Saudi Arabia Healthcare Insurance Market Analysis

Saudi Arabia Healthcare Insurance Market Analysis


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Saudi Arabia's healthcare insurance market is projected to grow from $34.45 Bn in 2022 to $69.14 Bn by 2030, registering a CAGR of 9.1% during the forecast period of 2022-30. The main factors driving the growth would be mandatory health insurance schemes, growing healthcare infrastructure, increasing prevalence of non-communicable diseases, and government support. The market is segmented by component, provider, coverage, by health insurance plans and end-user. Some of the major players include Tawuniya, MedGulf, Saudi Arabian Cooperative Insurance Company (SAICO), Al Rajhi Takaful and Bupa Arabia.

ID: IN10SAHS008 CATEGORY: Healthcare Services GEOGRAPHY: Saudi Arabia AUTHOR: Neha Davda

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Saudi Arabia Healthcare Insurance Market Executive Summary

Saudi Arabia's healthcare insurance market is projected to grow from $34.45 Bn in 2022 to $69.14 Bn by 2030, registering a CAGR of 9.1% during the forecast period of 2022-30. Saudi Arabia spent $1,316.26, or 5.69% of its GDP, on public healthcare in 2019. The Saudi government continues to place a strong priority on healthcare, and there are numerous prospects for expansion in this high-potential area.

The healthcare system in Saudi Arabia is well-developed and includes both governmental and private healthcare providers. Yet, a growing population, shifting demographics, and an increase in the burden of non-communicable diseases are all contributing to an increase in the need for high-quality healthcare services.

In Saudi Arabia, health insurance is designed to lessen the financial strain that comes with having to pay high medical expenditures as a result of an unplanned illness or injury. The Saudi Arabian government also requires that all citizens and foreigners have access to health care. The government began adopting the required unified health insurance policy in July 2016, with the system totally in place since 2017. All private sector businesses are required to offer health insurance to their employees and their dependents, which includes their spouses, male children below the age of 25 and unmarried daughters.

Saudi Arabia Healthcare Insurance Market

Market Dynamics

Market Growth Drivers

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

  1. Mandatory health insurance scheme- The country's health insurance penetration has expanded dramatically as a result of the mandatory health insurance program for foreigners employed in the private sector and their dependents. The need for health insurance in Saudi Arabia is anticipated to increase further as the country's population continues to expand
  2. Growing healthcare infrastructure- The Saudi Arabian government has made considerable expenditures on the country's healthcare infrastructure, building new hospitals and clinics and enlarging already-existing ones. As a result, there are now more high-quality healthcare services available, which is likely to raise demand for health insurance
  3. Increasing prevalence of non-communicable diseases- The prevalence of chronic conditions like cancer, diabetes and heart disease in Saudi Arabia is rising. Some disorders require continuous therapy and care, which can be costly. Families and individuals can manage the financial burden of chronic conditions with the support of healthcare insurance
  4. Government support- The government of Saudi Arabia has launched many efforts to promote the expansion of the health insurance market, including the national e-health plan, which aims to improve access to healthcare services and encourage the use of technology in the delivery of healthcare services. The country's healthcare insurance sector is expected to increase with the government support

Market Restraints

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

  1. Limited access to healthcare services- Saudi Arabia has made improvements in its healthcare infrastructure, however, some regions of the country still have inadequate access to healthcare services. This may discourage people from purchasing health insurance in these regions since they may not understand the benefit of paying for a service they cannot use
  2. Limited regulation- The Saudi Arabian healthcare insurance sector is still in its early phases of growth and is only loosely regulated. The market's potential expansion may be constrained as a result of varied pricing, coverage, and benefits among insurance companies
  3. Limited coverage and benefits- Several Saudi Arabian healthcare insurance plans have restricted benefits and coverage, which may make them less alluring to individuals and families. For lower-income populations, who might not be able to buy more comprehensive insurance, this is especially the case

Competitive Landscape

Key Players

  • Tawuniya (SAU)- Healthcare insurance is one of the several insurance products offered by Tawuniya, a Saudi Arabian insurance provider. Individual, family, and corporate health insurance plans are all available through the organisation
  • MedGulf (SAU)- One of the biggest insurance providers in the Kingdom is MEDGULF, which offers a wide range of cooperative services for health, auto, property, and other insurance and reinsurance
  • Saudi Arabian Cooperative Insurance Company (SAICO)(SAU)- In Saudi Arabia, SAICO was the first insurance provider to provide health insurance. The business offers people, families, and employers a variety of health insurance options
  • Al Rajhi Takaful (SAU)- Al Rajhi Takaful is transforming the way one experience insurance in Saudi Arabia. It is founded on the fundamental ideals of ethics and justice, and they forbid unjustified commercial enrichment at the expense of clients. These concepts are what make Al Rajhi Takaful the best option for all facets of Saudi Arabian society
  • Bupa Arabia- Bupa Arabia is a partnership between the Nazer Group, a Saudi Arabian business, and Bupa, a UK-based healthcare service. The business offers people, families, and employers a variety of health insurance options

Notable Deals

April 2019- Tawuniya has struck the first deal of its kind in the Saudi insurance sector with Vitality Group, the worldwide leader in integrating wellness benefits with insurance products. With the help of this partnership, Tawuniya will pioneer Shared-Value Insurance across the Middle East and North Africa.

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

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”.

 

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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:

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

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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: 18 September 2023
Updated by: Ritu Baliya

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