Nigeria Healthcare Insurance Market Analysis

Nigeria Healthcare Insurance Market Analysis


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The Nigeria healthcare insurance market is projected to grow from $1.83 Bn in 2022 to $3.53 Bn by 2030, registering a CAGR of 8.6% during the forecast period of 2022 - 2030. The main factors driving the growth would be the increasing population, rising healthcare costs and government support. The market is segmented by component, the provider, coverage, by health insurance plans and end-user. Some of the major players include Leadway Health Insurance, Hygeia HMO, AIICO Health Insurance, Total Health Trust Limited and AXA Mansard.

ID: IN10NGHS008 CATEGORY: Healthcare Services GEOGRAPHY: Nigeria AUTHOR: Neha Davda

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Nigeria Healthcare Insurance Market Executive Summary

The Nigeria healthcare insurance market is projected to grow from $1.83 Bn in 2022 to $3.53 Bn by 2030, registering a CAGR of 8.6% during the forecast period of 2022 - 2030. In 2019, Nigeria's national health expenditures as a percentage of GDP were 3.03% or $71 per person.

The Nigerian health insurance market is developing and has considerable potential for growth. The nation's healthcare system faces a number of challenges, including inadequate healthcare facilities, limited funding, and a shortage of skilled medical staff. Due to these issues in place, many Nigerians still lack access to high-quality healthcare, and those who do often have to incur out-of-pocket expenses for such services.

The Nigerian government has launched a number of healthcare measures, including the introduction of healthcare insurance programs, to address these challenges. The National Health Insurance System (NHIS) was founded in 1999 with the aim of providing greater access to quality healthcare services. Anyone can contribute to a fund that is used to pay for healthcare services through the social health insurance scheme run by the NHIS. In addition to the NHIS, Nigeria has a number of private healthcare insurance companies that offer both individual and family health insurance coverage. 

Nigeria Healthcare Insurance Market Analysis

Market Dynamics

Market Growth Drivers

The Nigeria healthcare Insurance market is expected to be driven by factors such as:

  1. Increasing population- Nigeria has a sizable and growing population, which provides a sizable potential market for healthcare insurance companies. Further, over 90% of Nigerians still lack insurance, Nigeria offers health insurance providers a largely untapped market
  2. Rising healthcare costs- The cost of medical technology and equipment, as well as the cost of healthcare personnel, are all contributing to rising healthcare expenditures in Nigeria. Healthcare insurance can help individuals and families manage these expenditures and receive appropriate healthcare services
  3. Government support- Through initiatives like the NHIS, the Nigerian government has demonstrated its commitment to increasing access to healthcare services. This assistance fosters an environment that allows healthcare insurance companies to function and develop

Market Restraints

The following factors are expected to limit the growth of the healthcare insurance market in Nigeria:

  1. Inefficient healthcare sector- The healthcare industry in Nigeria is notably inefficient. Politicians and technocrats have been advocating for universal health coverage as a public good for years, but progress has been slow and stifled
  2. High cost- Despite the fact that healthcare insurance can assist individuals and families in controlling healthcare costs, premium costs might be substantial. Around one-third of the population live in extreme poverty. Due to this, some Nigerians may find it difficult to buy health insurance, which places a cap on the potential market for health insurance companies

Competitive Landscape

Key Players

  • Leadway Health Insurance (NGA)- A number of healthcare service products have been introduced by Leadway Health a health maintenance organisation (HMO) founded by Leadway Assurance, with the goal of enhancing and nurturing Nigerians' access to high-quality health and wellbeing solutions
  • Hygeia HMO (NGA)- It provides complete health insurance services to individuals, families, small and medium-sized businesses, and big corporations. By implementing international best practices, Hygeia HMO continues to define and establish new benchmarks for health maintenance services in Nigeria and Africa.  They are committed to enhancing healthcare in Nigeria by adjusting continually to the intricate and ever-changing needs of our members and clients
  • AIICO Health Insurance (NGA)- It provides complete health insurance services to individuals, families, small and medium-sized businesses, and big corporations. By implementing international best practices, Hygeia HMO continues to define and establish new benchmarks for health maintenance services in Nigeria and Africa.  They are committed to enhancing healthcare in Nigeria by adjusting continually to the intricate and ever-changing needs of our members and clients
  • Total Health Trust Limited (NGA)- Healthcare management company Total Health Trust offers healthcare insurance services to private citizens and business entities. They provide a variety of plans, such as family, individual, and group plans
  • AXA Mansard- AXA Mansard Insurance was established in 1989 as a private limited liability company and is listed with the National Insurance Commission of Nigeria as a composite company (NAICOM). The Business provides health insurance, investment management services, and life and non-life insurance products and services to people and organisations throughout Nigeria

Notable Deals

August 2020- Through a business alliance with AXA Mansard and Turaco's Nigerian subsidiary, Turaco Inclusive Ltd., the East African company Turaco has announced its expansion into Nigeria. With this expansion, Turaco will join Octamile, Casava, and other rivals in powering insurance in Nigeria.

1. Executive Summary
1.1 Service Overview
1.2 Global Scenario
1.3 Country Overview
1.4 Healthcare Scenario in Country
1.5 Healthcare Services Market in Country
1.6 Recent Developments in the Country

2. Market Size and Forecasting
2.1 Market Size (With Excel and Methodology)
2.2 Market Segmentation (Check all Segments in Segmentation Section)

3. Market Dynamics
3.1 Market Drivers
3.2 Market Restraints

4. Competitive Landscape
4.1 Major Market Share

4.2 Key Company Profile (Check all Companies in the Summary Section)

4.2.1 Company
4.2.1.1 Overview
4.2.1.2 Product Applications and Services
4.2.1.3 Recent Developments
4.2.1.4 Partnerships Ecosystem
4.2.1.5 Financials (Based on Availability)

5. Reimbursement Scenario
5.1 Reimbursement Regulation
5.2 Reimbursement Process for Services
5.3 Reimbursement Process for Treatment

6. Methodology and Scope

Nigeria Healthcare Insurance Market Segmentation

By Provider (Revenue, USD Billion):

It mainly includes healthcare insurance that provides safety against the increasing cost of medical treatments and in case of health emergencies such as critical illnesses. Hence, it is the best way to safeguard medical expenses.

  • Public
  • Private

By Coverage Type (Revenue, USD Billion):

In terms of sales and market share, it is anticipated to rule the market over the projection period. This is explained by a number of benefits provided by life insurance, including guaranteed death payout and permanent coverage. Additionally, investing in these kinds of plans enables working professionals to save taxes

  • Life Insurance
  • Term Insurance

By Health Insurance Plans (Revenue, USD Billion):

  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • Exclusive Provider Organization (EPO)
  • Point of Service (POS)
  • High Deductible Health Plan (HDHP)

By Demographics (Revenue, USD Billion):

  • Minors
  • Adults
  • Seniors

There is a high prevalence of lifestyle disease in the adult population that can increase health risks in the future. The population is more prone to cardiac and other diseases that require hospitalization. Healthcare insurance plans for seniors are more of a necessity, especially in the case of retirement. Also, it carries various advantages such as no medical screening before buying plans, includes coverage of the outpatient department, and provides the benefit of fee annual checkups along with lifetime renewability.

By End-user (Revenue, USD Billion):

  • Individuals
  • Corporates

A large number of people buy individual health plans as they are also customizable. Also, it gives more control over deductibles, co-pays, and benefits limits and is not dependent on employment status.

Insights10 will provide you with the reports within 10 key parameters which are:

  1. Market Overview
  2. Market Growth Drivers & Restraints
  3. Epidemiology of Disease Type
  4. Market Segmentation
  5. Market Share
  6. Competitive Landscape
  7. Key Company Profiles
  8. Healthcare Policies & Regulatory Framework
  9. Reimbursement Scenario
  10. Factors Driving Future Growth

Based on our many years of experience, we believe that these are the parameters that are critical to decision-making for business stakeholders. Our focused approach to developing reports focused on 10 key parameters, enabled us to arrive at the name “Insights10”.

 

Stage I: Market Data Collection

Primary Interviews: We have developed a network of experts, freelancers, and researchers across countries through which we engage with local experts to gather key data points and assumptions about each market. We also engage regularly with some of the best market research agencies such as Atheneum, GuidePoint, GLG, etc. to conduct surveys and interviews, and build intelligence. We have language translators as a part of our team, who between them can cover 30+ languages allowing us to extract better local insights.

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Data Sources: We have access to multiple highly reliable free and subscription data sources. We have many years of experience to understand which sources are more dependable for what and which to prefer for the reliable and latest information. The key sources of information include the following, but are not limited to:

 

 

Stage II: Market Data Analysis and Statistical Model

Market Trends: We generally look at macro parameters and micro indicators. The macro parameters include changes in government policies, demand and supply of the market, government intervention programs, and major market share. The micro indicators are GDP growth, market size, market volume, etc. We also understand nuances specific to each country like the US, Canada, India, Germany, etc., and have worked across 60+ countries and hence not only understand global trends but how these differ by country, how payment models, market structure, cultural parameters, etc. differ in each country.

Market Sizing and Analysis: Our expert data analytics team has created various market forecast models by employing the top-down approach i.e. starting with the large overall market and segmenting different areas and the bottom-up approach i.e. starting with population and epidemiology and rolling up based on spend, etc., estimating the size of the market, and distributing among the geographic and/or product segments.

The top-down approach is mainly used for new product forecasting and the bottom-up approach is used for demand estimation of any product for different countries summed up to form the total market. We are able to round off insights and build stronger forecasts because we always do both these methods and triangulate the final numbers.

The study on the market covers the analysis of the leading geographies such as Asia-Pacific, Africa, Europe, Middle East, North America, and  Latin America for the period of 2022 to 2030. The qualitative analysis covers the industry landscape and trends, market opportunities, competitive landscape, and policy and regulatory scenario, and the quantitative analysis covers different market estimates and forecasts.

Data Triangulation & Validation:

Data triangulation of various sources and results of the research are carried out by benchmarking with reliable sources such as industry statistics, statistical databases, and company-level averages, etc.

We make sure to finalize the numbers in alignment with the market research. Firstly, our internal experts ensure thorough validation and checking to ensure accurate and precise analysis and then validation is also done using a multiple-data analysis model. Two-level validation is done and entails the finalization of the report scope and the way of representation pattern.

 

 

Stage III: Interpretation and Presentation

Analysis & Interpretation: The information gathered is then analyzed and synthesized. The second series of interviews are done if necessary to check and validate. The future opportunities are analyzed by understanding product commercialization and many other factors. It also comprises the analysis of data discrepancies observed across various data sources. Information procured from secondary and primary results is then, interpreted by considering the following parameters: (a partial list)

  • Establishing market drivers and trends
  • Analyzing the regulatory landscape to understand future growth
  • Market Segment based analysis to obtain revenue/volume
  • ​Analyzing current needs and determining penetration to estimate the market

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Data curated from the analysis and interpretation are drawn to portray all in one consolidated report.

Presentation & Reporting: The market research report is presented in different forms such as charts by using a scientific approach for easy understanding. Historic, current, and future analysis is provided for each market in terms of both value and volume. The size of the market is interpreted in the US Dollar value and the respective unit, based on the product, for volume consumption.

The foreign exchange rates are calculated on the respective dates and for the respective regions covered in the study.

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Last updated on: 29 April 2024
Updated by: Dhruv Joshi

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