 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: BY DISTRIBUTION CHANNEL, 2021
FIGURE 24 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: SNAPSHOT (2021)
FIGURE 25 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: BY COUNTRY (2021)
FIGURE 26 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: BY COUNTRY (2022 & 2029)
FIGURE 27 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: BY COUNTRY (2021 & 2029)
FIGURE 28 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: BY TYPE (2022-2029)
FIGURE 29 PHILIPPINES PRIVATE HEALTH INSURANCE MARKET: COMPANY SHARE 2021 (%)
