Abstract
Summary
The Indonesia private health insurance market is projected to register a CAGR of 2.1% in the forecast period of 2023 to 2030. The market report contains data for the historic year 2021, the base year of calculation is 2022, and the forecast period is 2023 to 2030.
Market Segmentation
Indonesia Private Health Insurance Market, By Product Type (Into Mediclaim Insurance, Hospitalization Coverage Insurance, Critical Illness Insurance, Individual Coverage Insurance, Family Floater Coverage Insurance, Senior Citizen Coverage Insurance, Unit Linked Health Plans, Permanent Private Health Insurance, and Others), Business Solution (Lead Generation Solutions, Robotic Process Automation, Artificial Intelligence & Blockchain Solutions, Revenue Management & Billing Solutions, Claims Administration Cloud Solutions, Value-Based Payments Solutions, Intelligent Case Management Solutions, Insurance Cloud Solutions, and Others), Assistance/Service Type (Inpatient/Daycare, Hospital Accommodation, Accidental Death Benefit, Palliative Care, Maternity, Medical Evacuation, Repatriation Plan, Out-Patient, Dental, Oncology, Laser Eye Treatment, Psychiatry and Psychotherapy, Organ Transplant, Rehabilitation Treatment, and Others), Level of Coverage (Bronze, Silver, Gold, and Platinum), Type of Insurance Plans (Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Exclusive Provider Organizations (EPOs), Point-Of-Service (POS) Plans, Indemnity Private Health Insurance, Health Savings Account (HSA), Qualified Small Employer Health Reimbursement Arrangements (QSEHRAs), and Others), Demographics (Adults, Seniors, and Minors), Coverage Type (Lifetime Coverage and Term Coverage), End User (Individual, Couple, Family, and Corporate), Distribution Channel (Direct Sales, Financial Institutions, Hospitals, Clinics, E-Commerce, and Others), Country (Indonesia) Industry Trends and Forecast to 2030
Some of the major factors contributing to the growth of the Indonesia private health insurance market are:
• The growing number of daycare procedures
• Opting for health insurance in the public and private sector
• The increasing cost of medical services
Market Players
Some of the major players operating in the Indonesia private health insurance market are:
• Pacific Cross
• Allianz Indonesia
• Etiqa
• PT FWD Insurance Indonesia.
• Aetna Inc. (Subsidiary of CVS health)
• BUPA Global
• Manulife
• PT BANK MANDIRI (PERSERO) TBK
• AXA
• AIA Group Limited
• PRUDENTIAL INDONESIA
• Medibank Private Limited.
• BNI Life (Subsidiary of Bank Negara Indonesia)
• Sun Life Financial
• PT AVRIST ASSURANCE
• Great Eastern Holdings Limited
• Now Health International
• PT Tokio Marine Life Insurance Indonesia (Subsidiary of Tokoi Marine Holdings)
• Cigna
• ALLIANZ WORLDWIDE CARE LIMITED
Table of Contents
1 INTRODUCTION 14
1.1 OBJECTIVES OF THE STUDY 14
1.2 MARKET DEFINITION 14
1.3 OVERVIEW 14
1.4 LIMITATIONS 16
1.5 MARKETS COVERED 16
2 MARKET SEGMENTATION 18
2.1 MARKETS COVERED 18
2.2 GEOGRAPHICAL SCOPE 19
2.3 YEARS CONSIDERED FOR THE STUDY 19
2.4 CURRENCY AND PRICING 19
2.5 DBMR TRIPOD DATA VALIDATION MODEL 20
2.6 MULTIVARIATE MODELLING 23
2.7 PRODUCT TYPE LIFELINE CURVE 23
2.8 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS 24
2.9 DBMR MARKET POSITION GRID 25
2.10 MARKET TESTING TYPE COVERAGE GRID 26
2.11 VENDOR SHARE ANALYSIS 27
2.12 SECONDARY SOURCES 28
2.13 ASSUMPTIONS 28
3 EXECUTIVE SUMMARY 29
4 PREMIUM INSIGHTS 32
4.1 PORTER'S FIVE FORCES MODEL 34
4.2 PATENT ANALYSIS 35
4.3 TECHNOLOGY ROADMAP 37
5 REGULATORY FRAMEWORK 38
6 SUMMARY WRITE-UP: INDONESIA 39
6.1 OVERVIEW 39
7 MARKET OVERVIEW 40
7.1 DRIVERS 42
7.1.1 INCREASING COST OF MEDICAL SERVICES 42
7.1.2 GROWING NUMBER OF DAY CARE PROCEDURES 42
7.1.3 OPTING FOR HEALTH INSURANCE IN THE PUBLIC AND PRIVATE SECTOR 44
7.1.4 INCREASING OLD AGE POPULATION 45
7.2 RESTRAINTS 45
7.2.1 HIGH COST OF PREMIUM 45
7.2.2 STRICT DOCUMENTATION PROCESS FOR CLAIM REIMBURSEMENT 46
7.3 OPPORTUNITIES 46
7.3.1 INCREASING AWARENESS ABOUT THE BENEFITS OF HEALTH INSURANCE 46
7.3.2 INCREASING HEALTHCARE EXPENDITURE 47
7.3.3 GROWING MEDICAL TOURISM IN INDONESIA 47
7.4 CHALLENGES 48
7.4.1 LACK OF AWARENESS REGARDING HEALTH INSURANCE 48
7.4.2 LIMITED AVAILABILITY OF HEALTHCARE FACILITIES 49
8 INDONESIA PRIVATE HEALTH INSURANCE MARKET, BY PRODUCT TYPE 50
8.1 OVERVIEW 51
8.2 INDIVIDUAL COVERAGE INSURANCE 54
8.3 HOSPITALIZATION COVERAGE INSURANCE 54
8.4 FAMILY FLOATER COVERAGE INSURANCE 54
8.5 SENIOR CITIZEN COVERAGE INSURANCE 55
8.6 CRITICAL ILLNESS INSURANCE 55
8.7 UNIT LINKED HEALTH PLANS 55
8.8 INTO MEDICLAIM INSURANCE 56
8.9 PERMANENT PRIVATE HEALTH INSURANCE 56
8.10 OTHERS 57
9 INDONESIA PRIVATE HEALTH INSURANCE MARKET, BY BUSINESS SOLUTION 58
9.1 OVERVIEW 59
9.2 LEAD GENERATION SOLUTIONS 62
9.3 ROBOTIC PROCESS AUTOMATION 62
9.4 ARTIFICIAL INTELLIGENCE & BLOCKCHAIN SOLUTIONS 62
9.5 REVENUE MANAGEMENT & BILLING SOLUTIONS 63
9.6 CLAIMS ADMINISTRATION CLOUD SOLUTIONS 63
9.7 VALUE-BASED PAYMENTS SOLUTIONS 64
9.8 INTELLIGENT CASE MANAGEMENT SOLUTIONS 64
9.9 INSURANCE CLOUD SOLUTIONS 65
9.10 OTHERS 65
10 INDONESIA PRIVATE HEALTH INSURANCE MARKET, BY ASSISTANCE/SERVICE TYPE 66
10.1 OVERVIEW 67
10.2 INPATIENT/DAYCARE 70
10.3 HOSPITAL ACCOMMODATION 71
10.4 ACCIDENTAL DEATH BENEFIT 71
10.5 PALLIATIVE CARE 71
10.6 MATERNITY 72
10.7 MEDICAL EVACUATION 72
10.8 REPATRIATION PLAN 72
10.9 OUT-PATIENT 73
10.10 DENTAL 73
10.11 ONCOLOGY 73
10.12 LASER EYE TREATMENT 74
10.13 PSYCHIATRY AND PSYCHOTHERAPY 74
10.14 ORGAN TRANSPLANT 74
10.15 REHABILITATION TREATMENT 75
10.16 OTHERS 75
11 INDONESIA PRIVATE HEALTH INSURANCE MARKET, BY LEVEL OF COVERAGE 76
11.1 OVERVIEW 77
11.2 BRONZE 80
11.3 SILVER 80
11.4 GOLD 81
11.5 PLATINUM 81
12 INDONESIA PRIVATE HEALTH INSURANCE MARKET, BY TYPE OF INSURANCE PLANS 82
12.1 OVERVIEW 83
12.2 HEALTH MAINTENANCE ORGANIZATIONS (HMOS) 86
12.3 PREFERRED PROVIDER ORGANIZATIONS (PPOS) 86
12.4 EXCLUSIVE PROVIDER ORGANIZATIONS (EPOS) 86
12.5 POINT-OF-SERVICE (POS) PLANS 87
12.6 INDEMNITY PRIVATE HEALTH INSURANCE 87
12.7 HEALTH SAVINGS ACCOUNT (HSA) 88
12.8 QUALIFIED SMALL EMPLOYER HEALTH REIMBURSEMENT ARRANGEMENTS (QSEHRAS) 88
12.9 OTHERS 89
13 INDONESIA PRIVATE HEALTH INSURANCE MARKET, BY DEMOGRAPHICS 90
13.1 OVERVIEW 91
13.2 ADULTS 94
13.3 SENIORS 94
13.4 MINORS 95
14 INDONESIA PRIVATE HEALTH INSURANCE MARKET, BY COVERAGE TYPE 96
14.1 OVERVIEW 97
14.2 LIFETIME COVERAGE 100
14.3 TERM COVERAGE 100
15 INDONESIA PRIVATE HEALTH INSURANCE MARKET, BY END USER 101
15.1 OVERVIEW 102
15.2 INDIVIDUAL 105
15.3 COUPLE 105
15.4 FAMILY 105
15.5 CORPORATE 106
16 INDONESIA PRIVATE HEALTH INSURANCE MARKET, BY DISTRIBUTION CHANNEL 107
16.1 OVERVIEW 108
16.2 DIRECT SALES 111
16.3 FINANCIAL INSTITUTIONS 111
16.4 HOSPITALS 111
16.5 CLINICS 112
16.6 E-COMMERCE 112
16.7 OTHERS 113
17 INDONESIA PRIVATE HEALTH INSURANCE MARKET, COMPANY LANDSCAPE 114
17.1 COMPANY SHARE ANALYSIS: ASIA-PACIFIC 114
18 SWOT ANALYSIS 115
19 COMPANY PROFILE 116
19.1 PACIFIC CROSS 116
19.1.1 COMPANY SNAPSHOT 116
19.1.2 REVENUE ANALYSIS 116
19.1.3 PRODUCT PORTFOLIO 117
19.1.4 RECENT DEVELOPMENT 117
19.2 AXA 118
19.2.1 COMPANY SNAPSHOT 118
19.2.2 REVENUE ANALYSIS 118
19.2.3 PRODUCT PORTFOLIO 119
19.2.4 RECENT DEVELOPMENT 119
19.3 AIA GROUP LIMITED 120
19.3.1 COMPANY SNAPSHOT 120
19.3.2 REVENUE ANALYSIS 120
19.3.3 PRODUCT PORTFOLIO 121
19.3.4 RECENT DEVELOPMENT 121
19.4 THE MANUFACTURERS LIFE INSURANCE COMPANY (MANULIFE) 122
19.4.1 COMPANY SNAPSHOT 122
19.4.2 REVENUE ANALYSIS 122
19.4.3 PRODUCT PORTFOLIO 123
19.4.4 RECENT DEVELOPMENT 123
19.5 PT BANK MANDIRI (PERSERO) TBK. 124
19.5.1 COMPANY SNAPSHOT 124
19.5.2 REVENUE ANALYSIS 124
19.5.3 PRODUCT PORTFOLIO 125
19.5.4 RECENT DEVELOPMENTS 125
19.6 ALLIANZ CARE 126
19.6.1 COMPANY SNAPSHOT 126
19.6.2 REVENUE ANALYSIS 126
19.6.3 PRODUCT PORFOLIO 127
19.6.4 RECENT DEVELOPMENT 127
19.7 AETNA INC. (A SUBSIDIARY OF CVS HEALTH) 128
19.7.1 COMPANY SNAPSHOT 128
19.7.2 REVENUE ANALYSIS 128
19.7.3 PRODUCT PORTFOLIO 129
19.7.4 RECENT DEVELOPMENT 129
19.8 ALLIANZ 130
19.8.1 COMPANY SNAPSHOT 130
19.8.2 REVENUE ANALYSIS 130
19.8.3 PRODUCT PORTFOLIO 131
19.8.4 RECENT DEVELOPMENT 131
19.9 BUPA GLOBAL 132
19.9.1 COMPANY SNAPSHOT 132
19.9.2 REVENUE ANALYSIS 132
19.9.3 PRODUCT PORTFOLIO 133
19.9.4 RECENT DEVELOPMENT 133
19.10 CIGNA 134
19.10.1 COMPANY SNAPSHOT 134
19.10.2 REVENUE ANALYSIS 135
19.10.3 PRODUCT PORTFOLIO 135
19.10.4 RECENT DEVELOPMENT 136
19.11 ETIQA 137
19.11.1 COMPANY SNAPSHOT 137
19.11.2 REVENUE ANALYSIS 137
19.11.3 PRODUCT PORTFOLIO 138
19.11.4 RECENT DEVELOPMENTS 138
19.12 GREAT EASTERN HOLDINGS LIMITED 139
19.12.1 COMPANY SNAPSHOT 139
19.12.2 REVENUE ANALYSIS 139
19.12.3 PRODUCT PORTFOLIO 140
19.12.4 RECENT DEVELOPMENT 140
19.13 MEDIBANK PRIVATE LIMITED 141
19.13.1 COMPANY SNAPSHOT 141
19.13.2 REVENUE ANALYSIS 141
19.13.3 PRODUCT PORTFOLIO 142
19.13.4 RECENT DEVELOPMENT 142
19.14 NOW HEALTH INTERNATIONAL 143
19.14.1 COMPANY SNAPSHOT 143
19.14.2 PRODUCT PORTFOLIO 143
19.14.3 RECENT DEVELOPMENT 143
19.15 PT FWD INSURANCE INDONESIA 144
19.15.1 COMPANY SNAPSHOT 144
19.15.2 PRODUCT PORTFOLIO 144
19.15.3 RECENT DEVELOPMENT 144
19.16 PT AVRIST ASSURANCE 145
19.16.1 COMPANY SNAPSHOT 145
19.16.2 REVENUE ANALYSIS 145
19.16.3 PRODUCT PORTFOLIO 146
19.16.4 RECENT DEVELOPMENT 146
19.17 PT BANK NEGARA INDONESIA (PERSARO), TBK.(SUBSIDARY OF BANK NEGARA INDONESIA) 147
19.17.1 COMPANY SNAPSHOT 147
19.17.2 REVENUE ANALYSIS 147
19.17.3 PRODUCT PORTFOLIO 148
19.17.4 RECENT DEVELOPMENT 148
19.18 PT TOKIO MARINE LIFE INSURANCE INDONESIA(SUBSIDIARY OF TOKIO MARINE HOLDINGS) 149
19.18.1 COMPANY SNAPSHOT 149
19.18.2 REVENUE ANALYSIS 149
19.18.3 PRODUCT PORTFOLIO 150
19.18.4 RECENT DEVELOPMENTS 150
19.19 PRUDENTIAL INDONESIA 151
19.19.1 COMPANY SNAPSHOT 151
19.19.2 REVENUE ANALYSIS 151
19.19.3 PRODUCT PORTFOLIO 152
19.19.4 RECENT DEVELOPMENT 152
19.20 SUN LIFE INDONESIA 153
19.20.1 COMPANY SNAPSHOT 153
19.20.2 REVENUE ANALYSIS 153
19.20.3 PRODUCT PORTFOLIO 154
19.20.4 RECENT DEVELOPMENT 154
20 QUESTIONNAIRE 155
21 RELATED REPORTS 160