Health insurance - Costa Rica

  • Costa Rica
  • Costa Rica's Health insurance market market is projected to reach a market size (gross written premium) of US$254.70m in 2024.
  • The average spending per capita in the Health insurance market market is expected to amount to US$48.55 in the same year.
  • Looking ahead, the gross written premium is forecasted to grow at a compound annual growth rate (CAGR 2024-2029) of 4.90%, resulting in a market volume of US$323.50m by 2029.
  • In global comparison, it is worth noting that the United States is expected to generate the highest gross written premium of US$1,708.0bn in 2024.
  • Costa Rica's health insurance market is experiencing a surge in demand due to the country's robust healthcare system and growing awareness of the importance of medical coverage.
 
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Analyst Opinion

The Health insurance market in Costa Rica is experiencing significant growth and development.

Customer preferences:
Costa Rican customers are increasingly valuing the importance of having health insurance coverage to mitigate the high costs associated with medical treatments. With rising healthcare expenses and a growing awareness of the benefits of health insurance, individuals and families are opting for comprehensive coverage plans that offer a range of services.

Trends in the market:
One notable trend in the Costa Rican health insurance market is the increasing demand for specialized health insurance products tailored to specific demographics, such as seniors or expatriates. This trend reflects a growing need for customized insurance solutions that cater to the unique healthcare requirements of different consumer groups. Additionally, there is a rising popularity of digital health insurance platforms, allowing for convenient access to services and streamlined claims processes.

Local special circumstances:
Costa Rica's universal healthcare system, known as the Caja Costarricense de Seguro Social (CCSS), provides basic healthcare coverage to all residents. However, the system faces challenges such as long wait times and limited coverage for certain procedures. As a result, many individuals are turning to private health insurance to supplement their healthcare needs and gain access to a wider range of services, including elective procedures and specialized treatments.

Underlying macroeconomic factors:
The growing middle class in Costa Rica, coupled with increasing disposable incomes, is driving the expansion of the health insurance market. As more individuals can afford private insurance premiums, the market is experiencing a surge in policyholders. Additionally, regulatory reforms aimed at improving the quality and efficiency of healthcare services are bolstering confidence in private health insurance options, further fueling market growth.

Methodology

Data coverage:

Data encompasses B2B and B2C enterprises. Figures are based on gross written premium, gross written premium per capita, gross claim payments, loss ratio, and distribution channels.

Modeling approach / Market size:

Market sizes are determined by a Bottom-Up approach, based on a specific rationale for each market layer. As a basis for evaluating markets, we use industry associations, national statistic offices, and international organizations, such as OECD. Next we use relevant key market indicators and data from country-specific associations such as insurance consumer spending, gross domestic product, insurance - consumer price index (CPI), population growth. This data helps us to estimate the market size for each country individually.

Forecasts:

In our forecasts, we apply diverse forecasting techniques. The selection of forecasting techniques is based on the behavior of the particular market. For example, exponential trend smoothing and HOLT-linear. The main drivers are insurance consumer spending and insurance - consumer price index (CPI).

Additional Notes:

The market is updated twice per year in case market dynamics change. The impact of the COVID-19 pandemic is considered at a country-specific level.

Overview

  • Gross Written Premium
  • Analyst Opinion
  • Methodology
  • Key Market Indicators
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