INTERNATIONAL HEALTH INSURANCE 2020 ©
WRITTEN AND PRODUCED BY IAN YOUNGMAN
International private medical and health insurance for high net worth individuals, expats, third country nationals, domestic nationals and global nomads.
OVER 175 COUNTRY PROFILES
COUNTRY PROFILES FOCUS ON :: • Healthcare, healthcare reforms and price controls • State health insurance and planned reform • Compulsory health and travel health insurance and planned reforms • Private health insurance and supplementary covers • Health insurance regulation and planned reform • Health insurance price regulation and planned reform • Specific data and requirements for expats.
OVER 125 COMPANY PROFILES
COUNTRY PROFILES FOCUS ON :: • National, regional and local insurers and • Selling businesses brokers • Failed deals • Base country • Partnerships • HQ • Sponsorships • Ownership • Micro health • Overview • Products • Structure • Apps • Insurance • Marketing • Strategy • Technology • 2018 results • Start-ups, accelerators and labs • 2019 forecasts • Countries A to Z • Buying businesses
OVER 1300 PAGES OF IPMI MARKET INTELLIGENCE
2020 REPORT READERS
BROKERS
CORPORATIONS
HOSPITALS
TRANSPORT
INSURERS
TPA
2020 REPORT FEATURES •
OVER 1300 PAGES OF IPMI MARKET INTELLIGENCE IN 3 VOLUMES; • iPMI MAGAZINE SUBSCRIBER PRICE DISCOUNT; • OVER 30 YEARS OF MARKET RESEARCH EXPERIENCE IN 1 REPORT;
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DELIVERED DIGITALLY IN PDF FORMAT; WRITTEN IN ENGLISH; EVERYTHING YOU NEED TO KNOW ABOUT THE NICHE WORLD OF IPMI; OVER 160 COUNTRY PROFILES;
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OVER 110 COMPANY PROFILES; SPECIAL PRICE OFFER ONLY AVAILABLE VIA IPMI MAGAZINE; THE ONLY IPMI REPORT OF ITS KIND;
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INTERNATIONAL HEALTH INSURANCE 2020 INTERNATIONAL HEALTH INSURANCE FOR EXPATS, THIRD COUNTRY NATIONALS, DOMESTIC NATIONALS AND GLOBAL NOMADS. 4THERE ARE MORE OPPORTUNITIES THAN EVER FOR INSURERS AND BROKERS TO SELL HEALTH INSURANCE GLOBALLY TO LOCALS AND INTERNATIONALS.
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THE GLOBAL DEMAND FOR HEALTH INSURANCE IS RISING FAST; THERE ARE OPPORTUNITIES FOR HEALTH INSURERS AND BROKERS; THE NUMBERS OF EXPATRIATES IS RISING AND WILL INCREASE; IPMI AND PMI ARE NO LONGER SEPARATE; LOCALS, STUDENTS AND NGO WORKERS NEED COVER; MANY MORE COUNTRIES ARE MAKING HEALTH INSURANCE COMPULSORY; HEALTHCARE AND HEALTH INSURANCE ARE BECOMING INTERTWINED; TOP UP COVER AND MICRO HEALTH HAVE MASSIVE POTENTIAL; TECHNOLOGY WILL CHANGE HOW INSURERS, BROKERS AND CUSTOMERS INTERACT.
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nternational private medical insurance (IPMI) is flourishing. There are more globally mobile individuals than ever before – and employers are building businesses in more diverse countries.
IPMI was traditionally considered an exclusive health insurance plan for expatriates. Now, the definition of an expatriate is obsolete because more people, including local nationals and expats regularly travel internationally, due to their lifestyle, income and careers. These people need international medical insurance irrespective of their national status or residency. Local nationals, expats, and global nomads, are driving demand for IPMI products well beyond any residency classification. The globally mobile population has grown dramatically along with increased global business. There are 66 million expatriates, and by 2020 this will be 87.5 million. 260 million people now live away from their country of continued overleaf >>
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birth and within a decade the total number of expatriate workers and international students will be 100 million. IPMI as health insurance without borders is the future of health insurance for all people irrespective of their country of nationality, residence or current domicile. The domestic health insurance market is changing and expanding in many markets around the world. Technology, innovation in health treatment and digitisation of processes are also powerful shapers of the future of health insurance. Compulsory insurance, voluntary top up covers, differences between what you can sell to locals and expatriates, rules on overseas investors, compulsory local partnerships, economic sanctions, and even local politics are all things that insurers and brokers must understand- as are newer factors of controls on insurance and healthcare prices, and recent compulsory health insurance rules for travellers or students. There have been several new entrants to the global healthcare insurance and ancillary services market, long dominated by a small handful of existing insurance companies. Regional insurers and brokers are active in the sector. The focus on wellness and the proactive approach of keeping customers healthy is a key change. The focus is health insurance, not just illness insurance and, proactively engaging with customers to help them lead long and healthy lives. Technology is changing the market, with access to information and care
through mobile applications and innovations such as virtual health, telemedicine and virtual GP services. Data will also drive more accurate underwriting and wellness solutions at an individual customer level. The days of fully personalised cover are not far off. IPMI must comply with local laws and regulations and local needs that differ considerably from country to country. Volume 1,2 & 3 has over 1300 pages. Ian Youngman has been analysing the sector and writing reports on IPMI for 30 years, so can insight beyond reports that take everything at face value. He still gets surprised at the rate of change and new directions IPMI is moving into. THERE ARE THREE LINKED REPORTS: V1 Overview; V2 Companies; V3 Countries; VOLUME 1 CONTENTS INTRODUCTION • • • • • • • • • • • • • • •
Overview Growth of need for IPM Health insurance definitions Expatriate definitions Voluntary health insurance Why IPMI and PMI are no longer separate Social and technological disruption Duty of care Why insurers are moving into PMI/IPMI The changing insurance ecosystem Customer centricity Blockchain Emerging markets Belt and Road initiative Middle East and North Africa
• Asia • IPMI must cover more than insurance • The future INTERNATIONAL HEALTH INSURANCE NUMBERS • • • • • • •
Global premium figures Onshoring and offshoring Premium retention in countries Premiums and local taxes Local partnerships Muddying the waters It is not health insurance
HEALTH INSURANCE • • • • •
Compulsory health insurance Health insurance market potential Global medical price trends Health insurance pricing trends Global health insurance price and trends • Health insurance and universal healthcare • Global benefits • Digital transformation HEALTHCARE • Health at a Glance Europe 2018 • Global healthcare INTERNATIONAL HEALTH INSURANCE MARKET • • • • • • • • • • • • • •
Buying the market overseas Distribution Healthcare or health insurance History Market potential Hospitals offering health insurance Numbers of insurers Insurance companies Latin American healthcare potential Lloyd’s of London Lloyds’ brokers Managing general agents Third party administrators Insurance brokers
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Financial advisors Insurance agents Banks Health insurance trade bodies Health insurance comparison sites Micro insurance Mobile devices Self- insurance Smart phones Social media Videos
INTERNATIONAL HEALTH INSURANCE PRODUCTS • Cover • International insurance versus domestic insurance • IPMI in 2019 • Expatriate numbers EXPATRIATE FIGURES • • • • • • • • • • • •
Global number of expatriates Global population Expatriates, migrants and refugees Global mobility Expatriate population as % of worldwide population Expatriate or international migrant Refugees and expatriates International students Migrant workers Cross border workers Diasporas Migration and health
CUSTOMERS • • • • • • • • • • •
Target markets for insurers What is an expatriate? Expatriate characteristics Expatriate salaries and benefits Buyers Dependants Emerging markets middle class Generation Y More than one product High net worth How people choose international
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health insurance Indian companies Maritime Mining Music industry NGOs Need Oil and gas Overseas employees need support Questions potential customers ask Retirees Self-employed Short assignments Short-term cover Singles Students Target ages Teachers Wealthy expatriates Who can be covered? Why companies buy it Why individuals buy it Why needs are changing Why not just buy cover locally Women
THE PRODUCT • • • • • • • • • • • • • • • • • • • • • •
Addiction treatment Admitted policies Apps Big data Budget covers Cancer Chatbots Choice of cover or set packages Claims Compliance with local law Co-payments Critical illness Currency Danger zones Diabetes treatment Diaspora insurance Duty of care Emergency assistance Emergency evacuation European Air Medical Institute Fertility treatment Fraud
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Funeral plans Global cover Helplines Income protection Insurers rethink of health insurance International medical accreditation Medical evacuation and repatriation Medical tourism and insurance Medical travel insurance Mental health Micro health insurance Obesity treatment Organ transplants Passive war Political risks Pricing Price regulation Pricing on group schemes Private repatriation Risk management Second medical opinion Security and travel advice Takaful Takaful health Telehealth Term life Top up covers Travel insurance Underwriting Virtual doctors War risks Wearables
VOLUME 2 CONTENTS COMPANIES National, regional and local insurers and brokers: • • • • • • • • • • •
Base country HQ Ownership Overview Structure Insurance Healthcare Customer numbers Strategy 2018 results 2019 forecasts
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Buying businesses Selling businesses Failed deals Partnerships Sponsorships Micro health Products Apps Marketing Technology Start-ups, accelerators and labs Countries A to Z
COMPANY PROFILES • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
A Plus Abacare Achmea ADNIC AIA AIG Aetna Ageas Alan Allegiant Alliance Group Allianz Amariz Amazon Anbang Antae Anthem AON Apple APRIL Ardonagh ASSSA Aviva AXA Bellwood Prestbury Berkshire Hathaway Blue Cross Blue Cross Blue Shield Bupa CCW Chubb Cigna Clements Worldwide CM International Collinson CXA
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DFV Daman DavidShield Discovery Doha Insurance Exclusive Healthcare Expacare Expatriate Group Fairfax Fosun Freedom Health Gallagher General & Medical Generali Global Benefits Global Underwriters Great West Lifeco Gulf Insurance Group Haven Healthcare Healix HealthCare International Henner Humana Integra Global Jubilee LAMP Liberty Mutual Lloyds Lockton Malakoff Médéric Humanis MAPFRE Marsh McLennan Medgulf Medibank Medicover Met Life MMI Morgan Price Munich Mutua Madrilena National Life and General New India nib NN Group Now Health International Nugent Sante Old Mutual Oman Insurance Pacific Cross Pacific Prime Pan-American Life
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Premier Group Primary Group Punter Southall Qatar Insurance QBE RBI Premium Regency Assurance Saham Saico JW Seagon Seven Corners Siaci Saint Honore Sompo Starr State Life Status Global Swiss Global Swiss Life Tokio Marine UnitedHealth Union Insurance Vienna Insurance WAFA William Russell Willis Zhong An Zurich
VOLUME 3 CONTENTS COUNTRIES Country profiles look at: • Healthcare, healthcare reforms and price controls • State health insurance and planned reform • Compulsory health and travel health insurance and planned reforms • Private health insurance and supplementary covers • Health insurance regulation and planned reform • Health insurance price regulation and planned reform • Specific data and requirements for expats
>> BUY NOW: To order International Health Insurance 2020 simply write to ipmi[at]ipmimagazine.com
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COUNTRY PROFILES • • • • • • • • • • • • • • • • • • • • • • • • • • •
Healthcare Healthcare for expatriates Healthcare regulators Healthcare regulation Healthcare price regulation State health insurance State health insurance top up Compulsory health insurance for locals Compulsory health insurance for expatriates Compulsory health insurance for overseas students Compulsory travel health insurance for visitors Health insurance for locals overseas Private health insurance Insurance company and broker regulators Health insurance regulation Health insurance price regulation 2019 population 2030 population estimate UN 2017 number of international immigrants- inbound UN 2017 number of international emigrants- outbound UN numbers of refugees Local figures on expatriate numbers Local figures on expatriate sources Local figures on Diaspora Leading local health insurers Head office of leading health insurers and brokers International health insurers/ brokers/agents activity
COUNTRIES • • • • • • • • •
Abu Dhabi Afghanistan Albania Algeria Andorra Angola Antigua Argentina Armenia
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Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Bermuda Bolivia Bosnia Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Canada Cayman Islands Chile China Colombia Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Dominica Dominican Republic Dubai Ecuador Egypt Estonia Ethiopia Fiji Finland France Georgia Germany Ghana Gibraltar Greece Grenada Guatemala Guernsey
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Guyana Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kuwait Kyrgyzstan Latvia Lebanon Lesotho Libya Lithuania Luxembourg Macau Macedonia Malawi Malaysia Maldives Malta Mauritius Mexico Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Papua New Guinea
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Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts And Nevis Saint Lucia Saudi Arabia Serbia Sierra Leone Singapore Slovak Republic Slovenia Somalia South Africa South Korea Spain Sri Lanka Sudan Swaziland Sweden Switzerland Syria Taiwan Tanzania Thailand Trinidad And Tobago Tunisia Turkey Turks And Caicos Uganda Ukraine United Arab Emirates United Kingdom Usa Uruguay Venezuela Vietnam Yemen Zambia Zimbabwe
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66 MILLION EX
87.5 MILLIO
XPATS IN 2019
ON BY 2020
INTERNATIONAL HEALTH INSURANCE 2019Š
For insurers, agencies, brokers and global companies, keeping up-to-date about the current and upcoming insurance law in overseas countries is almost impossible. That was, until now.