North America Health Insurance Market - Industry Trends and Forecast to 2027

North America Health Insurance Market - Industry Trends and Forecast to 2027

Short Description

North America Health Insurance Market By Type (Products, Solutions), Services (Inpatient Treatment, Outpatient Treatment, Medical Assistance, Others), Level of Coverage (Bronze, Silver, Gold, Platinum), Service Providers (Public Health Insurance Providers, Private Health Insurance Providers), Health Insurance Plans (Point of Service (POS), Exclusive Provider Organization (EPOS), Indemnity Health Insurance, Health Savings Account (HSA), Qualified Small Employer Health Reimbursement Arrangements (QSEHRAS), Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), Others), Demographics (Adults, Minors, Senior citizens), Coverage Type (Lifetime Coverage, Term Coverage), End User (Corporates, Individuals, Others), Distribution Channel (Direct Sales, Financial Institutions, E-commerce, Hospitals, Clinics, Others), Country (U.S., Canada, Mexico)-Industry Trends and Forecast to 2027

Market Definition:
Health insurance is an insurance product that enables the insured beneficiary to cover medical and surgical expenses. It reimburses the expenses incurred due to illness or injury and pays the care provider of the insured individual directly to meet all of their medical expenses. As the cost of healthcare is rising, any medical costs not anticipated prior can put significant strain in the regular financial processes of an individual or the entire family. In order to claim health insurance or avail the benefits, the insured needs to pay monthly or annual premiums which come as a calculated cost to the insured person as opposed to a sudden large expense.

Market Segmentation:
North America health insurance market is categorized into seven notable segments which are based on the basis of type, product type, material type, drug type, application, end user and distribution channel.
• On the basis of type, the market is segmented into services, level of coverage, service providers, health insurance plans, demographics, coverage type, end user and distribution channel
• On the basis of type, the market is segmented into products and solutions. On the basis of services, the market is segmented into inpatient treatment, outpatient treatment, medical assistance and others
• On the basis of level of coverage, the market is segmented into bronze, silver, gold and platinum.
• On the basis of service providers, the market is segmented into public health insurance providers and private health insurance providers
• On the basis of health insurance plans, the market is segmented into Point of Service (POS), Exclusive Provider Organization (EPOS), Indemnity Health Insurance, Health Savings Account (HSA), Qualified Small Employer Health Reimbursement Arrangements (QSEHRAS), Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and others
• On the basis of demographics, the market is segmented into adults, minors and senior citizens
• On the basis of coverage type, the market is segmented into lifetime coverage and term coverage
• On the basis of end user, the market is segmented into corporates, individuals and others
• On the basis of distribution channel, the market is segmented into direct sales, financial institutions, e-commerce, hospitals, clinics and others. To know more about the study

Market Players
The key market players for North America health insurance market are listed below:

• UnitedHealth Group
• Anthem Insurance Companies, Inc. (A Subsidiary of Anthem, Inc.)
• Aetna Inc. (A Subsidiary of CVS Health)
• Centene Corporation
• Cigna
• ALLIANZ CARE (A SUBSIDIARY OF ALLIANZ)
• AXA
• ASSICURAZIONI GENERALI S.P.A.
• Bupa
• AIA Group Limited
• Aviva
• BMI Healthcare
• Broadstone Corporate Benefits Limited
• HBF Health Limited
• HealthCare International North America Network Ltd.
• International Medical Group, Inc. (A Subsidiary of Sirius International Insurance Group Ltd.)
• MAPFRE
• Now Health International
• Oracle
• VHI Group
• Vitality Corporate Services Limited (A Subsidiary Of Discovery Limited)

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1 Introduction
1.1 Objectives Of The Study
1.2 Market Definition
1.3 Overview Of North America Health Insurance Market
1.4 Limitations
1.5 Markets Covered
2 Market Segmentation
2.1 Markets Covered
2.2 Geographical Scope
2.3 Years Considered For The Study
2.4 Currency And Pricing
2.5 Dbmr Tripod Data Validation Model
2.6 Multivariate Modelling
2.7 Products Lifeline Curve
2.8 Primary Interviews With Key Opinion Leaders
2.9 Dbmr Market Position Grid
2.10 Vendor Share Analysis
2.11 Secondary Sources
2.12 Assumptions
3 Executive Summary
4 Premium Insights
5 Market Overview
5.1 Drivers
5.1.1 Increasing Cost For Medical Services
5.1.2 Growing Number Of Day Care Procedures
5.1.3 Mandatory Provision Of Healthcare Insurance In Public And Private Sectors
5.2 Restraints
5.2.1 High Cost Of Premiums
5.2.2 Strict Documentation Process For Claim Reimbursement
5.3 Opportunities
5.3.1 Advantages And Features Of Health Insurance Policies Will Increase The Adoption
5.3.2 Increasing Healthcare Expenditure
5.4 Challenge
5.4.1 Lack Of Awareness Regarding The Benefits Of Health Insurance
6 North America Health Insurance Market, By Type
6.1 Overview
6.2 Product
6.2.1 Mediclaim Insurance
6.2.2 Individual Coverage Insurance
6.2.3 Family Floater Coverage Insurance
6.2.4 Hospitalization Insurance
6.2.5 Senior Citizen Coverage Insurance
6.2.6 Critical Illness Insurance
6.2.7 Unit Linked Health Plans
6.2.8 Permanent Health Insurance
6.3 Solutions
6.3.1 Lead Generation Solutions
6.3.2 Revenue Management And Billing Solutions
6.3.3 Robotic Process Automation
6.3.4 Insurance Cloud Solutions
6.3.5 Claims Administration Cloud Solutions
6.3.6 Value-based Payments Solutions
6.3.7 Artificial Intelligence & Blockchain Solutions
6.3.8 Intelligent Case Management Solutions
6.3.9 Others
7 North America Health Insurance Market, By Services
7.1 Overview
7.2 Inpatient Treatment
7.3 Outpatient Treatment
7.4 Medical Assistance
7.5 Others
8 North America Health Insurance Market, By Level Of Coverage
8.1 Overview
8.2 Bronze
8.3 Silver
8.4 Gold
8.5 Platinum
9 North America Health Insurance Market, By Service Providers
9.1 Overview
9.2 Public Health Insurance Providers
9.3 Private Health Insurance Providers
10 North America Health Insurance Market, By Health Insurance Plans
10.1 Overview
10.2 Point Of Service (Pos)
10.3 Exclusive Provider Organization (Epos)
10.4 Indemnity Health Insurance
10.5 Health Savings Account (Hsa)
10.6 Qualified Small Employer Health Reimbursement Arrangements (Qsehras)
10.7 Preferred Provider Organization (Ppo)
10.8 Health Maintenance Organization (Hmo)
10.9 Others
11 North America Health Insurance Market, By Demographics
11.1 Overview
11.2 Adults
11.3 Minors
11.4 Senior Citizens
12 North America Health Insurance Market, By Coverage Type
12.1 Overview
12.2 Lifetime Coverage
12.3 Term Coverage
13 North America Health Insurance Market, By End User
13.1 Overview
13.2 Corporates
13.3 Individuals
13.4 Others
14 North America Health Insurance Market, By Distribution Channel
14.1 Overview
14.2 Direct Sales
14.3 Financial Institutions
14.4 E-commerce
14.5 Hospitals
14.6 Clinics
14.7 Others
15 North America Health Insurance Market, By Geography
15.1 North America
15.1.1 U.S.
15.1.2 Canada
15.1.3 Mexico
16 North America Health Insurance Market, Company Landscape
16.1 Company Share Analysis: North America
17 Company Profile
17.1 Unitedhealth Group
17.1.1 Company Snapshot
17.1.2 Revenue Analysis
17.1.3 Company Share Anyalysis
17.1.4 Product Portfolio
17.1.5 Recent Developments
17.2 Anthem Insurance Companies, Inc. (A Subsidiary Of Anthem, Inc.)
17.2.1 Company Snapshot
17.2.2 Revenue Analysis
17.2.3 Company Share Anyalysis
17.2.4 Product Portfolio
17.2.5 Recent Development
17.3 Aetna Inc. (A Subsidiary Of Cvs Health)
17.3.1 Company Snapshot
17.3.2 Revenue Analysis
17.3.3 Geographical Presence
17.3.4 Company Share Anyalysis
17.3.5 Product Portfolio
17.3.6 Countries Where The Company Covers Individuals International Health Insurance
17.3.7 Aetna Insurance Features
17.3.8 Description Of International Health Insurance Plan
17.3.8.1 Aetna Pioneer Plan Benefits-at-a-glance
17.3.8.2 Plan Highlights Mobile Health Care
17.3.9 Recent Developments
17.4 Centene Corporation
17.4.1 Company Snapshot
17.4.2 Revenue Analysis
17.4.3 Geographical Presence
17.4.4 Product Portfolio
17.4.5 Recent Developments
17.5 Cigna
17.5.1 Company Snapshot
17.5.2 Revenue Analysis
17.5.3 Geographical Presence
17.5.4 Product Portfolio
17.5.5 Plans And Services
17.5.6 Countries Where The Company Covers Business And Personal Insurance
17.5.7 Recent Developments
17.6 Allianz Care (A Subsidiary Of Allianz)
17.6.1 Company Snapshot
17.6.2 Revenue Analysis
17.6.3 Geographical Presence
17.6.4 Product Portfolio
17.6.5 Recent Developments
17.7 Axa
17.7.1 Company Snapshot
17.7.2 Revenue Analysis
17.7.3 Geographical Presence
17.7.4 Product Portfolio
17.7.5 Countries Where The Company Covers Health Insurance
17.7.6 Detail Coverage Of Insurance Plan
17.7.6.1 International Health Plan Details
17.7.6.2 Short-term International Health Insurance
17.7.7 Recent Development
17.8 Assicurazioni Generali S.P.A.
17.8.1 Company Snapshot
17.8.2 Revenue Analysis
17.8.3 Geographical Presence
17.8.4 Product Portfolio
17.8.5 Recent Developments
17.9 Bupa
17.9.1 Company Snapshot
17.9.2 Revenue Analysis
17.9.3 Geographical Presence
17.9.4 Product And Service Portfolio
17.9.5 Operating Segments In Brief
17.9.6 Countries Where The Company Covers
17.9.7 Recent Developments
17.10 Aia Group Limited
17.10.1 Company Snapshot
17.10.2 Revenue Analysis
17.10.3 Geographical Presence
17.10.4 Solution Portfolio
17.10.5 Recent Developments
17.11 Aviva
17.11.1 Company Snapshot
17.11.2 Revenue Analysis
17.11.3 Geographical Presence
17.11.4 Product Portfolio
17.11.5 Recent Development
17.12 Bmi Healthcare
17.12.1 Company Snapshot
17.12.2 Product Portfolio
17.12.3 Recent Development
17.13 Broadstone Corporate Benefits Limited
17.13.1 Company Snapshot
17.13.2 Solution Portfolio
17.13.3 Recent Development
17.14 Hbf Health Limited
17.14.1 Company Snapshot
17.14.2 Revenue Analysis
17.14.3 Product Portfolio
17.14.4 Recent Development
17.15 Healthcare International North America Network Ltd.
17.15.1 Company Snapshot
17.15.2 Product Portfolio
17.15.3 Recent Development
17.16 International Medical Group, Inc. (A Subsidiary Of Sirius International Insurance Group Ltd.)
17.16.1 Company Snapshot
17.16.2 Revenue Analysis
17.16.3 Product Portfolio
17.16.4 Recent Developments
17.17 Mapfre
17.17.1 Company Snapshot
17.17.2 Revenue Analysis
17.17.3 Geographical Presence
17.17.4 Product Portfolio
17.17.5 Recent Development
17.18 Now Health International
17.18.1 Company Snapshot
17.18.2 Geographical Presence
17.18.3 Product Portfolio
17.18.4 Brief About The Coverage Of Worldcare At A Glance
17.18.5 Countries Where The Company Covers Health Insurance
17.18.6 Recent Developments
17.19 Oracle
17.19.1 Company Snapshot
17.19.2 Revenue Analysis
17.19.3 Geographical Presence
17.19.4 Product Portfolio
17.19.5 Recent Developments
17.20 Vhi Group
17.20.1 Company Snapshot
17.20.2 Product Portfolio
17.20.3 Recent Development
17.21 Vitality Corporate Services Limited (A Subsidiary Of Discovery Limited)
17.21.1 Company Snapshot
17.21.2 Revenue Analysis
17.21.3 Geographical Presence
17.21.4 Product Portfolio
17.21.5 Recent Development
18 Questionnaire
19 Related Reports

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