Professional Documents
Culture Documents
Media /
Health Providers Telecom
Customer
IRDA - regulator
Chapter 2 – Health Insurance – Plans
Community Based /
Private Social
Micro Insurance
Chapter 3 – Penetration of health insurance
Chapter 3 – Penetration of health insurance
Key Market Indicators
Insurance Penetration
Insurance Density
Chapter 4 – An Analysis
Claims
Premium Payable Underwriting
No. of No. of No. of Paid in in Balance
Time Year Policies Members Claims Rs (crore) Rs (crore) Claim Ratio Rs (crore)
800
600
400
VALUE
-400
TIME ( in years )
Cont..
Issues and Concerns
Low level of awareness among consumers about health insurance
products and their benefits
Limited Influence over healthcare delivery mechanism - Limited
healthcare delivery network with top few cities
Low health insurance penetration and lack of affordability of the
consumers in the tier 2/3 cities and rural areas to support the investment
in healthcare infrastructure in these areas
Insufficient data on consumers & disease patterns, absence of
standardization of healthcare costs & significant levels of frauds leading
to under-pricing of insurance products, difficulty in product
development & pricing and higher value of claims
Addressing some way-outs for issues and
challenges
Creating awareness on Rights & Responsibilities
Data Pool – Regulator as a repository
Standardization of Cost
TPAs
Health Providers