Health insurance - Zambia

  • Zambia
  • The Health insurance market market in Zambia is projected to reach a market size (gross written premium) of US$41.71m in 2024.
  • In the same year, the average spending per capita in the Health insurance market market is estimated to be US$1.97.
  • Looking ahead, the gross written premium is expected to exhibit an annual growth rate (CAGR 2024-2028) of 11.65%, resulting in a market volume of US$64.82m by 2028.
  • When compared globally, it is worth noting that the United States is anticipated to generate the highest gross written premium, amounting to US$1,607.0bn in 2024.
  • Zambia's health insurance market is witnessing a surge in demand due to the growing awareness of the importance of healthcare coverage among its population.
 
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Analyst Opinion

The Health insurance market in Zambia is experiencing significant growth and development, driven by various factors shaping the industry in the country.

Customer preferences:
Customers in Zambia are increasingly recognizing the importance of health insurance as a means to safeguard their well-being and financial stability. With rising healthcare costs and a growing awareness of the benefits of insurance coverage, more individuals and families are seeking comprehensive health insurance plans to ensure access to quality medical services when needed.

Trends in the market:
One noticeable trend in the Zambian health insurance market is the introduction of innovative insurance products tailored to meet the specific needs of different customer segments. Insurers are offering flexible plans with a range of coverage options, including outpatient services, inpatient treatment, and specialized care. Additionally, there is a growing interest in wellness programs and preventive care services, reflecting a shift towards proactive healthcare management among policyholders.

Local special circumstances:
In Zambia, the health insurance market is also influenced by unique local circumstances, such as the government's efforts to improve healthcare infrastructure and services across the country. The expansion of healthcare facilities and the focus on enhancing the quality of care available to the population are contributing to the overall growth of the health insurance sector. Moreover, partnerships between insurers and healthcare providers are becoming more common, leading to increased accessibility and affordability of insurance products for a wider range of customers.

Underlying macroeconomic factors:
The development of the health insurance market in Zambia is further supported by positive macroeconomic indicators, including steady economic growth, a rising middle class, and increasing disposable income levels. As more individuals are able to afford health insurance coverage, the market is witnessing a surge in demand for diverse and comprehensive insurance products. Additionally, regulatory reforms and initiatives aimed at promoting universal health coverage are driving the expansion of the health insurance sector and encouraging more players to enter the market.

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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