team 2 health insurance

8/16/2019 Team 2 Health Insurance

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INSURANCE AND RISKMANAGEMENT

HEALTH INSURANCE TEAM NO:2

DIVYA R

FATHIMA RIFANAGAYATHRI S

JOYS WSOWMYA R


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HEALTH INSURANCE

It is a contract between the Insurer & the Insured

wherein the former agrees to pay to the latterhospitalization expenses to the extent of anagreed sum assured in the event of any medicaltreatment out of an illness or an injury.

5/24/16 2IRM - HEALTH INSURANCE


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NEED OF HEALTH INSURANCE

To avoid increasing medical costs.

Its a precautionary measures in today’s

tough

time. To avoid hefty medical bills.



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CRITICAL ILLNESS INSURANCE

C,0)0 '( I((*"## !('* 0*#+,"# $+ '9'0*#) )&" ,0#< $% #",0$+# 0((*"##"#

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CURRENT SCENARIO OFHEALTH INSURANCE IN

INDIA

5/24/16 IRM - HEALTH INSURANCE


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Current Scenario of Health

insurance

H"'()& '," I*#+,'* " M',


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Market Size Forecasts HealthInsurance Market in In!ia"#$$#%#$'

The Indian healthcare insurance industry wasworth IN !"#$$crores with a compoundedannual growth rate of approximately %

percent between '$$' and '$#'. The mar(et penetration is only around ' percent of thetotal population in India.



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MAR(ET SI)E FORCAST

Total evenue )orecast for Indian *ealthcare Insurance+ar(et , -'$#$ '$#/0

The Indian healthcare insurance industry is worth IN 12" 22 crores with acompounded annual growth rate of approximately 1'3 between '$#$ &'$#/. The mar(et penetration is will be 1. folds higher in '$#/. The mainfactors of growth are increased awareness. 4ccording to 5orld 6an( eport"773 of Indians will face financial crunch in case of any critical illness.

#$&& #$ #$&* #$&+ #$&,$

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,"#"*) # "*',0$#. 8normous mismatch in global healthcare financing'. 9eveloping countries have !13 of population & 7$3 of disease burden%. 6y '$'$" world population ./ billion 6y '$/$" world population 7 billion

+ost of the growth in developing countries.1. 4ccording to N*4 of India '$$' '$#'" sources of finance in health sector • *ousehold 2!.!3• :entral ;ovt. .'3• ocal ;ovt. '.'3



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'3 6y Insurance =olicies.

#$3 6y self funded ;ovt.


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INSURANCE SCHEMES



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Performance of socialhealth insurance scheme

in key design issues

Responsiveness

Fair financial contribution

Health

Resource generation(sufficient &sustainable)

Fin. accessibility ofhealth services for all

Optimal resource use


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INSURANCE SCHEMES

• C"*),'( G$ ",* "*) H"'()& S &" "CGHS

•

E !($ ""# S)')" I*#+,'* " S &" "ESIS



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5/24/16 1BIRM - HEALTH INSURANCE


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CGHS "*" 0',0"#

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• No. of :enters 2%'•

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ESIS- "*" )#

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UHIS-I##+"#• L' < $% 0((0*9*"## $% I*#+,",#• I !,$!", 0 "*)0 ')0$* # #)" $%

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HOS0ITAL

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L0*


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MEDICLAIM OLICES IN

INSURANCE SECTOR



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M" 0 ('0 !$(0 0"# 0* !+ (0 #" )$,I*#+,'* "

• LIFE I*#+,'* " $,!$,')0$* $% I* 0'• G"*",'( I*#+,'* " $,!$,')0$* $%

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N" I* 0' A##+,'* " $ ()• U*0)" I* 0' I*#+,'* " $ ()



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L0%" I*#+,'* " $,!$,')0$* $% I* 0'

4s >I: provides jeevan arogya mediclaim policy which gives auniDue non lin(ed *ealth Insurance plan which provides healthinsurance cover against certain specified health ris(s and providesyou with timely support in case of medical emergencies and helps

you and your family remain financially independent in difficulttimes.It gives you E

• Faluable financial protection in case of hospitalisation" surgery etc

G Increasing *ealth cover every year G >ump sum benefit irrespective of actual medical costsG )lexible benefit limit to choose fromG )lexible premium payment options



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MICRO INSURANCE IN INDIA



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MICRO INSURANCE• M0 ,$ 0*#+,'* " 0# " *" '# 0*#+,'* "

!,$ 0 " %$, ($ -0* $ " !"$!(" ' ',0") $%0*#+,",#= ,+* 0* ' $, '* " 0)& 9"*",'((' "!)" 0*#+,'* " !,0* 0!("#= '* %+* " !," 0+ #

C$ !,0#"# $% ,0#


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MICRO INSURANCE OLICY• I*#+,'* " R"9+(')$, '* D" "($! "*) A+)&$,0) IRDA &'# ,"')" '

#!" 0'( ')"9$, $% 0*#+,'* " !$(0 0"# '((" 0 ,$-0*#+,'* " !$(0 0"#)$ !,$ $)" 0*#+,'* " $ ",'9" ' $*9 " $*$ 0 '(( +(*",' ("#" )0$*# $% #$ 0") . T&" IRDA M0 ,$-0*#+,'* " R"9+(')0$*#= 2 5

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MICRO HEALTH INSURANCE IN INDIA


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MICRO HEALTH INSURANCE IN INDIA• 7ene8ts9

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• $!+(', %$, ') $% H"'()& 0*#+,'* " $ ", 0# ' 8" #+ 0* '#" $%)&" &$#!0)'(0#')0$* ,"= +,0*9 '* $#) .

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• Con!ition9

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*+ ", $% )0 "#.5/24/16 5IRM - HEALTH INSURANCE


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• Infor3al insurance

• Insura5le;


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53/57

COM ARISON OF MICRO V# REGULAR



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R"9+(')" 0*#+,'* "$ !'*0"# )&') #", " )&')

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KEY STAKE HOLDERS INDEVELO MENT OF MICROINSURANCE

• $)"*)0'( '* +,,"*) !$(0 &$( ",#• A )+'( '* !$)"*)0'( "(0 ",

&'**"(#• R0#< ',,0",#• I* +#), '##$ 0')0$*#= *") $,


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CHALLENGES AHEAD• L$ 0*#+,'* " ' ',"*"## ' $*9 )&"

)',9")" #"9 "*)• N"" $% $," 0**$ ')0 " +) #0 !("

'* "80 (" !,$ + )# )'


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THANK YOU

team 2 health insurance

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