Leading international private medical insurance publisher iPMI Magazine, is excited to announce the official launch of the “International Health Insurance 2022 Insurers" market report, written by leading IPMI, insurance and healthcare analyst Ian Youngman.

This report has all the latest information, facts and figures, and research on international health and medical insurers.

Format: Written Report.

Delivery: PDF Format.

International health insurance is a growing and profitable market. International health insurers are also expanding into local PMI markets. Insurers are deciding where to expand, where to consolidate and which countries to leave. They face competition from sophisticated regional and single country insurers.

• Compulsory health insurance in more countries offers opportunities but also drives local insurers into IPMI.
• Using technology, social media, plus investing in start-ups are all essential as to stand still is to die.
• The biggest change is large insurers partnering with one or more insurers plus a raft of distribution groups.
• Health insurance can no longer be seen as separate from wider healthcare.
• After quiet years, the health insurance market and insurers have re-opened at breakneck speed.
• Keeping up with what health insurers are doing and planning is very difficult. The author uses his daily updated company databases to keep up to date.

WHO THE REPORT IS FOR:

• Insurance companies;
• Insurance brokers and agents;
• MGAs and MGUs; 
• Management consultants; 
• Professionals working in global healthcare markets; 
• Hospital and clinic groups operating internationally; 
• Travel agents; 
• Assistance companies; 
• Cost containment and claims management companies; 
• Insurance technology companies;  
• Travel managers;
• Air and ground ambulance companies;
• Banks and other financial institutions;
• Investors and private equity; 
• National and local government policy makers; 
• Lawyers;
• Policy advisors; 
• Think tanks.

WHY YOU SHOULD BUY THIS REPORT 

• If you are looking to find out which insurers are doing what, and where, this is the report for you;
• If you are seeking to stay up to date with all major international health insurers;
• Keep up to date with IPMI insurer by insurer; 

The leading health insurer analyst of this report maintains a daily updated database of company profiles.

Insurer Profile details included:

• Company Name
• Base Country
• HQ
• Ownership
• Overview
• Structure
• Insurance 
• Healthcare
• Customer Numbers
• Strategy
• 2020 Results
• 2021 Results
• 2022 Forecasts
• Buying Businesses
• Selling Businesses
• Partnerships
• Sponsorships
• Micro Health
• Apps
• Marketing
• Technology
• Start-ups, Accelerators and Labs
• Countries Present A to Z

Global Health Insurers

How To Buy International Health Insurance Insurers 2022

We are selling the report International Health Insurance Insurers 2022 report on Research and Markets for £1,599.

However, if you are an advertiser or iPMI Magazine subscriber, we are offering the report for a subsidised investment

iPMI Magazine Advertiser: £1,300

iPMI Magazine Subscriber: £1,450

To take advantage of this offer please write to ipmi[at]ipmimagazine.com or speak with your account manager directly.

About The Author

Ian Youngman is a writer and researcher specialising in international private medical insurance, global healthcare and medical tourism. He writes regularly for a variety of magazines, newsletters, and on-line services. He publishes a range of market reports and undertakes research for companies and has London market management experience with brokers and insurers. 

Leading international private medical insurance publisher iPMI Magazine, is excited to announce the official launch of the “International Health Insurance 2022 Countries" market report, written by leading IPMI, insurance and healthcare analyst Ian Youngman.

This report has all the latest information, facts and figures, and research on healthcare, health insurance, and insurers present in 177 countries.

• If you are looking to find out which insurers are operating where, this is the report for you;
• If you are seeking to stay up to date with major insurance regulation changes in over 170 countries, this is the report for you.

Format: Written Report.

Size: 1000 A4 Pages.

Delivery: PDF Format.

DIGITAL NOMADS

• The number of people working digitally has increased. Employers have seen that employees in certain sections can work partly or fully online. Over 50 countries now have digital nomad visas and most demand that the nomad provides proof of health insurance.

ENTRY TO COUNTRIES

• Many countries now require all entrants to the country - visitors and expats - have health insurance - again this is often vague as to whether it is IPMI or travel health.

DYNAMIC MARKET

The IPMI market is a dynamic one that is fast moving.

COMPULSORY HEALTH INSURANCE

• More countries now require that all non-citizens have PMI or IPMI.
• Compulsory health insurance in Azerbaijan, Bahrain, Jordan, Maldives, Mexico, Pakistan, and Qatar
• Universal health insurance in Cyprus, Egypt, India, Morocco, Nigeria, Saudi Arabia, and Tanzania.

EXPATS

• There is an increasing tendency for nationals and companies working overseas to have IPMI with an insurer or broker based in their home country.
• The number of expats is increasing.

INSURERS PRESENT IN COUNTRIES

• With insurers and brokers buying and selling and entering into major partnerships, which company is where has greatly changed.
• There is a massive growth in regional insurers in PMI and IPMI.

IPMI MARKET

• You may have seen reports that claim that IPMI business has fallen and this is not true.
• For 2021 several countries report a large uptake in IPMI and PMI.
• For 2021 and 2022 IPMI insurers reports more customers and more revenue.
• The increase in waiting lists at state hospitals has driven people to buy private healthcare and health insurance.

WHO THE REPORT IS FOR:

• Insurance companies;
• Insurance brokers and agents;
• MGAs and MGUs; 
• Management consultants; 
• Professionals working in global healthcare markets; 
• Hospital and clinic groups operating internationally; 
• Travel agents; 
• Assistance companies; 
• Cost containment and claims management companies; 
• Insurance technology companies;  
• Travel managers;
• Air and ground ambulance companies;
• Banks and other financial institutions;
• Investors and private equity; 
• National and local government policy makers; 
• Lawyers;
• Policy advisors; 
• Think tanks.

WHY YOU SHOULD BUY THIS REPORT 

• If you are looking to find out which insurers are operating where, this is the report for you;
• If you are seeking to stay up to date with major insurance regulation changes in over 170 countries, this is the report for you;
• Keep up to date with IPMI country by country; 
• Understand the impact of new laws and rules;
• See an overview of what insurers and brokers are present;
• Find out which countries are bringing in compulsory health insurance;
• Understand changes to universal health insurance in countries.

COUNTRIES COVERED

The report looks at international private medical, healthcare and expatriate insurance in the following countries:

• Abu Dhabi
• Afghanistan
• Albania
• Algeria
• Andorra
• Angola
• Antigua
• Argentina
• Armenia
• Aruba
• Australia
• Austria
• Azerbaijan
• Bahamas
• Bahrain
• Bangladesh
• Barbados
• Belarus
• Belgium
• Belize
• Bermuda
• Bolivia
• Bosnia
• Botswana
• Brazil
• British Virgin Islands
• Brunei
• Bulgaria
• Burkina Faso
• Burundi
• Cambodia
• Cameroon
• Canada
• Cayman Islands
• Chile
• China
• Colombia
• Congo
• Costa Rica
• Croatia
• Cuba
• Curacao
• Cyprus
• Czechia
• Denmark
• Dominica
• Dominican Republic
• Dubai
• Ecuador
• Egypt
• El Salvador
• Estonia
• Eswatini
• Ethiopia
• Fiji
• Finland
• France
• Gabon
• Georgia
• Germany
• Ghana
• Gibraltar
• Greece
• Grenada
• Guam
• Guatemala
• Guernsey
• Guinea
• Guyana
• Haiti
• Honduras
• Hong Kong
• Hungary
• Iceland
• India
• Indonesia
• Iran
• Iraq
• Ireland
• Israel
• Italy
• Ivory Coast
• Jamaica
• Japan
• Jersey
• Jordan
• Kazakhstan
• Kenya
• Kosovo
• Kuwait
• Kyrgyzstan
• Laos
• Latvia
• Lebanon
• Lesotho
• Libya
• Liechtenstein
• Lithuania
• Luxembourg
• Macau
• Madagascar
• Malawi
• Malaysia
• Maldives
• Mali
• Malta
• Mauritius
• Mexico
• Micronesia
• Moldova
• Monaco
• Mongolia
• Montenegro
• Morocco
• Mozambique
• Myanmar
• Namibia
• Nepal
• Netherlands
• New Zealand
• Nicaragua
• Nigeria
• North Macedonia
• Norway
• Oman
• Pakistan
• Panama
• Papua New Guinea
• Paraguay
• Peru
• Philippines
• Poland
• Portugal
• Puerto Rico
• Qatar
• Romania
• Russia
• Rwanda
• Saint Kitts And Nevis
• Saint Lucia
• Saudi Arabia
• Senegal
• Serbia
• Seychelles
• Sierra Leone
• Singapore
• Slovakia
• Slovenia
• Somalia
• South Africa
• South Korea
• Spain
• Sri Lanka
• St Vincent
• Sudan
• Suriname
• Sweden
• Switzerland
• Syria
• Taiwan
• Tanzania
• Thailand
• Trinidad And Tobago
• Tunisia
• Turkey
• Turks And Caicos
• UAE
• Uganda
• Ukraine
• United Kingdom
• Uruguay
• USA Virgin Islands
• USA
• Uzbekistan
• Venezuela
• Viet Nam
• Yemen
• Zambia
• Zimbabwe

How To Buy International Health Insurance Countries 2022

We are selling the report International Health Insurance Countries 2022 report on Research and Markets for £1,599.

However, if you are an advertiser or iPMI Magazine subscriber, we are offering the report for a subsidised investment

iPMI Magazine Advertiser: £1,300

iPMI Magazine Subscriber: £1,450

To take advantage of this offer please write to ipmi[at]ipmimagazine.com or speak with your account manager directly.

About The Author

Ian Youngman is a writer and researcher specialising in international private medical insurance, global healthcare and medical tourism. He writes regularly for a variety of magazines, newsletters, and on-line services. He publishes a range of market reports and undertakes research for companies and has London market management experience with brokers and insurers. 

Leading international private medical insurance publisher iPMI Magazine, is excited to announce the official launch of the “International Health Insurance 2022" IPMI market report, written by leading IPMI, insurance and healthcare analyst Ian Youngman.

This must-have latest IPMI market information provides a wealth of facts and figures on international private medical insurance and health insurance for expatriates, third-country nationals, domestic nationals, and global nomads.

Format: Written Report.

Size: 225 A4 Pages.

Delivery: PDF Format.

WHO IS THE REPORT FOR?

• Insurance companies;
• Insurance brokers and agents;
• MGAs and MGUs; 
• Management consultants; 
• Professionals working in global healthcare markets; 
• Hospital and clinic groups operating internationally; 
• Travel agents; 
• Assistance companies; 
• Cost containment and claims management companies; 
• Insurance technology companies;  
• Travel managers;
• Air and ground ambulance companies;
• Banks and other financial institutions;
• Investors and private equity; 
• National and local government policy makers; 
• Lawyers;
• Policy advisors; 
• Think tanks.

Introduction

• The global demand for health insurance is rising fast
• There are opportunities for health insurers and brokers.
• The numbers of expatriates is rising and will increase.
• IPMI and PMI are no longer separate.
• Locals, students, digital nomads and NGO workers need cover.
• More countries are making health insurance compulsory.
• Healthcare and health insurance are becoming intertwined. 
• Technology will change how insurers, brokers and customers interact.
• There are more opportunities than ever for insurers and brokers to sell health insurance globally to locals and internationals.
• International private medical insurance is flourishing. There are more globally mobile individuals than ever before - and employers are building businesses in more diverse countries.
• IPMI as health insurance without borders is the future of health insurance for all people irrespective of their country of nationality, residence or current domicile.
• Compulsory insurance, voluntary top up covers, differences between what you can sell to locals and expatriates, rules on overseas investors, local partnerships, economic sanctions, and even local politics are all things that insurers and brokers must understand.
• There have been several new entrants to the global healthcare insurance and ancillary services market, long dominated by a small handful of existing insurance companies. Regional insurers and brokers are active in the sector.
• The IPMI market is always shifting with market exits and entrants.
• There is a global shift Eastwards as the USA/Europe axis gives way reluctantly to a China/Asia/Africa axis.
• Being no longer possible to just offer IPMI offshore, due to compulsory insurance, tighter regulation and a rising rife of nationalism- global players have to invest in offices, partnerships and deciding which markets to be in. 
• There is a massive rise in IPMI and PMI offerings from regional groups, local groups and single country insurers.
• Three big partnership deals are changing the face of IPMI-Aetna/Allianz, Allianz/ Sanlam and Bupa/Generali.

OVERVIEW

MARKET CHANGES

• Background - IPMI market in 2022
• The three big partnership deals
• Aetna and Allianz
• Allianz and Sanlam
• Bupa and Generali
• Health insurers A to Z
• Brokers agents and MGA/MGUs A to Z
• Countries A to Z

HOT TOPICS

• Invasion of Ukraine
• GROWING NEED FOR IPMI
• Global Migration
• Diaspora
• International students
• Temporary foreign workers
• Expatriates

INTERNATIONAL HEALTH INSURANCE NUMBERS

• Global premium figures

LATEST INSURER AND BROKER RESEARCH

• Ageing workforce
• Executive wellbeing
• Expatriate health concerns
• Expats on living abroad
• France employee healthcare
• Global employee benefits
• Global health benefits
• Global health insurance costs and trends
• Global health insurance trends
• Global insurance
• Global medical price trends
• Global medical trends
• Global mobility
• Global multinationals and corporate transfers
• Global private healthcare
• Healthcare in 2040
• Healthcare and wellbeing 2040
• Health insurance for ex-pats
• Health insurance pricing trends
• International health insurance
• International mobility strategy
• International schools
• Mental health
• Millennials
• Online purchase
• USA Employee benefits
• USA employer medical costs

OTHER RECENT RESEARCH

• Digital nomads
• Insurance brands
• USA health insurers
• Working abroad
• NEW GLOBAL TRENDS
• Businesses and consumers
• Chronic condition management
• Diaspora cover for relatives
• Digital nomads
• Employer health support to employees and families
• Managing general agents
• Merging health insurance and healthcare
• Millennials
• Partnering with global insurers
• Remote health services
• Sending people overseas
• Seniors
• Short assignments
• Short-term cover

REGIONAL TRENDS

• AFRICA
• ASIA PACIFIC
• Asian health
• Healthcare in Asia
• Health insurance market potential Asia-Pacific
• Asia medical benefits
• Health at a Glance: Asia Pacific
• EUROPE
• Health at a Glance: Europe
• LATIN AMERICA AND CARIBBEAN
• Health at a Glance: Latin America & the Caribbean
• Latin America health insurance potential
• MIDDLE EAST AND NORTH AFRICA
• Middle East and North Africa outlook
• Replacing foreigners with citizens
• Health insurance market potential Middle East
• Healthcare in UAE

THE FUTURE

• The future
• Health insurers need to offer more
• IPMI in 2022

How To Buy International Health Insurance (IPMI) 2022

We are selling the report International Health Insurance (IPMI) 2022 on Research and Markets for £1,599.

However, if you are an advertiser or iPMI Magazine subscriber, we are offering the report for a subsidised investment

iPMI Magazine Advertiser: £1,300

iPMI Magazine Subscriber: £1,450

To take advantage of this offer please write to ipmi[at]ipmimagazine.com or speak with your account manager directly.

About The Author

Ian Youngman is a writer and researcher specialising in international private medical insurance, global healthcare and medical tourism. He writes regularly for a variety of magazines, newsletters, and on-line services. He publishes a range of market reports and undertakes research for companies and has London market management experience with brokers and insurers. 

In this article Ian Youngman, Author and Publisher of the upcoming INTERNATIONAL HEALTH INSURANCE 2022 and new companion IPMI market reports, takes a look at how the demise of Aetna International, is NOT the beginning of the end, for the international private medical insurance (iPMI) market.

• Aetna’s parent CVS has decided to close Aetna International and transfer most IPMI business to Allianz.
• Before either Aetna or CVS or Allianz could issue official press releases, Aetna UK sent a memo to brokers that lead to an online magazine whisking out partial news, which led Aetna UK to push out – initially on their website- an official statement that gave some answers.
• Across the globe Aetna have several PMI/IPMI partnerships and the future of some of these is unclear but may offer potential for competitors.

Background: CVS

• Since being bought by CVS Health, Aetna in the USA has been increasingly intertwined with CVS as the vision is healthcare backed up by insurance.
• CVS has been buying pharmacies and USA health plans.
• Aetna has over 23 million US health insurance customers but CVS Pharmacy has 93 million customers.
• Aetna International has 800,000 lives covered-so numbers of policies is way below that.
• CVS/Aetna has been adding more USA health insurance customers each year than Aetna International has in total.
• CVS Health is selling off its health savings account business PayFlex to Millennium Trust,
• CVS has no business outside the USA so has been struggling to understand overseas markets and why it cannot all be dome from the USA.
• CVS wants to concentrate on the USA.

Background: IPMI market

• The IPMI market is always shifting with market exits and entrants.
• There is a global shift Eastwards as the USA/Europe axis gives way reluctantly to a China/Asia/Africa axis.
• Being no longer possible to offer IPMI offshore, due to compulsory insurance, tighter regulation and a rising rife of nationalism- global players have to invest in offices, partnerships and deciding which markets to be in.
• There is a massive rise in IPMI and PMI offerings from regional groups, local groups and single country insurers.
• Aetna and Generali may be going out but coming in or back in are Zurich, HDI Global, Vitality International, Foyer, Alan and Sanlam –to name just a few.
• APRIL and AIA are among those expanding their global presence
• The rise in nationalism means that African companies and individuals have an increasing penchant for doing business with African insurers. The same applies in Asia, China, France and Germany. The trend is not so
• USA and European groups are increasingly suffering headwinds in parts of the world due to the deeds, misdeeds and public utterances of their politicians.

Aetna International

• Aetna International is being wound down and will cease to exist with remaining IPMI business handled by Aetna.
• There will be redundancies - so there will be experienced talent available in a market where expertise is scarce.

Allianz Partners

• As yet Allianz Partners have remained silent.
• Allianz Partners is the Allianz subsidiary that specialises in assistance, international health & life, automotive and travel insurance. Solutions are available to business partners, and in some cases, are integrated into their own customer offers. They are also available via direct and digital channels under our three brands: Allianz Automotive, Allianz Global Assistance and Allianz Care plus Mondial Assistance. 
• It has 17,500 employees in 76 countries with a strong regional organisation.

Allianz and Aetna deal

• The commercial deal is contingent on certain legal processes being completed in relevant jurisdictions.  
• The deal does not apply to India, Thailand or’ The Americas”
• Exactly what The Americas means is still confused but seems to be just the USA and Canada.
• Aetna International has entered into a preferred partnership deal with Allianz Partners, a world leader in B2B2C insurance and assistance. The agreement covers all of Aetna International’s regions, with the exception of the Americas, Thailand and India. 
• Existing IPMI customers will be transferred to Allianz at renewal.
• Completion of this migration process is planned to take place before or by 31 October 2023. 
• Aetna International has been working closely with Allianz Partners to plan for a smooth handover for customers at policy renewal. 
• Allianz Partners will offer new cover with similar benefits and no additional medical underwriting. 
• More information will be shared with partners and customers over the coming weeks and also ahead of each policy renewal.   
• Aetna International, in the EMEA and APAC regions, plans to no longer provide cover for most new customers or most renewals for existing customers with policy dates from 1 July 2022 onwards for most Group business and from 1 November 2022 for Individual business.
• Aetna International IPMI customers will cease being on Aetna cover by 31 October 2023 at the latest, apart from any claims they make on their Aetna International policy.

The Americas: what is known

• Aetna International’s Americas business and operations will become part of Aetna.   
• Aetna will concentrate on the US expat business and intends to partner with Allianz Partners to explore opportunities to service its members outside of the U.S.A 
• More information on this will be provided in the coming months. 

Aetna International Thailand

• In Thailand, Allianz Ayudhya has agreed to acquire 100% of Aetna International’s shareholdings and therefore its Thailand business operations in their entirety. 

Aetna International India

• Aetna’s Indian Health Organisation is not included in the preferred partnership deal with Allianz Partners.
• A separate update will be provided in due course.
• VHealth in India has 4 million members
• It is not insurance but four health membership packages of preventative care, treatment, consultation and dental.
• vHealth services are offered in India by Aetna's fully owned subsidiary, Indian Health Organisation.

Partnerships

• Aetna International has global partnerships, some long standing and some relatively new.
• It would be usual to have a ‘ force majeure” clause so these partners will probably have the right to walk away and negotiate with other insurers.
• Sanlam Pan Africa partners with Aetna International to offer Global Health an IPMI health insurance across 20 African countries.
• Executive Healthcare Solutions in Nairobi acts as principal representatives for Aetna International PMI policies in Kenya and across Africa.
• Swiss Life uses Aetna for IPMI customers in Singapore.
• There are other local deals.

Middle East

• Some policies are written locally and not by Aetna.
• The ability and speed of transfer is down to local regulators.
• In Abu Dhabi/ Dubai/UAE Allianz policies are written by Orient Insurance
• In Abu Dhabi/Dubai/UAE Aetna policies are written by Al Ain Ahlia Insurance.
• Aetna International was appointed by the National Health Insurance Company (NHIC) of Qatar as consultant with the carrot of being a preferred provider on the about to be launched national insurance scheme for millions of expats.

The Americas

• United Nations geoscheme for the Americas
• Northern America—the northern region of the North American continent, including Canada, the United States, Greenland, Saint-Pierre and Miquelon, and Bermuda.
• Latin America and the Caribbean-extending from The Bahamas and Mexico to Argentina and Chile.
• Whether Aetna means this or just the USA and Canada is not clear but probably is just the USA and Canada.
• Aetna International has a Canadian office in Toronto with other local offices.
• Aetna International has an office in Tampa, USA, serving the Caribbean, Central America and South America.
• Aetna sells LatAm products via US agency VUMI- that has offices in Ecuador and Panama.
• Neither CVS nor Aetna has any physical offices across the Americas.

China

• Aetna partners with China Life and Huatai Insurance to offer IPMI within China
• Allianz Care has a local office in Shanghai. It offers international healthcare plans for China, created in partnership with sister company Allianz China General Insurance. These healthcare plans have been designed to appeal to both international and local Chinese companies.
• The theory and practice of transferring from Aetna to Allianz may be full of difficulties, and the Chinese authorities are not known for speed.

UK

• Aetna International serves the UK and Europe and Russia from offices in Farnborough
• Sanctions means that no Russian business can be renewed.

Conclusions

• The leak of partial information before the two insurers could issue a joint statement could mean that regulators, brokers, partner companies and others may have learned about the deal second hand. This may just be an annoyance for brokers but insurance regulators and stock exchanges take a harsher view.
• Insurance regulators globally are becoming tougher – witness the way they effectively killed the AON/WTW merger.
• The above analysis shows that transferring from one global insurer to another is not a simple exercise.
• It also shows why being a global IPMI provider is not easy unless you have a myriad of local offices and partnerships – and keep regulators sweet.
• Latin America, Central America and the Caribbean are growth areas for PMI and IPMI- Aetna never stood a chance of really growing this business just from Florida.
• To sell to Latin America, Central America and the Caribbean you now need local offices or partners.
• For Allianz this is a major coup – at probably a lot less than CVS wanted last year.
• The IPMI is not dead or dying- it is growing but in a myriad of different ways and is no longer a market any insurer can dabble in or control from offshore as it did decades ago.

About The Author

Ian Youngman is a writer and researcher specialising in insurance. He writes regularly for a variety of magazines, newsletters, and on-line services. He publishes a range of market reports and undertakes research for companies and has London market management experience with brokers and insurers. Read Ian's reports here.