New Zealand Private Health Insurance Market, By Type (Critical Illness Insurance, Individual Health Insurance, Family Health Insurance, Disease-Specific Insurance and Others), Health Plan Category/Metal Levels (Bronze, Silver, Gold Platinum and Others), Provider Type (Health Maintenance Organizations (HMOS), Preferred Provider Organizations (PPOS), Exclusive Provider Organizations (EPOS), Point-Of-Service (POS) Plans, High-Deductible Health Plans (HDHPS) and Others), Age Group (Young Adulthood (19-44 Years), Middle Adulthood (45-64 Years) and Older Adulthood (65 Years And Above)), Distribution Channel (Direct Insurance Companies, Insurance Aggregators and Others) Industry Trends and Forecast to 2029.
Market Analysis and Size
A health insurance policy consists of several types of features and benefits. It provides financial coverage to policyholders against certain treatments, health insurance policy offering advantages including cashless hospitalization, pre and posts hospitalization coverage, reimbursement, and various add-ons.
In the health insurance plan, several types of coverage are available: cashless or reimbursement claim. The cashless benefit is available when the policyholder takes treatment from the network hospitals of the insurance company. If the policyholder takes treatment from the hospitals that are not in the list network, in that case, the policyholder meets all the medical expenses and then claims for reimbursement in the insurance company by submitting all the medical bills.
Private health insurance provides financial support to the policyholder as it covers all the medical expenses when the policyholder is hospitalized for the treatment. Data Bridge Market Research analyses that the private health insurance market is expected to reach USD 671.64 million by the year 2029, at a CAGR of 1.1% during the forecast period. " Individual Health Insurance” accounts for the most prominent type segment in the respective market owing to the rise in private health insurance. The market report curated by the Data Bridge Market Research team includes in-depth expert analysis, import/export analysis, pricing analysis, production consumption analysis, and climate chain scenario.
2022 to 2029
2020 (Customizable to 2019 - 2014)
Revenue in USD Million
By Type (Critical Illness Insurance, Individual Health Insurance, Family Health Insurance, Disease-Specific Insurance and Others), Health Plan Category/Metal Levels (Bronze, Silver, Gold Platinum and Others), Provider Type (Health Maintenance Organizations (HMOS), Preferred Provider Organizations (PPOS), Exclusive Provider Organizations (EPOS), Point-Of-Service (POS) Plans, High-Deductible Health Plans (HDHPS) and Others), Age Group (Young Adulthood (19-44 Years), Middle Adulthood (45-64 Years) and Older Adulthood (65 Years And Above)), Distribution Channel (Direct Insurance Companies, Insurance Aggregators and Others)
Market Players Covered
Cigna (U.S.), AIA Group Limited (Hong Kong), HCF (Australia), Allianz (Germany), Suncorp Group (Australia), HSBC Group (Hong Kong), Tokio Marine (Japan), UniMed (New Zealand), Southern Cross, Accuro Health Insurance (New Zealand), partners life (New Zealand)
Health insurance is a type of insurance that provides coverage for all kinds of surgical expenses and medical treatment incurred from the illness or injury. Health insurance applies to a comprehensive or limited range of medical services that cover the full or partial costs of specific services. Health insurance provides financial support to the policyholder as it covers all the medical expenses when the policyholder is hospitalized for the treatment. Health insurance also covers pre as well as post-hospitalization expenses.
The Insurance (Prudential Supervision) Act 2010 is administered by the Reserve Bank for:
- Promoting the maintenance of a sound and efficient insurance sector; and
- Promoting public confidence in the insurance sector.
The act applies to all insurers carrying on business in New Zealand (as defined by the act) and includes:
- A licensing system for insurers, based on meeting the act's prudential requirements;
- Supervision by the reserve bank of compliance with the prudential requirements; and
- Powers under the act for the reserve bank in respect of insurers in financial distress or other difficulties.
COVID-19 had a Minimal Impact on the Private Health Insurance Market
COVID-19 impacted various manufacturing and service-providing industries in the year 2020-2021 as it led to the closure of workplaces, disruption of supply chains, and restrictions on transportation. The imbalance between demand and supply and its impact on pricing is considered short-term and is expected to recover as this pandemic comes to an end. Due to the outbreak of COVID-19 throughout the globe, the demand for private health insurance has increased tremendously. Also, the fear of the pandemic and the increased cost of medical services helped the health insurance market grow during a pandemic. In addition, health insurance companies introduced packages and solutions for covering the medical costs of treating COVID-19 infected insurers. Thus, even though the other industries suffered a lot during the covid19 outbreak, the private health insurance industry grew significantly.
The Market Dynamics of the Private Health Insurance Market Include:
- Increasing cost of medical services
Health insurance provides financial support in cases of serious sickness or accident. Increasing medical services’ costs for surgeries and hospital stays has created a new financial epidemic worldwide. The cost of medical services is comprised of the cost of surgery, doctor fee, hospital stay cost, cost of the emergency room, and diagnostic testing cost, among others. Therefore, this increase in the cost of medical services propels the market's growth.
- Growing number of daycare procedures
Daycare procedures are those types of medical procedure or surgery that primarily requires less stay time in the hospitals. In the daycare procedure, patients must stay in the hospital for a short period. Most of the health insurance companies are now covering daycare procedures in their insurance plans, and for the claim of such types of surgery, there is no compulsion on spending 24 hours in the hospital, which is the minimum stay in the hospital claim insurance. While most health insurance plans cover hospital stays and major surgeries, the policyholders can also claim daycare procedures under their health insurance policy, which propels the demand of the market.
- Mandatory opting for health insurance in public and private sector
Buying a healthcare insurance policy is a mandatory provision for employees in the public and private sectors. Health insurance offers key medical benefits which the employee can avail of while working in a corporate. In case of any emergency or medical issues, the health insurance cover is highly useful to meet treatment expenses. The employee’s health insurance is an extended benefit the individual employer gives to their employees. The health insurance provided covers with the employee and covers their family members under the same policy plan. Also, in certain cases, the employer may pay a part of a premium or insurance coverage of the health insurance policy.
- Increasing old age population
Old age people are likely to get sicker or have health problems due to ageing and a weak immune system such as dental issues, heart issues, cancer, and terminal illness. A good senior citizen health insurance can help senior citizens to opt for good health insurance services to reduce future financial worries. Thus increasing the number of old age population can boost the demand for the health insurance market.
- Increasing awareness about the benefits of health insurance
In the face of a medical emergency, health insurance allows the consumers to take their mind off the stress related to healthcare costs and focus on the treatment instead with health insurance. Medical emergencies can happen at any time, regardless of our current good health or disciplined lifestyle. Therefore, it is important to plan for and protect our families and ourselves from any unforeseen medical situations, especially when there are elderly parents at home, as they are more susceptible to infections or other illnesses.
Restraints/Challenges Faced by the Health Insurance Market
- High cost of premiums
Health insurance covers all types of medical treatment costs. It provides financial support to the policyholder since it covers all the medical expenses when the policyholder is hospitalized for the treatment. Health insurance also covers pre as well as post-hospitalization expenses. The policyholder has to pay insurance premiums regularly to keep the health insurance policy active to purchase health insurance. The cost of insurance premium is high in most cases based on the insurance plan, which is hampering the market's growth.
- Lack of awareness regarding health insurance
In healthcare, a large portion of the world population is still not aware of the benefits of health insurance policies. Medical care expenses are increasing across the world with advancements made in the field. Through advancements in technology, the healthcare sector is one of the growing segments. However, the penetration rate of health insurance policies remains low due to a lack of awareness regarding the benefits offered by them
This private health insurance market report provides details of new recent developments, trade regulations, import-export analysis, production analysis, value chain optimization, market share, the impact of domestic and localized market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market. To gain more info on the private health insurance market contact Data Bridge Market Research for an Analyst Brief. Our team will help you take an informed market decision to achieve market growth.
- In March 2022, Allianz Ayudhya Capital PCL (AYUD) has agreed to acquire 100% of the shares of Aetna Thailand, a prominent player in the Thai health insurance market. The acquisition reaffirms its commitment to invest further and expand its health insurance business to benefit customers in Thailand.
- In July 2021, Accuro Health Insurance partnered with Montoux, the Decision Science platform for life and health insurers, on a pilot programme to identify early interventions that could help its members avoid major invasive surgeries. This development helped the company to expand its business.
New Zealand Private Health Insurance Market Scope
The private health insurance market is segmented based on type, health plan category/metal levels, provider type, age group and distribution channel. The growth amongst these segments will help you analyze meagre growth segments in the industries and provide the users with a valuable market overview and market insights to help them make strategic decisions for identifying core market applications.
- Critical Illness Insurance
- Individual Health Insurance
- Family Health Insurance
- Disease-Specific Insurance
Based on type, the market is segmented into critical illness insurance, individual health insurance, family health insurance, disease-specific insurance and others.
Health Plan Category/Metal Levels
Based on health plan category/metal levels, the market is segmented into bronze, silver, gold platinum and others.
- Health maintenance organizations (HMOS)
- Preferred provider organizations (PPOS)
- Exclusive provider organizations (EPOS)
- Point-of-service (POS) plans
- High-deductible health plans (HDHPS)
Based on provider type, the market is segmented into health maintenance organizations (HMOS), preferred provider organizations (PPOS), exclusive provider organizations (EPOS), point-of-service (POS) plans, high-deductible health plans (HDHPS) and others.
- Young Adulthood (19-44 Years)
- Middle Adulthood (45-64 Years)
- Older Adulthood (65 Years And Above)
Based on age group, the market is segmented into young adulthood (19-44 years), middle adulthood (45-64 years) and older adulthood (65 years and above).
- Direct Insurance Companies
- Insurance Aggregators
Based on distribution channel, the market is segmented direct insurance companies, insurance aggregators and others.
Competitive Landscape and Private Health Insurance Market Share Analysis
The private health insurance market competitive landscape provides details by competitor. Details included are company overview, company financials, revenue generated, market potential, investment in research and development, new market initiatives, New Zealand presence, production sites and facilities, production capacities, company strengths and weaknesses, product launch, product width and breadth, application dominance. The above data points provided are only related to the companies' focus related to private health insurance market.
Some of the major players operating in the private health insurance market are Cigna (U.S.), AIA Group Limited (Hong Kong), HCF (Australia), Allianz (Germany), Suncorp Group (Australia), HSBC Group (Hong Kong), Tokio Marine (Japan), UniMed (New Zealand), Southern Cross, Accuro Health Insurance (New Zealand), partners life (New Zealand), among others.