HEALTH CLAIM INFLATION REPORT 2010-2016

Insurance Information Bureau

of India
Health Insurance Claim
Inflation Report
(2010 – 2016)

1 Insurance Information Bureau of India

Insurance Information Bureau of India
 HEALTH CLAIM INFLATION REPORT 2010-2016

Contents

 Introduction ………………………………….3
 Objective……………………………………….3
 Executive Summary……………………….3
 Methodology…………………………………3
 Individual Vs. Group policies………….4
 Disease-wise Component-wise CAGR 2010-11
to 2015-16……………………………………..6
 Component-wise Disease-wise analysis CAGR
2010-11 to 2015-16……………………….12
 Claim Paid Amount Vs. Amount Claimed Vs.
Health CPI ……………………………………..16
 Inflationary Trends in Sub-classes of
Circulatory Diseases………………….…..18
 Conclusion……………………………………..18
Observations/Caveats………………………………….19
Tables & figures…………………………………………..20

2 Insurance Information Bureau of India

Insurance Information Bureau of India
 HEALTH CLAIM INFLATION REPORT 2010-2016

1. Introduction:
The Insurance Information Bureau of India has been collecting transaction level data on Health
Insurance policies, members and claims from all non life insurance and standalone health
insurance companies in India. The Health data is collected in 3 formats.

1. Policy Data
2. Members Data
3. Claims Data

2. Objective:
It is an undisputed fact that costs of health care are growing every year. The growth rates are
different for different components of amount claimed (Investigation, Surgery, Room &
Nursing, Medicine etc.) as well as for different types of diseases. The main purpose of this
study is to arrive at growth rates in costs of health care based on insurance claims
corresponding to different components of amount claimed and different disease groups. This
inflation report analyses the data submitted by the Insurance companies to IIB from 2010-11
to 2015-16. The limitations of the report are highlighted as a part of the disclaimer towards
the end of the report.

3. Executive Summary:
During the period 2010-11 to 2015-16 the compounded annual growth rate (CAGR) of amount
claimed was 9% under individual policies and 20% under group policies.

Majority of the Component-wise charges (Investigation, Surgery, Room & Nursing, Medicine
etc.) under group policies showed higher inflation than that under individual policies.

Maximum increase was seen in Investigation charges under group policies which grew by 29%
annually and the least in Surgery charges under individual policies with 8%.

CAGR of claim paid amount under almost all disease types is 10% or more under both
individual and Group policies. Significant growth was seen in Arthropathies, accidents, blood
Diseases and endocrine in case of Individual policies. With the exception of accidents, same
disease groups had high CAGR under group policies.

4. Methodology:
The following statistical process has been followed.

Step 1: Total claim transaction records have been segregated into individual and group claims.

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 HEALTH CLAIM INFLATION REPORT 2010-2016

Step 2: Distribution of amount claimed per transaction for individual as well as group claims
has been observed through detailed descriptive statistics. Claim paid amounts, which are on
extremely high side have been treated as outliers.

Step 3: Transactional level Claim data are aggregated to one record per claim where the
amount claimed corresponding to the last submitted transaction is considered as the amount
claimed for that particular claim and the total claim paid is summed across the transactions.
Even after the aggregation also, the coefficient of skewness and kurtosis are extremely high.
So the mean computed through this process will not be a true reflection of industry-level
average amount claimed. This leads to the next step of handling outliers from the data before
computation of the industry-level averages.

Step 4: Procedure followed to remove outliers

 There are a few records where the amount claimed is displayed negative, whereas in
reality it cannot be negative. Hence, these records are omitted from the computation of
average.
 The amounts claimed are assumed to follow a positively skewed distribution (Log normal
distribution) and hence the values of amounts claimed are log transformed before the
identification of outliers.
 After the log transformation, those values which are more than (third quartile + 1.5 times
the Inter quartile range) or which are less than (first quartile - 1.5 times the Inter quartile
range) are treated as outliers and omitted from the computation of Industry-level average
value of amount claimed for a single claim.

Step 5: After the outliers are removed through the above process, the coefficient of skewness
and Kurtosis are very much close to zero indicating the normality of the data. Mean of the log
transformed amounts claimed is computed and the exponent of the resulting mean is taken as
the mean of the amount claimed for that type of policies.

Step 6: Steps 2 to 5 have been repeatedly performed for amount claimed data for all the years
from 2010-11 to 2015-16. Inflation is computed as Compounded Annual Growth Rate (CAGR)
which is the Geometric mean of the growth rates of each of the years.

Step 7: Similar process is repeated to compute mean for all components of total amount
claimed under all Disease types wherever data are available and inflation is computed as CAGR
of the mean.

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 HEALTH CLAIM INFLATION REPORT 2010-2016

INDIVIDUAL Vs. GROUP POLICY TABLE 1: Difference in Index Individual vs. Group Policy (2015-
16)

Individual Group Diff.

Investigation charges grew by 2.5 times under (a) (b) (b)-(a)
Individual policy type while the same grew by Total Amount Claimed 148 212 64
Room & Nursing Charges 175 172 -3
2.7 times under Group policies in 2015-16, Consultation Charges 195 235 40
when compared to the base year of 2010-11. Investigation Charges 246 274 28
Medicine charges 164 207 44
Miscellaneous Charges 331 342 11
Figure 1: Health Claim Inflation Index: Individual Policy
Surgery Charges 172 241 69
Pre hospitalization Exp 227 130 -97
Post hospitalization Exp 355 180 -175

Fig. 3, Fig.4 & Fig.5 show that CAGR of amount

claimed under Group policies grew much
faster than that under Individual policies.
CAGR of amount claimed was 20% under
group policies and 9% under individual
policies. Similar pattern was observed in case
of consultation charges where the CAGR
under Group policies was 26% as against 16%
under individual policies and that of Medicine
With the exception of pre and post
charges was 22% under group and 11% under
hospitalisation expenses, inflation in all other
Individual policies. The widest gap in CAGR
categories of expenses was higher for Group
was observed in respect of surgery charges
policies. Under group policies Surgery Charges
with 26% under Group and 8% under
were higher by 70 basis points while Medicine
Individual policies.
charges and consultation charges were higher
by 44 and 40 basis points respectively. Figure 3: Individual Vs. Group Policy Expenses CAGR
Investigation charges for Group policies were
higher by 28 basis points. Total Amount
claimed for Group policies was 65 basis points
higher than that of Individual policies (table
1).

Figure 2: Health Claim Inflation Index: Group Policy

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 HEALTH CLAIM INFLATION REPORT 2010-2016
Only a marginal difference in CAGR was
observed in respect of Investigation charges
with 29% under Group and 26% under
Individual policies. And that for Room and
nursing charges was almost the same under
both Group and Individual policies with 14%
and 15% respectively. On the other hand that
for miscellaneous charges, Pre and Post
hospitalisation expenses was higher under
Individual policies.
Maximum CAGR was observed in the case of
miscellaneous charges with 43% under
Individual policies as against 31% under Group
Policies.
Figure 4: Individual Policy Expenses CAGR
For Post and Pre hospitalisation expenses the
CAGR was 37% and 25% under Individual
policies as against 21% and 13% under Group
policies.
Figure 5: Group Policy Expenses CAGR
6 Insurance Information Bureau of India
Disease-wise & Component-wise CAGR 2010-
11 to 2015-16
As expected all the components of amount
claimed under each disease type followed the
overall trends in the industry revealed in fig 4
and fig 5. For example, under Individual
policies, Investigation expenses find place in
the top four under all disease types (Fig. 6 to
Fig. 40) which is consistent with their third
place overall (fig 4).
The same trend in respect of all the
components is also noticeable under all
disease types in group policies.
Figure 6: Individual Policy: Infectious disease expenses - actual
CAGR Vs. Overall Mean CAGR
Figure 7: Group Policy: Infectious disease expenses -actual
CAGR Vs. Overall Mean CAGR
 HEALTH CLAIM INFLATION REPORT 2010-2016

Figure 8: Individual Policy: Circulatory disease expenses actual Figure 11: Group Policy: Neoplasm disease expenses actual
CAGR vs. Overall Mean CAGR CAGR vs. Overall Mean CAGR

Figure 9: Group Policy: Circulatory disease expenses actual

CAGR vs. Overall Mean CAGR Figure 12: Individual Policy: Respiratory disease expenses
actual CAGR vs. Overall Mean CAGR

Figure 10: Individual Policy: Neoplasm disease expenses actual

Figure 13: Group Policy: Respiratory disease expenses actual
CAGR vs. Overall Mean CAGR
CAGR vs. Overall Mean CAGR

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 HEALTH CLAIM INFLATION REPORT 2010-2016

Figure 14: Individual Policy: Blood disease expenses actual Figure 17: Group Policy: Nervous disease expenses actual
CAGR vs. Overall Mean CAGR CAGR vs. Overall Mean CAGR

Figure 15: Group Policy: Blood disease expenses actual CAGR

vs. Overall Mean CAGR
Figure 18: Individual Policy: ARTHROPATHIES disease
expenses actual CAGR vs. Overall Mean CAGR

Figure 16: Individual Policy: Nervous disease expenses actual Figure 19: Group Policy: ARTHROPATHIES disease expenses
CAGR vs. Overall Mean CAGR actual CAGR vs. Overall Mean CAGR

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 HEALTH CLAIM INFLATION REPORT 2010-2016

Figure 20: Individual Policy: UROLOGY expenses actual CAGR Figure 23: Group Policy: PREGNANCY expenses actual CAGR
vs. Overall Mean CAGR vs. Overall Mean CAGR

Figure 24: Individual Policy: ENDOCRINE expenses actual

Figure 21: Group Policy: UROLOGY expenses actual CAGR vs. CAGR vs. Overall Mean CAGR
Overall Mean CAGR

Figure 25: Group Policy: ENDOCRINE expenses actual CAGR

vs. Overall Mean CAGR
Figure 22: Individual Policy: PREGNANCY expenses actual
CAGR vs. Overall Mean CAGR

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 HEALTH CLAIM INFLATION REPORT 2010-2016

Figure 26: Individual Policy: DIGESTIVE expenses actual CAGR Figure 29: Group Policy: SKIN expenses actual CAGR vs.
vs. Overall Mean CAGR Overall Mean CAGR

Figure 27: Group Policy: DIGESTIVE expenses actual CAGR vs.

Figure 30: Individual Policy: EYE expenses actual CAGR vs.
Overall Mean CAGR
Overall Mean CAGR

Figure 28: Individual Policy: SKIN expenses actual CAGR vs. Figure 31: Group Policy: EYE expenses actual CAGR vs.
Overall Mean CAGR Overall Mean CAGR

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 HEALTH CLAIM INFLATION REPORT 2010-2016

Figure 32: Individual Policy: EAR expenses actual CAGR vs. Figure 35: Group Policy: PERINATAL PERIOD CONDITIONS
Overall Mean CAGR expenses actual CAGR vs. Overall Mean CAGR

Figure 33: Group Policy: EAR expenses actual CAGR vs.

Overall Mean CAGR
Figure 36: Individual Policy: MALFORMATIONS
DEFORMATIONS expenses actual CAGR vs. Overall Mean
CAGR

Figure 34: Individual Policy: PERINATAL PERIOD CONDITIONS

expenses actual CAGR vs. Overall Mean CAGR Figure 37: Group Policy: MALFORMATIONS DEFORMATIONS
expenses actual CAGR vs. Overall Mean CAGR

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 HEALTH CLAIM INFLATION REPORT 2010-2016
Figure 38: Individual Policy: INJURY expenses actual CAGR vs.
Overall Mean CAGR
Figure 39: Group Policy: INJURY expenses actual CAGR vs.
Overall Mean CAGR
Figure 40: Individual Policy: HEALTH SERVICES RELATED
expenses actual CAGR vs. Overall Mean CAGR
12 Insurance Information Bureau of India
Figure 41: Group Policy HEALTH SERVICES RELATED expenses
actual CAGR vs. Overall Mean CAGR
Component-wise Disease-wise analysis
Amount claimed:
Eight out of twenty-two disease types (Fig. 42)
showed CAGR greater than 20% under
Individual policy types. Growth under Mental
Disorders was the highest with 242%,
distantly followed by arthropathies, accident,
eye disease and blood diseases.
Under Group policies, growth under ‘Clinical
findings’ (full form “Symptoms, signs,
abnormal clinical and laboratory findings not
classified elsewhere”) was the highest
followed by blood diseases, mental disorders,
arthropathies and Infections. (Fig. 43)
Figure 42: Individual Policy: Total Amount Claimed – CAGR
(2010-11 to 2015-16)
 HEALTH CLAIM INFLATION REPORT 2010-2016
Figure 43: Group Policy: Total Amount Claimed – CAGR (2010-
11 to 2015-16)
Claim Paid Amount:
While high CAGR of claim paid amount under
Mental disorders and clinical findings can be
attributed to low base, that in claim paid
amount under other disease types is
significant as almost all of them display CAGR
of 10% or more under both individual and
Group policies. Significant growth was seen in
arthropathies, accidents, blood Diseases and
endocrine in case of Individual policies. With
the exception of accidents, same disease
groups had high CAGR under group policies
(Fig. 44 & Fig. 45)
Figure 44: Individual Policy: Claim Paid Amount – CAGR (2010-
11 to 2015-16)
13 Insurance Information Bureau of India
Figure 45: Group Policy: Claims Paid – CAGR (2010-11 to 2015-
16)
Post-hospitalization Expenses:
Maximum growth was observed in respect of
Mental disorders under Individual policies
distantly followed by Perinatal Period
conditions, codes for special purpose and
accidents. The aforesaid disease groups
witnessed growth of above 50%. Under Group
policies, maximum CAGR in respect of the top
four disease groups was nowhere near that of
Individual policies. However, the growth was
higher for all other disease groups. (Fig. 46 &
Fig. 47)
Figure 46: Individual Policy Post Hospitalization Expenses –
Disease-wise CAGR
 HEALTH CLAIM INFLATION REPORT 2010-2016
Figure 47: Group Policy Post Hospitalization Expenses –
Disease-wise CAGR
Pre-hospitalization Expenses:
Under individual policies Mental disorders
followed by Perinatal Period conditions,
clinical findings and accidents recorded
maximum growth.
Accidents and mental disorders occupied top
two places under group policies also but the
next two places were claimed by Nervous
diseases and Malformations and
deformations. (Fig. 48 & Fig. 49)
Figure 48: Individual Policy Pre Hospitalization Expenses –
Disease-wise CAGR
14 Insurance Information Bureau of India
Figure 49: Group Policy Pre Hospitalization Expenses –
Disease-wise CAGR
Miscellaneous Expenses:
Having recorded the highest growth in Index
under both Individual and Group polices,
Miscellaneous expenses recorded CAGR
above 30% under nearly all the disease types
in case of Individual policies. Accident,
Endocrine, Arthropathies and Skin diseases
recorded CAGR of around 100%. (Fig. 50)
Figure 50: Individual Policy Miscellaneous Expenses – Disease-
wise CAGR
Clinical Findings, Accidents, Eye and
Malformations and Deformations recorded
highest growth under Group policies (Fig.51)
 HEALTH CLAIM INFLATION REPORT 2010-2016

Figure 51: Group Policy Miscellaneous Expenses – Disease- 23% respectively while the rest were below
wise CAGR
20% (Fig. 53)
Figure 53: Group Policy Medicine charges – Disease-wise CAGR

Medicine Expenses:
CAGR for medicine charges was relatively low
under individual policies. For almost all the
disease types the rate was below 30% with
the highest one recorded by Arthropathies
followed by Perinatal period conditions. (Fig.
52)
Figure 52: Individual Policy Medicine charges – Disease-wise
CAGR
Investigation Expenses:
High growth rates were witnessed in
investigation expenses under disease types
viz., Mental disorders, Clinical findings,
Respiratory, Skin and ear in respect of
Individual policies. Under Group polices
Clinical findings showed highest growth rate
followed by Mental disorders, Infections and
ear (Fig. 54)
Figure 54: Individual Policy Investigation Expenses - Disease-
wise CAGR

Under group polices, with the exception of

Clinical findings which recorded CAGR of 42%,
the rest of the disease groups recorded below
30% as under individual policies. Infections
and Arthropathies saw a growth of 25% and

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 HEALTH CLAIM INFLATION REPORT 2010-2016

Figure 55: Group Policy Investigation Expenses - Disease-wise Figure 57: Group Policy Surgery Expenses - Disease wise CAGR
CAGR

Surgery Charges:
Pregnancy showed highest growth rate
followed by Arthropathies, Mental disorders
and Malformation and Deformations under
Individual policies (Fig. 56)
Figure 56: Individual Policy Surgery Expenses - Disease wise
CAGR
Consultation Charges:
Under both individual and group policies
CAGR of consultation charges related to
accidents was the highest. Under individual
policies it was 43% and group policies, 35%.
Mental disorders, Endocrine and Eyes were in
the top four under Individual policies while
Clinical findings, Infections and Urology in the
corresponding slots under Group polices Fig.
58 & 59)

Figure 58: Individual Policy Consultation Expenses - Disease

wise CAGR

Under Group policies, CAGR of surgery

charges was the highest for Clinical findings
followed distantly by Arthropathies,
Circulatory and Malformations and
Deformations (Fig. 57)

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 HEALTH CLAIM INFLATION REPORT 2010-2016
Figure 59: Group Policy Consultation Expenses - Disease wise
CAGR
Room and Nursing Charges:
Under both Individual and group policies
CAGR of Room and nursing charges for most
of the disease types was under 20%.
Under individual policies Clinical findings,
Respiratory and accidents recorded CAGR in
excess of 20%. While In case of Group policies
clinical findings, Diseases related to Nervous
system and infections recorded more than
20% (Fig. 60 & Fig. 61)
Figure 60: Individual Policy Room & Nursing Expenses -
Disease wise CAGR (2012-16)
17 Insurance Information Bureau of India
Figure 61: Group Policy Room & Nursing Expenses - Disease
wise CAGR (2012-16)
Claim Paid Amount Vs. Amount Claimed Vs.
Health CPI
The Consumer Price index published by
MOSPI(with current base of 2012) has health
inflation as a component taking both
Institutional and non-institutional delivery of
health care into account. This is being
published for Rural, Urban and Rural /Urban
combined.
Rural Health care Inflation was the highest as
per the data given in CPI. Thus it has been
taken as Bench Mark in this section. Fig. 62
Figure 62: CPI health claim Inflation Index (Base 2012)
Under Individual polices the index of amount
claimed was slightly higher than Health CPI
(Fig. 63)
 HEALTH CLAIM INFLATION REPORT 2010-2016

Figure 63: Individual Policy: Amount Claimed Index vs. CPI Figure 65: HYPERTENSIVE: Individual Policy Vs. Group Policy –
health claim Inflation Index (Rural) Expense-Wise CAGR (2010-15)

Source: IIBI & All India Consumer Price Index (Rural/Urban) (Base: 2012=100)
Ministry of Statistics and Programme Implementation

Under group policies the Index of amount

claimed followed aforementioned CPI till Figure 66: ISCHEMIC HEART DISEASES: Individual Policy Vs.
2014-15 however a sudden jump was seen in Group Policy – Expense-Wise CAGR (2010-15)

2015-16(Fig. 64)

Figure 64: Group Policy: Amount Claimed Index vs. CPI

Inflationary Trends In Sub-classes of

Circulatory Diseases
CIRCULATORY: HYPERTENSIVE & ISCHEMIC sub-classes
CAGR of all components under hypertensive
diseases was higher for Group policies (Fig.
65)
The same was true for Ischemic diseases
except that under miscellaneous charges (Fig.
66)
Conclusion
Index levels of components of amount
claimed and related CAGR clearly bring out
the fact that claim inflation under group
policies is more than that under Individual
policies. In sub-classes of circulatory diseases
higher claim inflation under Group policies is
even more conspicuous.
Also when growth in index of amount claimed
is compared to CPI it is clear that the rise in
cost of health care in health insurance milieu
is more than the CPI.

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 HEALTH CLAIM INFLATION REPORT 2010-2016

Observations/Caveats:

a. Total Amount claimed is populated in more than 97% of the records but the break-
up of the total amount claimed into various components (Room and Nursing,
Surgery, Consultation, Investigation, Medicine, Pre hospitalization, Post
Hospitalization and Miscellaneous) is populated in less than 25% of the total records
only.
b. Proper disease codes are captured in less than 50% of the records only.
c. Total amount claimed matches with the sum of the aforesaid components in less
than 5% of total records only.
d. All the fields which are populated by the insurers have been considered
independently.

Disclaimer:

This Report is based on the data received from Insurance Companies in India
and data and information from various other sources. Insurance Information
Bureau of India (IIB) does not warrant the accuracy of any advice, opinion,
statement, representation or other information contained in this Report. No
one should act solely based on the contents of this Report, without seeking
appropriate professional advice.

Your use of the materials and information contained therein, is solely at your
own risk, and IIB and its affiliates shall not be held liable for any loss or
damages whatsoever, sustained by any person or entity which relies on the
information contained therein.

IIB disclaims all liability in respect of actions taken or not taken by any person
or entity, based on the contents of this Report or any loss or damage
whatsoever arising in connection with the use of information contained in this
Report by such person or entity.

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TABLES & FIGURES PAGE

TABLE 1: Difference in Index Individual vs. Group Policy (2015-16) 5
Figure 1: Health Claim Inflation Index: Individual Policy 5
Figure 2: Health Claim Inflation Index: Group Policy 5
Figure 3: Individual Vs. Group Policy Expenses CAGR 5
Figure 4: Individual Policy Expenses CAGR 6
Figure 5: Group Policy Expenses CAGR 6
Figure 6: Individual Policy: Infectious disease expenses - actual CAGR Vs. Overall Mean CAGR 6
Figure 7: Group Policy: Infectious disease expenses -actual CAGR Vs. Overall Mean CAGR 6
Figure 8: Individual Policy: Circulatory disease expenses actual CAGR vs. Overall Mean CAGR 7
Figure 9: Group Policy: Circulatory disease expenses actual CAGR vs. Overall Mean CAGR 7
Figure 10: Individual Policy: Neoplasm disease expenses actual CAGR vs. Overall Mean CAGR 7
Figure 11: Group Policy: Neoplasm disease expenses actual CAGR vs. Overall Mean CAGR 7
Figure 12: Individual Policy: Respiratory disease expenses actual CAGR vs. Overall Mean CAGR 7
Figure 13: Group Policy: Respiratory disease expenses actual CAGR vs. Overall Mean CAGR 7
Figure 14: Individual Policy: Blood disease expenses actual CAGR vs. Overall Mean CAGR 8
Figure 15: Group Policy: Blood disease expenses actual CAGR vs. Overall Mean CAGR 8
Figure 16: Individual Policy: Nervous disease expenses actual CAGR vs. Overall Mean CAGR 8
Figure 17: Group Policy: Nervous disease expenses actual CAGR vs. Overall Mean CAGR 8
Figure 18: Individual Policy: ARTHROPATHIES disease expenses actual CAGR vs. Overall Mean CAGR 8
Figure 19: Group Policy: ARTHROPATHIES disease expenses actual CAGR vs. Overall Mean CAGR 8
Figure 20: Individual Policy: UROLOGY expenses actual CAGR vs. Overall Mean CAGR 9
Figure 21: Group Policy: UROLOGY expenses actual CAGR vs. Overall Mean CAGR 9
Figure 22: Individual Policy: PREGNANCY expenses actual CAGR vs. Overall Mean CAGR 9
Figure 23: Group Policy: PREGNANCY expenses actual CAGR vs. Overall Mean CAGR 9
Figure 24: Individual Policy: ENDOCRINE expenses actual CAGR vs. Overall Mean CAGR 9
Figure 25: Group Policy: ENDOCRINE expenses actual CAGR vs. Overall Mean CAGR 9
Figure 26: Individual Policy: DIGESTIVE expenses actual CAGR vs. Overall Mean CAGR 10
Figure 27: Group Policy: DIGESTIVE expenses actual CAGR vs. Overall Mean CAGR 10
Figure 28: Individual Policy: SKIN expenses actual CAGR vs. Overall Mean CAGR 10
Figure 29: Group Policy: SKIN expenses actual CAGR vs. Overall Mean CAGR 10
Figure 30: Individual Policy: EYE expenses actual CAGR vs. Overall Mean CAGR 10
Figure 31: Group Policy: EYE expenses actual CAGR vs. Overall Mean CAGR 10
Figure 32: Individual Policy: EAR expenses actual CAGR vs. Overall Mean CAGR 11
Figure 33: Group Policy: EAR expenses actual CAGR vs. Overall Mean CAGR 11
Figure 34: Individual Policy: PERINATAL PERIOD CONDITIONS expenses actual CAGR vs. Overall Mean CAGR 11
Figure 35: Group Policy: PERINATAL PERIOD CONDITIONS expenses actual CAGR vs. Overall Mean CAGR 11
Figure 36: Individual Policy: MALFORMATIONS DEFORMATIONS expenses actual CAGR vs. Overall Mean CAGR 11
Figure 37: Group Policy: MALFORMATIONS DEFORMATIONS expenses actual CAGR vs. Overall Mean CAGR 11
Figure 38: Individual Policy: INJURY expenses actual CAGR vs. Overall Mean CAGR 12
Figure 39: Group Policy: INJURY expenses actual CAGR vs. Overall Mean CAGR 12
Figure 40: Individual Policy: HEALTH SERVICES RELATED expenses actual CAGR vs. Overall Mean CAGR 12
Figure 41: Group Policy HEALTH SERVICES RELATED expenses actual CAGR vs. Overall Mean CAGR 12
Figure 42: Individual Policy: Total Amount Claimed – CAGR (2010-11 to 2015-16) 12
Figure 43: Group Policy: Total Amount Claimed – CAGR (2010-11 to 2015-16 13
Figure 44: Individual Policy: Claim Paid Amount – CAGR (2010-11 to 2015-16) 13
Figure 45: Group Policy: Claims Paid – CAGR (2010-11 to 2015-16) 13
Figure 46: Individual Policy Post Hospitalization Expenses – Disease-wise CAGR 13
Figure 47: Group Policy Post Hospitalization Expenses – Disease-wise CAGR 14
Figure 48: Individual Policy Pre Hospitalization Expenses – Disease-wise CAGR 14
Figure 49: Group Policy Pre Hospitalization Expenses – Disease-wise CAGR 14
Figure 50: Individual Policy Miscellaneous Expenses – Disease-wise CAGR 14
Figure 51: Group Policy Miscellaneous Expenses – Disease-wise CAGR 15
Figure 52: Individual Policy Medicine charges – Disease-wise CAGR 15
Figure 53: Group Policy Medicine charges – Disease-wise CAGR 15
Figure 54: Individual Policy Investigation Expenses - Disease-wise CAGR 15
Figure 55: Group Policy Investigation Expenses - Disease-wise CAGR 16
Figure 56: Individual Policy Surgery Expenses - Disease wise CAGR 16
Figure 57: Group Policy Surgery Expenses - Disease wise CAGR 16
Figure 58: Individual Policy Consultation Expenses - Disease wise CAGR 16
Figure 59: Group Policy Consultation Expenses - Disease wise CAGR 17
Figure 60: Individual Policy Room & Nursing Expenses - Disease wise CAGR (2012-16) 17
Figure 61: Group Policy Room & Nursing Expenses - Disease wise CAGR (2012-16) 17
Figure 62: CPI health claim Inflation Index (Base 2012) 17
Figure 63: Individual Policy: Amount Claimed Index vs. CPI health claim Inflation Index (Rural) 18
Figure 64: Group Policy: Amount Claimed Index vs. CPI 18
Figure 65: HYPERTENSIVE: Individual Policy Vs. Group Policy – Expense-Wise CAGR (2010-15) 18
Figure 66: ISCHEMIC HEART DISEASES: Individual Policy Vs. Group Policy – Expense-Wise CAGR (2010-15) 18

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