Health Insurance In India

A RESEARH REPORT ON

“Health Insurance: - Identifying awareness, preferences and consumption patterns in the city of Jaipur”

Submitted to:

Centurion Institute of Professional Studies, Jaipur Under the supervision of: -

Submitted by: -

Dr. Rahuveer Singh

Rahul Agarwal (PGDM-2nd Sem.)

(Director) ACADEMIC SESSION 2008-10 FMS

CENTURION

Centurion Institute of Professional Studies, Jaipur

ACKNOWLEDGEMENT This is a very special project brought to fruition through the efforts of some very special people. I am deeply grateful to all those people whose enthusiasm and energy transformed my vision of this project into reality. Especially to Dr. Raghuveer Singh (Director, CIPS) because his commitment and sense of vision moves me and I am indebted to him for the help and encouragement. My writing in this project has also been influenced by no. standard and popular text book in this field. As far as possible, they have been fully acknowledged at the appropriate places. I express my gratitude to all of them , i am also deeply grateful to Ms. Babaita Jha (Faculty Member) for her help wherever it required in preparation of this project. I am also very thankful to all the faculty members, the whole college staff for providing me with necessary facilities and support, essential for bringing out this work in a short time. .

RAHUL AGARWAL

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Executive summary This project has been made on the topic “Health Insurance:- Identifying awareness , preferences and consumption patterns in the city of Jaipur”. This project is totally focusing on the consumer behavior towards different types of Health Insurance Policies, and as well as consumer‘s awareness, Preference and consumption patterns. also opinion about the determinants of image of a Health Insurance in the city of Jaipur. For defining the research problem clearly I firstly decided to conduct the research in the area of Health Insurance Industry. As today many Health Insurance Companies are coming in the city, so I thought of determining the factors influencing image of a Health Insurances through consumer‘s opinion. In this research I need to find out the Characteristics of variables affecting image of a Health Insurance, so this is descriptive research. For selecting sample I used non-probability sampling technique in which I used convenience sampling method because I didn‘t have sufficient time, money and could not have put lot of efforts. Sample consists of all those people who are above 18 year age in the city of Jaipur.

Sample is of size 200 Interrogation through personal interview has been used as a data collection technique and questionnaire is data collection instrument which is closeended. After getting these questionnaire filled from respondents I did tabulation. Then I analyzed the tables and reached to conclusion.

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CONTENTS

CHAPTER NO.

DESCRIPTION

1

INTRODUCTION

PAGE NO. 6-7 8

2

RESEARCH OBJECTIVE

3

BACKGROUND OF HEALTH INSURANCE IN INDIA

4

RESEARCH METHODOLOGY

5

LIMITATIONS

6

DATA TABULATION

7

DATA ANALYSIS AND FINDINGS

8

RECOMMENDATION

9-27 28-31 32-33 34-88 89-99 100-102

ANNEXURE-1

QUESTIONNAIRE

103-104

ANNEXURE-2

BIBLIOGRAPHY

106

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INTRODUCTION This project has been made on the research problem “Health Insurance: Identifying awareness, preferences and consumption patterns in the city of Jaipur”. Purpose of this project is to identify the characteristics of different variables which are mostly responsible for taking health insurance policy by the people of city of Jaipur , also by this project I want to know about the peoples buying behaviour before purchase insurance policy, what are the factor behind of that. A brief introduction of Health Insurance is given below: Health insurance is insurance that pays for medical expenses. It is sometimes used more broadly to include insurance covering disability or longterm nursing or custodial care needs. It may be provided through a government-sponsored social insurance program, or from private insurance companies. It may be purchased on a group basis (e.g., by a firm to cover its employees) or purchased by individual consumers. In each case, the covered groups or individuals pay premiums or taxes to help protect themselves from high or unexpected healthcare expenses. Similar benefits paying for medical expenses may also be provided through social welfare programs funded by the government. By estimating the overall risk of healthcare expenses, a routine finance structure (such as a monthly premium or annual tax) can be developed, ensuring that money is available to pay for the healthcare benefits specified in the insurance agreement. The benefit is administered by a central organization such as a government agency, private business, or not-for-profit entity. The most important thing which is learned from this project is how to conduct a research on a particular problem by using different research methodology techniques. Then how to prepare questionnaire? It helped a lot to apply theoretical knowledge in to the practical life. This project also helped in improving the communication skills through interacting with the people in the market.

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RESEARCH OBJECTIVE

• To assessing the individual awareness about Health Insurance. • To know the preference of individual regarding health insurance. • To evaluating consumption patterns of health insurance.

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BACKGROUND

Health Insurance In India: Current Scenario The health care system in India is characterized by multiple systems of medicine, mixed ownership patterns and different kinds of delivery structures. Public sector ownership is divided between central and state governments, municipal and Panchayat local governments. Public health facilities include teaching hospitals, secondary level hospitals, first-level referral hospitals (CHCs or rural hospitals), dispensaries; primary health centers (PHCs), subcenters, and health posts. Also included are public facilities for selected occupational groups like organized work force (ESI), defense, government employees (CGHS), railways, post and telegraph and mines among others. The private sector (for profit and not for profit) is the dominant sector with 50 per cent of people seeking indoor care and around 60 to 70 per cent of those seeking ambulatory care (or outpatient care) from private health facilities. While India has made significant gains in terms of health indicators demographic, infrastructural and epidemiological (See Tables 1 and 2); it continues to grapple with newer challenges. Not only have communicable diseases persisted over time but some of them like malaria have also developed insecticide-resistant vectors while others like tuberculosis are becoming increasingly drug resistant. HIV / AIDS has of late assumed extremely virulent proportions. The 1990s have also seen an increase in mortality on account of noncommunicable diseases arising as a result of lifestyle changes. The country is now in the midst of a dual disease burden of communicable and noncommunicable diseases. This is coupled with spiraling health costs, high financial burden on the poor and erosion in their incomes. Around 24% of all people hospitalized in India in a single year fall below the poverty line due to hospitalization (World Bank, 2002). An analysis of financing of hospitalization shows that large proportion of people; especially those in the bottom four in come quintiles borrow money or sell assets to pay for hospitalization (World Bank, 2002) This situation exists in a scenario where health care is financed through general tax revenue, community financing, out of pocket payment and social and private health insurance schemes. 7

India spends about 4.9% of GDP on health (WHR, 2002). The per capita total expenditure on health in India is US$ 23, of which the per capita Government expenditure on health is US$ 4. Hence, it is seen that the total health expenditure is around 5% of GDP, with breakdown of public expenditure (0.9%); private expenditure (4.0%). The private expenditure can be further classified as out-of-pocket (OOP) expenditure (3.6%) and employees/community financing (0.4%). It is thus evident that public health investment has been comparatively low. In fact as a percentage of GDP it has declined from 1.3% in 1990 to 0.9% as at present. Furthermore, the central budgetary allocation for health (as a percentage of the total Central budget) has been stagnant at 1.3% while in the states it has declined from 7.0% to 5.5%. Table 1. Socioeconomic indicators

Land area

2% of world area

Burden of disease (%)

21% of global disease burden

Population

16% of world population

Urban : Rural

28:72

Literacy rate (%)

65.38

Sanitation (%)

Rural – 9.0; Urban – 49.3

Safe drinking water supply (%)

Rural – 98; Urban – 90.2

Poverty (%)

Below poverty line – 26 Rural – 27.09; Urban – 23.62

Poverty line (Rs.)

Rural – 327.56; Urban – 454.11

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Table 2. Achievements: 1951-2000 1951 1981 Demographic changes

2000

Life expectancy Crude birth rate Crude death rate Infant mortality rate

64.6(RGI) 26.1(99 SRS) 8.7(99 SRS) 70(99 SRS)

36.7 40.8 25 146

54 33.9(SRS) 12.5(SRS) 110

In light of the fiscal crisis facing the government at both central and state levels, in the form of shrinking public health budgets, escalating health care costs coupled with demand for health-care services, and lack of easy access of people from the low-income group to quality health care, health insurance is emerging as an alternative mechanism for financing of health care.

Health Insurance Health insurance in a narrow sense would be ‗an individual or group purchasing health care coverage in advance by paying a fee called premium.‘ In its broader sense, it would be any arrangement that helps to defer, delay, reduce or altogether avoid payment for health care incurred by individuals and households. Given the appropriateness of this definition in the Indian context, this is the definition, we would adopt. The health insurance market in India is very limited covering about 10% of the total population. The existing schemes can be categorized as: (1) Voluntary health insurance schemes or private-for-profit schemes (2) Employer-based schemes (3) Insurance offered by NGOs / community based health insurance (4) Mandatory health insurance schemes or government run schemes (namely ESIS, CGHS).

Voluntary health insurance schemes or private-for-profit schemes In private insurance, buyers are willing to pay premium to an insurance company that pools people with similar risks and insures them for health expenses. The key distinction is that the premiums are set at a level, which provides a profit to third party and provider institutions. Premiums are based on an assessment of the risk status of the consumer (or of the group of employees) and the level of benefits provided, rather than as a proportion of the consumer‘s income. 9

In the public sector, the General Insurance Corporation (GIC) and its four subsidiary companies (National Insurance Corporation, New India Assurance Company, Oriental Insurance Company and United Insurance Company) and the Life Insurance Corporation (LIC) of India provide voluntary insurance schemes. The Life Insurance Corporation offers Ashadeep Plan IIand Jeevan Asha Plan II. The General Insurance Corporation offers Personal Accident policy, Jan Arogya policy, Raj Rajeshwari policy, Mediclaim policy,Overseas Mediclaim policy, Cancer Insurance policy, Bhavishya Arogya policy and Dreaded Disease policy (Srivastava 1999 as quoted in Bhat R & Malvankar D, 2000) Of the various schemes offered, Mediclaim is the main product of the GIC. The Medical Insurance Scheme or Mediclaim was introduced in November 1986 and it covers individuals and groups with persons aged 5 –80 yrs. Children (3 Months – 5 yrs) are covered with their parents. This scheme provides for reimbursement of medical expenses (now offers cashless scheme) by an individual towards hospitalization and domiciliary hospitalization as per the sum insured. There are exclusions and pre-existing disease clauses. Premiums are calculated based on age and the sum insured, which in turn varies from Rs 15 000 to Rs 5 00 000. In 1995/96 about half a million Mediclaim policies were issued with about 1.8 million beneficiaries (Krause Patrick 2000). The coverage for the year 2000-01 was around 7.2 million. Another scheme, namely the Jan Arogya Bima policy specifically targets the poor population groups. It also covers reimbursement of hospitalization costs up to Rs 5 000 annually for an individual premium of Rs 100 a year. The same exclusion mechanisms apply for this scheme as those under the Mediclaim policy. A family discount of 30% is granted, but there is no group discount or agent commission. However, like the Mediclaim, this policy too has had only limited success. The Jan Arogya Bima Scheme had only covered 400 000 individuals by 1997. The year 1999 marked the beginning of a new era for health insurance in the Indian context. With the passing of the Insurance Regulatory Development Authority Bill (IRDA) the insurance sector was opened to private and foreign participation, thereby paving the way for the entry of private health insurance companies. The Bill also facilitated the establishment of an authority to protect the interests of the insurance holders by regulating, promoting and ensuring orderly growth of the insurance industry. The bill allows foreign promoters to hold paid up capital of up to 26 percent in an Indian company 10

and requires them to have a capital of Rs 100 crore along with a business plan to begin its operations.Currently, a few companies such as Bajaj Alliance, ICICI, Royal Sundaram, and Cholamandalam among others are offering health insurance schemes. The nature of schemes offered by these companies is described briefly. Ø Bajaj Allianz: Bajaj Alliance offers three health insurance schemes namely, Health Guard, Critical Illness Policy and Hospital Cash Daily Allowance Policy. The Health Guard scheme is available to those aged 5 to 75 years(not allowing entry for those over 55 years of age), with the sum assured ranging from Rs 100 0000 to 500 000. It offers cashless benefit and medical reimbursement for hospitalization expenses (pre and post-hospitalization) at various hospitals across India (subject to exclusions and conditions). In case the member opts for hospitals besides the empanelled ones, the expenses incurred by him are reimbursed within 14 working days from submission of all the documents. While pre-existing Diseases are excluded at the time of taking the policy, they are covered from the 5th year onwards if the policy is continuously renewed for four years and the same has been declared while taking the policy for the first time. Other discounts and benefits like tax exemption, health check-up at end of four claims free year, etc. can be availed of by the insured. The Critical Illness policy pays benefits in case the insured is diagnosed as suffering from any of the listed critical events and survives for minimum of 30 days from the date of diagnosis. The illnesses covered include: first heart attack; Coronary artery disease requiring surgery: stroke; cancer; kidney failure; major organ transplantation; multiple sclerosis; surgery on aorta; primary pulmonary arterial hypertension, and paralysis. While exclusion clauses apply, premium rates are competitive and high-sum insurance can be opted for by the insured. The Hospital Cash Daily Allowance Policy provides cash benefit for each and every completed day of hospitalization, due to sickness or accident. The amount payable per day is dependant on the selected scheme. Dependant spouse and children (aged 3 months – 21years) can also be covered under the Policy. The benefits payable to the dependants are linked to that of insured. The Policy pays for a maximum single hospitalization period of 30 days and 11

an overall hospitalization period of 30/60 completed days per policy period per person regardless of the number of confinements to hospital/nursing home per policy period. Ø ICICI Lombard: ICICI Lombard offers Group Health Insurance Policy. This policy is available to those aged 5 – 80 years, (with children being covered with their parents) and is given to corporate bodies, institutions, and associations. The sum insured is minimum Rs 15 000/- and a maximum of Rs 500 000/-. The premium chargeable depends upon the age of the person and the sum insured selected. A slab wise group discount is admissible if the group size exceeds 100. The policy covers reimbursement of hospitalization expenses incurred for diseases contracted or injuries sustained in India. Medical expenses up to 30 days for Pre- hospitalization and up to 60 days for post-hospitalization are also admissible. Exclusion clauses apply. Moreover, favorable claims experience is recognized by discount and conversely, unfavorable claims experience attracts loading on renewal premium. On payment of additional premium, the policy can be extended to cover maternity benefits, pre-existing diseases, and reimbursement of cost of health check-up after four consecutive claims-free years. Insurance offered by NGOs / community-based health insurance Community-based funds refer to schemes where members prepay a set amount each year for specified services. The premia are usually flat rate (not income-related) and therefore not progressive. Making profit is not the purpose of these funds, but rather improving access to services. Often there is a problem with adverse selection because of a large number of high-risk members, since premiums are not based on assessment of individual risk status. Exemptions may be adopted as a means of assisting the poor, but this will also have adverse effect on the ability of the insurance fund to meet the cost of benefits. Community-based schemes are typically targeted at poorer populations living in communities, in which they are involved in defining contribution level and collecting mechanisms, defining the content of the benefit package, and / or allocating the schemes, financial resources (International Labour Office Universities Program 2002 as quoted in Ranson K & Acharya A2003). 12

Such schemes are generally run by trust hospitals or nongovernmental organizations (NGOs). The benefits offered are mainly in terms of preventive care, though ambulatory and in-patient care is also covered. Such schemes tend to be financed through patient collection, government grants and donations. Increasingly in India, CBHI schemes are negotiating with the for profit insurers for the purchase of Custom designed group insurance policies. However, the coverage of such schemes is low, covering about 30-50 million (Bhat, 1999). A review by Bennett, Cresse et al. (as quoted in Ranson K &Acharya A, 2003) indicates that many community-based insurance schemes suffer from poor design and management, fail to include the poorest-ofthepoor, have low membership and require extensive financial support. Other issues relate to sustainability and replication of such schemes. Ø Self-Employed Women’s Association (SEWA), Gujarat: This scheme established in 1992, provides health, life and assets insurance to women working in the informal sector and their families. The enrolment in the year 2002 was 93 000. This scheme operates in collaboration with the National Insurance Company (NIC). Under SEWA‘s most popular policy, a premium of Rs 85 per individual is paid by the woman for life, health and assets insurance. At an additional payment of Rs 55, her husband too can be covered. Rs 20 per member is then paid to the National Insurance Company (NIC) which provides coverage to a maximum of Rs 2 000 per person per year for hospitalization. After being hospitalized at a hospital of one‘s choice (public or private), the insurance claim is the responsibility for enrolment of members, for processing and approving of claims rests with SEWA. NIC in turn receives premiums from SEWA annually and pays them a lump sum on a monthly basis for all claims reimbursed. (Ranson K & Acharya A, 2003). Ø The Voluntary Health Services (VHS), Chennai, Tamil Nadu was established in 1963. It offers sliding premium with free care to the poorest. The benefits include discounted rates on both outpatient and inpatient care, with the VHS functioning as both insurer and health care provider. In 1995, its membership was 124 715. However, this scheme suffers from low levels of cost recovery due to problems of adverse selection. Social Insurance or mandatory health insurance schemes or government run schemes (namely the ESIS, CGHS) Social insurance is an earmarked fund set up by government with explicit benefits in return for payment. It is usually compulsory for certain groups in the population and the premiums are determined by income (and hence ability 13

to pay) rather than related to health risk. The benefit packages are standardized and contributions are earmarked for spending on health services The government-run schemes include the Central Government Health Scheme (CGHS) and the Employees State Insurance Scheme (ESIS). Central Government Health Scheme (CGHS) Since 1954, all employees of the Central Government (present and retired) some autonomous and semi-government organizations, MPs, judges, freedom fighters and journalists are covered under the Central Government Health Scheme (CGHS). This scheme was designed to replace the cumbersome and expensive system of reimbursements (GOI, 1994). It aims at providing comprehensive medical care to the Central Government employees and the benefits offered include all outpatient facilities, and preventive and promotive care in dispensaries. Inpatient facilities in government hospitals and approved private hospitals are also covered. This scheme is mainly funded through Central Government funds, with premiums ranging from Rs 15 to Rs 150 per month based on salary scales. The coverage of this scheme has grown substantially with provision for the non-allopathic systems of medicine as well as for allopathy. Beneficiaries at this moment are around 432 000, spread across 22 cities. The CGHS has been criticized from the point of view of quality and accessibility. Subscribers have complained of high out-of-pocket expenses due to slow reimbursement and incomplete coverage for private health care (as only 80% of cost is reimbursed if referral is made to private facility when such facilities are not available with the CGHS). Employee and State Insurance Scheme (ESIS) The ESIS programme has attracted considerable criticism. A report based on patient surveys conducted in Gujarat (Shariff, 1994 as quoted in Ellis R et a,2000) found that over half of those covered did not seek care from ESIS facilities. Unsatisfactory nature of ESIS services, low quality drugs, long waiting periods, impudent behaviour of personnel, lack of interest or low interest on part of employees and low awareness of ESI procedures, were some of the reasons cited. Other Government Initiatives Apart from the government-run schemes, social security benefits for the disadvantaged groups can be availed of, under the provisions of the Maternity Benefit (Amendment) Act 1995, Workmen‘s Compensation (Amendment) 14

Act 1984, Plantation Labour Act 1951, Mine Mines Labour Welfare Fund Act 1946, Beedi Workers Welfare Fund Act 1976 and Building and other Construction Workers (Regulation of Employment and Conditions of Service) Act, 1996. The Government of India has also undertaken initiatives to address issues relating to access to public health systems especially for the vulnerable sections of the society. The National Health Policy 2002 acknowledges this and aims to evolve a policy structure, which reduces such inequities and allows the disadvantaged sections of the population a fairer access to public health services. Ensuring more equitable access to health services across the social and geographical expanse of the country is the main objective of the policy. It also seeks to increase the aggregate public health investment through increased contribution from the Central as well as state governments and encourages the setting up of private insurance instruments for increasing the scope of coverage of the secondary and tertiary sector under private health insurance packages. The government envisages an increase in health expenditure as a % of GDP from existing 0.9% to 2.0 % by 2010 and an increase in the share of central grants from the existing 15% to constitute at least 25% of total public health spending by 2010. The State government spending for health in turn would increase from 5.5% to 7% of the budget by 2005, to be further increased to 8% by 2010.The National Population Policy (NPP) 2000, envisages the establishment of a family welfare-linked health insurance plan. As per this plan, couples living below the poverty line who undergo sterilization with not more than two living children would be eligible for insurance. Under this scheme, the couple along with their children would be covered for hospitalization not exceeding Rs 5 000 and a personal accident Insurance cover for the spouse undergoing sterilization. The Institute of Health Systems (IHS), Hyderabad has been entrusted the responsibility of operationalizing the mandate of the NPP2000. The initial scheme proposed by the HIS was discussed at a workshop in June 2003. The consensus at the meeting was that the scheme, needed further improvement prior to its implementation even as a pilot project.

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In keeping with the recommendations of the Tenth Five Year Plan and the National Health Policy (NHP) 2002, the Department of Family Welfare is also proposing to commission studies in eight states covering eight districts, to generate district-specific data, which is essential for conceptualization of a reasonable and financially viable insurance scheme. The Previous plan – the Tenth Five Year Plan (2002-07) - also focuses on exploring alternative systems of health care financing including health insurance so that essential, need-based and affordable health care is available to all. The urgent need to evolve, implement and evaluate an appropriate scheme for health financing for different income groups is acknowledged. In the past, the government has tried to ensure that the poor get access to private health facilities through subsidy in the form of duty exemptions and other such benefits. Social health insurance for families living below the poverty line has been suggested as a mechanism for reducing the adverse economic consequences of hospitalization and treatment for chronic ailments requiring expensive and continuous care. In the budget for the year 2002-2003, an insurance scheme called Janraskha was introduced, with the aim of providing protection to the needy population. With a premium of Re 1/- per day, it ensured indoor treatment up to Rs 3 000 per year at selected and designated hospitals and outpatient treatment up to Rs 2 000 per year at designated clinics, including civil hospitals, medical colleges, private trust hospitals and other NGO-run institutions. A few states have started implementing this scheme under pilot phase. Health insurance initiatives by State Governments In the recent past, various state governments have begun health insurance initiatives. For instance, the Andhra Pradesh government is implementing the Aarogya Raksha Scheme since 2000, with a view to increase the utilization of permanent methods of family planning by covering the health risks of the acceptors. All people living below the poverty line and those who accept permanent methods of family planning are eligible to be covered under this scheme. The Government of Andhra Pradesh pays a premium of Rs 75 per acceptor. The benefits to be availed of, include hospitalization costs up to Rs. 4000 per year for the acceptor and for his / her two children for a total period of five years from date of the family planning operation. The coverage is for common illnesses and accident insurance benefits are also offered. The hospital bill is directly reimbursed by the Insurance Company, namely the New India Assurance Company. 16

The Government of Goa along with the New India Assurance Company in 1988 developed a medical reimbursement mechanism. This scheme can be availed by all permanent residents of Goa with an income below Rs 50 000 per annum for hospitalization care, which is not available within the government system. The non-availability of services requires certification from the hospital Dean or Director Health Services. The overall limit is Rs 30 000 for the insured person for a period of one year. A pilot project on health insurance was launched by the Government of Karnataka and the UNDP in two blocks since October 2002. The aim of the project was to develop and test a model of community health financing suited for rural Community, thereby increasing the access to medical care of the poor. The beneficiaries include the entire population of these blocks. The premium is Rs 30 per person per year, with the government of Karnataka subsidizing the premium of those below poverty line and those belonging to Scheduled Castes/ Scheduled Tribes. This premium entitles them to hospitalization coverage in the government hospitals up to a maximum of Rs 2500 per year, including hospitalization for common illnesses, ambulance charges, loss of wages at Rs. 50 per day as well as drug expenses at Rs 50 per day. Reimbursements are made to an insurance fund which has been set up by the NGO / PRI with the support of UNDP. The Government of Kerala is planning to launch a pilot project of health insurance for the 30% families living below the poverty line. The scheme would be associated with a government insurance company. Currently, negotiations are under way with the IRA to seek service tax exemption. The proposed premium is Rs 250 plus 5% tax. The maximum benefit per family would be Rs 20 000. The amount for the premium would be recovered from the drug budget (Rs 100), the PRI (Rs 100) and from the beneficiary (Rs 62.50) while the benefits available would include cover for hospitalization, deliveries involving surgical procedures (either to the mother or the newborn). Instead of payment by the beneficiary, Smart Card facility would be offered. This scheme would be applicable in 216 government hospitals.

Current status of private health insurance in India India has lessons to learn from the experience of Chile. India too has a dual system of care—a private fee-for-service based sector where the money is paid out-of-pocket by individual households and a tax-based public sector where the providers are salaried. Utilization of insurance under both these systems is partly restricted and rationed by the affordability of the individual household and availability of the budget. On the other hand, insurance as a 17

means of financing is a far more sophisticated mechanism, requiring a comprehensive understanding of the failures that characterize health insurance markets. For example, a problem such as asymmetry in information puts the patient and the insurer at a disadvantage due to their inability to resist or challenge medical opinion regarding an existing condition or future treatment. Besides, in the absence of knowledge of prices, the provider can short change the two by overcharging. Second, cashless insurance creates disincentives to control costs as it appears to be a ‗free‘ good for the patient and the provider, often resulting in excessive treatment by the provider (induced demand) and frivolous use by the patient taking treatment even for a condition which he would normally have ignored or cured with a home remedy (moral hazard). Third, it is only the patients who know their health status. Since it is normally those in need of health care who tend to subscribe to health insurance, this puts the risk on insurance agencies to resort to extensive processes of risk selection, such as medical examination, before being given admittance as an enrollee and focusing on lowrisk groups, such as the young or healthy. Risk selection in individual- based policies however results in increasing the loading fee and consequently the cost of premium. This is one reason for the attractive group discounts being as high as 67%. For these reasons, private commercial health insurance is known to select its customers—the young, healthy, rich, males—leaving the bad risks to the government—old, poor, young women in the reproductive age group, and the ill. Health insurance in India is usually associated with the ‗Mediclaim‘ policy of the GIC, which was introduced in 1986 as a voluntary health insurance scheme offered by the public sector. The premium based on the age, risk and the benefit package opted for, ranged from a minimum premium of Rs 201 for those <25 years of age, to a maximum benefit of Rs 15,000 with discounts for group memberships. In 2001, there were 78 lakh persons covered under Mediclaim (Gupta 2003). The subscribers are usually from the middle and upper class, especially since there is a tax benefit in subscribing to Mediclaim. The standard Mediclaim policy covers only hospital care and domiciliary hospitalization benefits. Most medical conditions are reimbursed though there are important exclusions, such as pre-existing diseases, pregnancy and child 18

birth, HIV/AIDS, etc. Hospitals with more than 15 beds and registered with a local authority can be identified as providers. The insurance company (or the TPA, where applicable) administers the scheme. Being an indemnity scheme, the patient pays the hospital bills and submits the necessary documents to the company. The company in turn reimburses the patient. A study of 621 GIC claims for the year 1998–99 by Bhat and Reuben (2001) showed that the average time between submission of documents and reimbursement is 121 days. This study also showed that onethird of the claims were due to adverse selection; 38% pertained to doctor‘s fees and 25% charges for diagnostic services. The provider-induced claims thus accounted for 63%. Yet another interesting insight was that 22% of the total claims were for the treatment of communicable diseases, while 64% were for non-communicable diseases. There is also uncertainty about the amount reimbursed, there are times when the patient is reimbursed only partially, the usual reason being the insufficiency of documentation. The policy is not renewed automatically and is dependent on the timely payment of premium. Ellis et al. observed that the GIC was more interested in whether the claim pertained to an existing disease or whether the facility was qualified or not, but spent little time on detecting fraud. With claims exceeding 30% a year, more than the household spending, it reflects the problem of moral hazard which requires close monitoring. Second, it was also observed that the GIC sets premium on the filing of claims and not actual amounts settled, giving it a cushion year on year as settled claims amounts are always lower than those filed, an amount that remains unadjusted. During 1994, 4.4% of the insured persons made a claim, of which only 75% of claims were settled. The claims ratio was 45%. However, of late, the claims ratio is growing at a fast rate, allegedly because of collusion between the patients, insurance agents and hospitals. From the above discussion, five features that characterize the health insurance system in India emerge: By and large, the system offers traditional indemnity, under which the insured first pay the amount and then seek reimbursement. Under indemnity, all known diseases or health conditions are excluded and therefore such policies typically have a large number of exclusions. This also means that those most 19

in need of insurance, i.e. the sick, get excluded for any financial risk protection against the diseases they are suffering from. It is a fee-for-service-based payment system. Such a system of payment is advantageous for the provider since he bears no risk for the prices he can charge for services rendered by him. Combined with the asymmetry in information, such a system usually entails increased costs. Policies provide a ceiling of the assured sum. Such a system, and that too within a fee-for-service payment system, results in shortchanging the insured as he gets less value for money, as the provider and the insurer have no obligations to provide quality care and/or over provide/over charge services so long as the amounts are within the assured amount of the insurance policy. The system is based on risk-rated premiums. This again puts the risk on the insured as the premium is fixed in accordance with the health status and age. Under such a system, women in the reproductive age group, the old, the poor and the ill get to pay higher amounts and are discriminated against. The system is voluntary, making it difficult to form viable risk pools for keeping premiums low.

Reasons for poor penetration of health insurance Penetration of health insurance has been slow and halting, despite the ‗huge market‘ estimated to range between Rs 7.5–20 crores. Some reasons that explain for the slow expansion of health insurance in the country are as follows:

1. Lack of regulations and control on provider behaviour The unregulated environment and a near total absence of any form of control over providers regarding quality, cost or 282 Financing and Delivery of Health Care Services in India ata-sharing, makes it difficult for proper underwriting and actuarial premium setting. This puts the entire risk on the insurer as there could be the problems of moral hazard and induced demand. Most insurance companies are therefore wary about selling health insurance as they do not have the data, the expertise and the power to regulate the providers. Weak monitoring systems for checking fraud or manipulation by clients and providers, add to the problem. 20

2. Unaffordable premiums and high claim ratios Increased use of services and high claim ratios only result in higher premiums. The insurance agencies in the face of poor information also tend to overestimate the risk and fix high premiums. Besides, the administrative costs are also high—over 30%, i.e. 15% commission to agent; 5.5% administrative fee to TPA; own administrative cost 20%, etc. Patients also experience problems in getting their reimbursements including long delays to partial reimbursements.

3. Reluctance of the health insurance companies to promote their products and lack of innovation Apart from high claim ratios, the non-exclusivity of health insurance as a product is another reason. In India, an insurance company cannot sell non-life as well as life insurance products. Since insurance against fire or natural disaster or theft is far more profitable, insurance companies tend to compete by adding low incentive such as premium health insurance products to important clients, cross-subsidizing the resultant losses. With a view to get the non-life accounts, insurance companies tend to provide health insurance cover at unviable premiums. Thus, there is total lack of any effort to promote health insurance through campaigns regarding the benefits of health insurance and lack of innovation to make the policies suitable to the needs of the people.

4. Too many exclusions and administrative procedures Apart from delays in settlement of claims, non-transparent procedures make it difficult for the insured to know about their entitlements, because of which the insurer is able to, on one stratagem or the other, reduce the claim amount, thus demotivating the insured and deepening mistrust. The benefit package also needs to be modified to suit the needs of the insured. Exclusions go against the logic of covering health risks, though, there can be a system where the existing conditions can be excluded for a time period—one or two years but not forever. Besides, the system entail equity implications.

5. Inadequate supply of services There is an acute shortage of supply of services in rural areas. Not only is there non-availability of hospitals for simple surgeries, but several parts of the country have barely one or two hospitals with specialist services.

21

Many centres have no cardiologists or orthopaedicians for several noncommunicable diseases that are expensive to treat and can be catastrophic. If we take the number of beds as a proxy for availability of institutional care, the variance is high with Kerala having 26 beds per 1000 population compared with 2.5 in Madhya Pradesh.

6. Co-variety risks High prevalence levels of risks that could affect a majority of the people at the same time could make the enterprise unviable as there would be no gains in forming large pools. The result could be higher premiums. In India this is an important factor due to the large load of communicable diseases. A study of claims (Bhat 2002) found that 22% of total claims were for communicable diseases.

22

RESEARCH PROBLEM

“Health Insurance: - Identifying awareness, preferences and consumption patterns in the city of Jaipur” Research Objective The main objective of research is to identify the awareness, preferences and consumption patterns of the people of the city of Jaipur .what they think about Health Insurance and are they aware or not about its benefits. Variables:          

Health Hazards Covered Premium Amount Risk cover Factor Time Period Medical Facilities Other Benefits No. of Hospitals associated Coverage Limit Free access health services Tax exemption Cashless benefits

Research Design Descriptive Research: - Descriptive research includes surveys and fact finding enquiries of different kinds. The major purpose of descriptive research is description of state of affairs as it exists at present. The main characteristic of this method is that the researcher has no control over the variables; he can only report what has happened or what is happening.

23

Sampling Design Population: People in the city of Jaipur (above 18 year age). Sample Size: 200 Sample Design: Non Probability ―Convince Sampling‖ Non-probability sampling technique has been used because the population which includes all those people preferring these shopping malls in Jaipur is very large. Secondly, source list of the population cannot be made available. DATA COLLECTION Instrument: Questionnaire Data Collection Method: Interrogation through Personal Interview. Scaling Technique Used: Ranking Scales is used because of comparison between five different Health Insurance Companies in Jaipur city.

24

LIMITATIONS OF THE RESEARCH  Limited knowledge of the researcher in the field of research may lead to interpretation errors.  The research was based on primary collection of data through Structured Schedule, so there may be chances of human error and biasness.  The research was dependant on the information provided by the respondents who were very reluctant in providing right information and often provides carelessly and results are drawn out by only these information. So, sometimes all effort might fail to find the right result.  As associated with every project, time and money were the major limitations with project.  Due to time constrains more time could not be devoted to individual respondent.  Due to unwillingness of providing any information, the respondents filled the questionnaire casually which might have affected the consolation.  The projection is purely based on verbal meetings and may be influenced by unprecedented factors.  Non-co-operative behavior of respondent was a big problem in this survey.  While studying the report the above fact should be taken into consideration. To overcome the above limitations and to minimize their impact on the findings of this report researcher had to meet more respondents than the actual sample size.

25

DATA TABULATION & ANALYSIS Gender S.No A. B.

Options Male Female

No. Of Respondents 146 54

73% Respondents are male. 27% Respondents are female.

Age S.No A. B. C. D.

Options 18-25 26-35 36-45 Above 45

No. Of Respondents 50 77 40 33

25% Respondents age is between 18-25 years. 38.5% Respondents age is between 26-35 years. 20% Respondents age is between 36-45 years. 16.5% Respondents age is above 45 years.

Qualification S.No A. B. C. D.

Options 12th Graduate Post Graduate professional

No. Of Respondents 32 54 67 47

16% Respondents are 12th passed. 27% Respondents are graduates. 26

33.5% Respondents are post graduate. 23.5% Respondents professional.

Annual Income S.No A. B. C. D.

Options Below 10000 10001-20000 20001-30000 Above 30,000

No. Of Respondents 93 52 25 30

46.5% Respondents annual income is below Rs. 10000 26% Respondents annual income is Rs. 10001-20000 12.5% Respondents annual income is Rs. 20001-30000 15% Respondents annual income is above Rs. 30000.

Occupation S.No Options A. Student B. Private Employee C. Govt. Employee D. Business man

No. Of Respondents 85 46 22 47

42.5% Respondents are Students . 23% Respondents are Private Employee. 11% Respondents are Govt. Employee. 23.5% Respondents are Business man.

Q.1 Do you have any Insurance Policy? S.No Options No. Of Respondents A. Yes 137 B. No 63 68.5% Respondents having Insurance Policy. 32.5% Respondents don’t have any kind of Insurance Policy.

27

Q.2 Are you aware about Health Insurance? S.No Options No. Of Respondents A. Yes 163 B. No 37 81.5% Respondents know about Health Insurance Policy. 18.5% Respondents don’t know about Health Insurance Policy.

Q.3 If yes, do you know benefits of Health Insurance? S.No Options No. Of Respondents A. Yes 129 B. No 71 64.5% Respondents aware about Health Insurance benefits. 35.5% Respondents don’t know benefits of Health Insurance.

Q.4 Do you have any Health Insurance? S.No Options No. Of Respondents A. Yes 75 B. No 125 37.5% Respondents having Health Insurance policy. 62.5% Respondents don’t have Health Insurance policy.

Q.5 If yes, which companies plan do you avail? S.No Options No. Of Respondents A. LIC 24 B. Bajaj Allianz 21 C. ICICI Lombard 12 D. HDFC Life Insurance 14 E. Others 4 32% users are availing LIC Health Insurance plan. 28% users are availing Bajaj Allianz Insurance Plan. 16% users are availing ICICI Lombard Health Insurance Plan. 28

18.67% users are availing HDFC Health Insurance Plan. 5.33% users are availing Other Health Insurance Companies Plan. Q.6 How did you get this Health Insurance policy? S.No Options No. Of Respondents A. Employers Provides 43 B. Own Purchased 20 C. Family provides 12 57.33% Respondents got this Health Insurance from their employer. 26.67% Respondents own purchased Health Insurance. 16% Respondents got by Family.

Q.7 How much premium do you pay annually? S.No Options No. Of Respondents A. 1000-5000 62 B. 5001-10000 10 C. 10001-15000 3 D. Above 15,000 0 82.67% Respondents are paying Premium between Rs. 1000-5000. 13.33% Respondents are paying Premium between Rs. 5001-10000. 4% Respondents are paying Premium between Rs. 10001-15000.

Q.8 What types of benefits do you getting from this Health Insurance Plan? S.No Options No. Of Respondents A. Health Expenses Recover 31 B. Tax benefits 18 C. Recover future uncertainty 26  Out of 75 users of health insurance 41.33% think it’s beneficial for health expenses recovery.  24% users getting tax benefits.  34.67% respondents getting benefits for Future Uncertainty.

29

Variables for Ranking  Health hazards  Premium amount  Risk cover plan  Time period  Medical benefits  Other benefits  No. of Hospital Associated  Free access health services  Tax benefits  Cashless benefits

30

Ranking given by the Respondents to “LIC Health Insurance Plan” Respondent No.

Health hazards

Premium Amount

Risk Cover Plan

Time Period

Medical Benefits

Other Benefits

No. of Hospitals Associated

Free access health services

Tax benefits

Cashless benefits

1

2

1

2

5

5

4

5

2

5

3

2

1

1

1

1

1

1

1

1

1

1

3

2

3

4

5

1

2

3

4

5

1

4

2

4

2

1

2

3

5

1

2

5

5

2

2

2

2

2

2

2

2

2

2

6

2

2

1

5

2

3

2

5

2

5

7

3

5

1

3

5

3

3

5

2

3

8

5

4

5

2

3

5

5

3

1

1

9

3

2

3

4

5

4

1

5

4

5

10

4

5

2

4

5

2

5

2

5

1

11

2

4

5

2

5

1

5

3

5

2

12

1

5

2

1

4

5

4

2

1

2

13

2

5

5

2

5

1

5

3

1

4

14

2

2

2

3

3

3

4

4

5

5

15

3

3

3

2

1

5

1

5

3

5

16

2

4

1

1

3

2

4

1

5

3

17

3

5

2

5

4

3

3

4

5

3

18

1

1

3

5

3

4

1

2

1

1

19

5

1

2

2

5

2

2

2

2

3

20

2

1

2

5

5

3

1

2

1

5

21

2

5

2

1

1

5

2

4

5

2

22

3

4

5

2

3

5

2

5

2

5

23

5

3

1

4

4

1

5

4

5

2

24

2

5

2

5

4

1

2

3

5

4

25

3

2

2

3

3

4

2

4

5

4

26

3

5

1

2

1

2

3

1

2

1

27

3

5

2

5

3

5

1

5

3

5

28

1

5

2

3

5

1

1

2

5

3

29

1

1

3

2

4

5

1

2

5

4

30

1

3

5

5

4

3

2

4

3

2

31

2

1

2

1

2

5

1

5

2

2

32

1

5

4

1

1

2

5

5

1

2

33

5

3

2

1

2

1

3

1

3

3

31

34

2

1

1

2

5

1

4

5

4

5

35

2

4

2

4

3

5

1

3

3

4

36

4

4

1

4

3

1

5

2

5

1

37

1

1

1

1

1

1

1

2

2

3

38

1

1

1

1

1

1

1

1

1

1

39

1

1

1

1

1

2

5

1

1

1

40

1

1

1

1

1

1

1

1

1

1

41

4

5

5

5

5

5

1

4

4

2

42

1

1

5

4

1

1

2

1

3

5

43

5

1

1

1

2

1

2

5

1

5

44

1

1

1

1

1

1

1

1

1

1

45

2

1

2

1

2

1

2

1

2

1

46

2

3

5

4

5

4

2

1

1

1

47

3

4

5

3

1

5

2

1

5

4

48

1

2

1

5

1

2

1

1

1

1

49

4

5

3

2

5

5

2

2

4

3

50

1

1

1

1

2

2

1

1

2

2

51

2

5

4

1

2

1

1

2

1

3

52

1

1

1

1

1

1

5

1

1

1

53

1

1

1

1

1

1

1

1

1

1

54

2

3

1

5

1

2

2

2

2

1

55

1

2

4

3

2

2

5

3

2

2

56

2

5

5

5

3

2

1

1

2

3

57

4

2

2

2

1

3

2

5

1

2

58

4

3

4

1

4

3

4

5

4

5

59

1

5

1

1

5

4

1

5

2

1

60

2

2

2

2

2

2

2

2

2

2

61

2

1

1

1

1

2

1

3

1

3

62

2

1

2

1

2

2

1

2

3

2

63

1

1

1

3

5

3

3

1

2

5

64

5

4

4

5

4

4

5

4

5

4

65

1

1

1

1

1

2

2

1

2

2

66

1

3

4

2

5

3

5

3

1

4

67

1

1

5

1

5

5

1

1

5

4

68

3

5

3

5

1

3

1

2

4

5

69

1

1

1

1

2

2

1

1

1

1

70

5

1

1

1

2

5

4

2

3

1

32

71

3

1

5

1

2

5

1

3

5

2

72

2

2

3

2

3

4

5

1

1

2

73

2

1

2

5

1

5

1

1

1

3

74

2

1

2

1

3

1

2

4

1

3

75

5

4

5

3

4

5

1

2

1

1

76

1

1

1

1

1

1

1

1

1

1

77

5

2

3

2

5

3

1

3

1

1

78

4

5

1

3

5

2

5

2

5

1

79

3

5

5

4

3

2

2

3

2

4

80

3

4

5

2

2

1

1

5

3

5

81

4

5

5

2

5

2

5

3

3

2

82

2

1

1

1

1

1

1

1

1

1

83

1

2

1

2

2

2

3

2

1

1

84

1

1

1

5

1

2

1

1

1

2

85

3

5

2

3

4

3

2

3

1

3

86

5

1

2

5

1

5

1

1

3

1

87

1

3

4

3

5

3

5

1

5

1

88

2

5

4

5

4

4

5

3

3

4

89

2

3

5

5

5

4

3

3

3

4

90

1

1

1

1

1

1

1

1

1

1

91

5

5

5

5

5

5

5

5

5

5

92

2

1

1

3

4

1

3

5

5

2

93

3

2

1

4

5

3

2

2

3

3

94

2

3

2

1

3

3

3

1

1

4

95

1

1

1

1

1

1

1

1

1

1

96

1

2

5

1

4

3

1

2

3

5

97

3

1

2

5

2

2

1

4

1

1

98

1

2

1

3

1

1

2

1

2

4

99

3

4

1

2

1

4

5

2

1

4

100

1

1

4

1

2

1

3

1

2

1

101

5

5

1

1

2

1

5

3

3

2

102

5

1

1

2

5

1

4

2

1

4

103

5

2

3

4

2

4

1

1

2

3

104

4

1

2

2

5

5

4

1

2

3

105

1

2

1

5

2

1

5

2

2

3

106

3

1

1

1

5

1

5

1

1

3

107

4

5

5

1

2

4

1

2

2

2

33

108

1

5

1

2

3

1

2

1

5

3

109

2

1

1

2

4

5

3

3

3

3

110

1

5

5

2

5

1

5

1

1

3

111

2

2

1

1

3

1

5

1

4

2

112

1

5

3

4

2

1

4

3

1

3

113

5

3

4

5

1

1

2

1

2

3

114

5

4

3

2

1

2

3

2

4

2

115

3

1

4

4

5

4

5

1

5

2

116

5

5

5

4

5

5

5

1

3

3

117

5

1

5

1

4

2

5

1

1

3

118

5

5

1

5

3

4

4

1

1

2

119

4

1

5

1

1

1

5

4

2

3

120

5

2

5

1

5

4

5

1

2

2

121

5

1

5

1

5

5

1

1

2

2

122

3

1

3

2

3

2

3

1

3

2

123

5

4

2

3

4

5

3

2

5

3

124

5

5

2

5

5

2

5

1

4

4

125

5

1

3

5

1

3

5

1

5

5

126

4

2

5

5

5

1

2

1

4

5

127

5

1

5

2

3

3

3

2

2

5

128

1

5

5

1

5

5

1

3

2

2

129

5

5

5

1

5

1

3

2

2

4

130

3

5

1

3

2

5

1

2

1

3

131

4

1

5

1

3

5

1

2

2

1

132

5

1

5

5

4

1

1

2

3

3

133

5

1

2

5

5

1

2

1

1

2

134

5

3

3

4

4

5

1

2

5

2

135

2

1

5

1

5

4

5

1

2

3

136

5

2

1

2

2

4

3

1

5

3

137

4

5

4

3

5

3

4

1

1

3

138

5

4

2

1

3

5

4

1

1

3

139

1

4

2

3

3

2

2

1

1

3

140

4

5

2

1

3

4

4

1

1

3

141

3

2

5

4

3

1

5

1

5

2

142

3

1

5

4

5

4

1

1

2

2

143

5

4

3

3

4

1

3

1

1

3

144

4

1

2

2

3

5

3

1

1

2

34

145

4

1

5

2

5

5

5

1

2

2

146

5

5

1

5

1

5

3

2

1

2

147

5

5

1

5

1

2

5

1

2

3

148

5

5

1

2

4

5

3

1

1

3

149

5

5

5

5

4

1

1

4

2

2

150

4

2

1

5

3

3

4

1

1

2

151

4

1

3

2

1

5

1

1

3

2

152

5

5

1

1

2

3

5

1

1

2

153

2

5

2

1

4

3

5

1

1

2

154

5

4

3

2

2

1

5

2

1

1

155

1

1

1

1

1

1

1

2

1

1

156

5

4

1

2

3

1

4

4

1

1

157

5

2

1

3

3

2

5

3

3

2

158

3

2

4

3

5

2

4

1

5

1

159

1

4

1

1

2

1

5

3

1

1

160

2

5

2

2

2

2

4

2

2

2

161

3

4

5

5

3

2

3

5

3

2

162

3

4

3

3

3

5

5

1

2

3

163

3

5

2

2

1

1

1

2

3

1

164

5

4

4

1

3

2

5

4

5

2

165

1

3

2

5

5

1

5

2

1

3

166

3

4

2

3

4

2

5

2

3

3

167

5

5

4

4

3

5

2

1

1

4

168

5

5

3

4

5

4

3

1

5

4

169

5

5

1

2

4

1

3

1

3

2

170

5

5

1

3

1

1

5

2

1

2

171

5

4

5

2

5

1

1

1

5

3

172

4

3

1

1

3

5

3

3

5

3

173

1

5

5

3

5

3

5

1

1

3

174

1

3

3

3

4

4

4

1

1

1

175

5

1

1

5

1

1

4

1

1

2

176

2

2

4

3

2

1

3

1

1

1

177

2

2

2

2

2

2

2

1

2

1

178

5

5

1

2

2

2

5

1

2

3

179

4

4

4

3

4

4

5

1

3

4

180

5

3

1

2

2

1

2

1

2

2

181

1

5

1

1

1

2

1

1

3

4

35

182

5

5

1

2

1

1

5

1

1

2

183

4

1

1

2

4

5

5

2

2

3

184

1

3

1

3

1

1

1

1

2

1

185

4

5

2

3

4

4

5

1

4

2

186

3

3

5

3

4

4

4

1

5

2

187

1

3

5

3

4

4

5

2

1

2

188

1

4

2

2

1

2

2

2

1

4

189

2

4

5

4

4

3

4

2

5

3

190

3

4

1

5

3

2

5

1

1

1

191

5

3

2

1

3

3

4

1

2

2

192

3

1

5

2

4

2

1

1

3

2

193

5

4

2

2

1

5

5

4

3

2

194

1

5

3

5

4

4

5

1

5

2

195

5

4

2

1

1

2

4

1

1

2

196

5

5

1

1

1

1

5

5

1

2

197

5

4

1

2

3

2

5

1

3

2

198

5

5

1

3

1

2

4

3

3

1

199

1

4

1

2

2

2

4

1

3

1

200

2

5

1

2

3

2

5

3

1

3

Responses given by the respondents to LIC Health hazards Premium Amount Risk Cover Plan Time Period Medical Benefits Other Benefits No. of Hospitals Associated Free access health services Tax benefits Cashless benefits

Rank 1 50 61 71 60 49 60 56

Rank 2

Rank 3

Rank 4

Rank 5

Total

40 27 46 50 35 47 32

31 22 21 32 37 27 27

23 33 18 20 33 26 25

56 57 44 38 46 40 60

200 200 200 200 200 200 200

95

47

24

16

18

200

73 46

46 61

33 50

11 23

37 20

200 200

36

37

38

39

40

Ranking given by the Respondents to “Bajaj Allianz Health Insurance Plan” Respondent No.

Healt h hazards

Premium Amount

Risk Cover Plan

Time Period

Medical Benefits

Other Benefits

No. of Hospitals Associated

Free access health services

Tax benefits

Cashless benefits

1

3

5

3

4

3

5

4

1

3

1

2

2

2

2

2

1

2

2

2

2

2

3

3

4

5

1

2

3

4

5

1

2

4

1

5

3

3

3

4

3

5

1

4

5

3

4

3

4

3

4

3

4

3

4

6

5

5

3

2

1

1

1

4

3

2

7

2

3

5

4

3

2

1

4

5

2

8

1

1

1

1

2

4

4

2

5

4

9

2

3

2

5

4

5

3

3

3

4

10

1

4

1

3

2

1

4

1

4

3

11

3

3

4

3

4

4

2

2

4

1

12

3

1

5

4

3

1

2

1

4

3

13

3

4

4

1

4

2

2

4

2

1

14

3

5

3

4

2

2

3

2

3

4

15

1

4

1

3

2

3

2

1

2

1

16

3

5

2

2

2

3

5

2

4

2

17

1

4

1

4

5

2

4

5

4

2

18

2

2

1

4

4

3

2

1

3

3

19

4

2

3

1

1

1

1

3

1

2

20

3

3

5

4

3

5

2

3

3

1

21

3

4

4

2

3

4

3

3

4

1

22

4

1

4

1

2

3

1

4

1

1

23

4

2

2

1

1

2

4

3

4

3

24

4

4

3

3

3

2

1

2

4

1

25

4

1

5

1

1

3

1

3

3

2

26

2

4

4

3

2

3

4

5

4

2

27

2

4

1

2

2

3

3

4

1

4

28

2

4

1

2

4

2

3

1

4

2

29

2

3

2

4

2

2

4

4

3

1

30

3

1

2

2

2

4

5

1

1

1

31

1

2

1

2

1

4

3

4

1

1

32

2

3

3

2

2

1

4

4

2

1

33

4

2

1

3

1

3

2

3

5

4

34

5

2

2

1

2

2

2

3

5

3

35

3

3

3

5

1

4

5

5

1

5

41

36

3

3

2

1

2

3

4

3

4

2

37

3

2

4

3

2

4

3

1

4

2

38

5

4

2

5

2

2

2

2

5

2

39

4

2

2

5

2

4

4

4

4

2

40

2

2

2

2

2

2

2

2

2

2

41

1

4

4

3

4

4

3

1

1

1

42

2

2

4

3

2

2

1

2

1

4

43

4

2

2

2

1

2

1

4

2

1

44

2

2

2

2

2

2

2

2

2

2

45

1

2

4

2

1

2

1

2

1

2

46

3

2

2

5

4

3

1

2

2

2

47

2

3

4

2

2

1

3

2

4

5

48

3

3

2

4

2

3

2

3

2

2

49

4

3

3

2

5

5

2

2

4

3

50

4

4

3

2

4

5

1

1

3

3

51

2

2

2

2

1

1

2

2

1

1

52

1

4

3

3

5

2

5

1

2

1

53

5

5

2

2

5

2

2

2

5

5

54

3

2

4

5

4

5

5

3

5

5

55

4

2

3

4

2

1

3

5

1

2

56

2

1

5

2

4

3

1

2

1

3

57

3

4

4

4

2

3

4

4

1

1

58

3

1

3

5

2

5

1

4

2

3

59

5

2

3

2

3

4

5

3

2

4

60

2

4

3

3

4

3

2

4

1

3

61

4

3

4

5

3

4

5

3

3

4

62

3

3

2

2

3

1

2

2

2

1

63

1

3

1

2

1

3

2

1

2

1

64

3

2

3

2

1

2

2

2

1

4

65

4

3

3

3

5

5

4

3

2

5

66

5

2

2

2

2

1

1

2

3

1

67

2

5

1

3

1

2

3

1

2

5

68

4

2

2

4

2

1

4

2

4

3

69

2

4

2

4

2

2

5

1

3

4

70

2

3

2

4

3

1

3

2

4

2

71

4

2

2

2

1

4

3

3

2

3

72

4

2

4

5

3

4

5

2

4

3

73

1

5

5

5

2

3

4

2

3

1

74

3

3

1

4

3

4

2

4

5

2

42

75

1

5

3

5

2

2

1

5

3

5

76

3

3

1

1

1

2

2

1

2

2

77

2

2

2

2

2

2

2

2

2

2

78

4

1

2

1

4

1

2

2

2

2

79

3

3

2

2

4

1

4

1

4

3

80

2

4

2

3

1

1

1

2

1

1

81

2

3

4

1

1

2

5

4

2

4

82

3

4

4

3

4

1

4

2

4

5

83

3

2

2

2

2

2

2

2

2

2

84

2

5

1

3

2

1

3

2

1

1

85

3

2

2

3

2

3

2

3

2

1

86

1

3

2

4

3

1

2

2

1

5

87

2

5

1

1

2

4

5

3

1

2

88

4

2

5

4

2

4

4

2

4

4

89

1

1

1

1

1

1

1

1

1

1

90

4

2

2

2

1

2

3

2

2

2

91

2

3

4

3

5

2

3

5

4

2

92

3

1

4

4

4

4

3

1

1

4

93

3

2

5

5

3

2

1

1

4

1

94

4

3

3

3

1

4

5

3

2

1

95

3

3

3

2

4

4

1

3

2

5

96

4

5

2

2

4

3

2

5

4

2

97

4

1

3

5

3

1

2

1

2

4

98

2

2

1

1

1

1

2

5

2

2

99

2

1

2

2

2

5

1

2

3

3

100

4

3

2

3

2

3

3

1

2

2

101

2

1

2

5

1

2

4

2

2

2

102

4

2

5

1

2

2

5

3

4

4

103

1

2

4

5

4

3

2

2

3

2

104

5

2

3

4

1

2

1

5

3

3

105

2

1

5

4

1

2

4

4

3

3

106

2

2

5

2

1

2

4

5

3

2

107

2

1

4

3

3

2

5

1

2

2

108

2

4

5

1

2

2

3

3

3

3

109

4

3

2

5

1

4

5

2

3

3

110

2

4

1

1

4

2

1

2

3

2

111

3

1

5

2

2

2

4

3

2

2

112

2

3

4

5

1

2

1

2

3

3

113

4

5

1

2

3

2

5

2

3

3

43

114

2

3

4

1

2

1

5

3

2

4

115

1

2

5

5

4

5

4

4

2

2

116

2

4

1

3

1

4

1

3

3

3

117

2

4

1

5

3

3

4

2

3

3

118

4

3

2

4

1

2

3

2

2

3

119

1

2

3

4

2

2

1

5

3

3

120

1

1

4

4

4

5

4

5

2

2

121

4

2

4

2

1

1

2

2

2

2

122

4

5

4

1

4

1

4

2

2

2

123

4

5

4

4

5

4

2

1

3

4

124

4

4

5

4

4

3

4

5

4

4

125

4

2

4

4

2

4

4

3

5

4

126

5

3

4

1

2

2

3

2

5

2

127

1

2

1

4

4

2

4

1

5

3

128

2

4

4

2

4

4

2

1

2

3

129

1

1

4

2

4

2

5

3

4

2

130

4

4

2

2

5

4

2

1

3

2

131

5

2

4

2

4

4

2

1

1

3

132

4

2

4

4

5

2

2

3

3

3

133

4

2

5

4

4

2

3

2

2

2

134

4

2

4

5

3

2

2

3

2

2

135

5

4

4

3

4

5

4

2

3

2

136

3

3

5

1

2

5

2

2

3

3

137

3

1

2

4

4

4

1

2

3

2

138

1

5

5

3

3

3

5

5

3

3

139

2

1

5

5

4

3

1

5

3

2

140

3

4

5

2

2

3

1

2

3

3

141

2

3

1

5

5

4

3

2

2

2

142

4

4

4

5

1

2

5

2

2

2

143

3

1

5

1

2

5

2

2

3

3

144

3

5

4

5

5

4

5

2

2

3

145

5

4

2

1

4

4

4

2

2

3

146

4

1

2

4

2

1

1

5

2

2

147

4

4

2

4

2

3

4

2

3

4

148

4

4

2

1

5

1

4

2

3

4

149

4

2

4

4

5

5

2

1

2

5

150

1

5

5

4

1

1

5

2

2

3

151

2

5

2

1

5

4

2

2

2

2

152

3

2

5

3

3

5

4

2

2

2

44

153

4

3

1

5

2

2

3

5

2

2

154

3

2

4

4

3

5

3

4

1

2

155

2

3

4

2

4

3

3

3

1

2

156

1

2

5

4

5

3

5

1

1

1

157

2

3

2

2

5

4

3

2

2

1

158

2

5

1

2

2

5

2

2

1

1

159

5

1

3

4

5

5

2

2

1

2

160

4

2

3

5

5

5

3

2

2

1

161

5

1

1

4

1

1

1

3

2

2

162

5

5

2

5

2

3

2

4

3

2

163

4

3

3

4

4

4

3

3

1

1

164

3

2

5

4

5

1

1

3

2

3

165

4

2

5

2

3

5

3

5

3

3

166

5

5

1

2

5

4

3

1

3

3

167

2

1

3

2

2

2

1

1

4

4

168

2

4

5

2

1

2

1

4

4

4

169

2

3

4

5

2

5

4

2

2

3

170

3

2

4

4

3

4

2

2

2

2

171

1

1

3

3

3

5

3

3

3

2

172

5

4

2

3

1

1

5

2

3

2

173

2

4

4

2

4

4

4

1

3

4

174

4

1

5

5

5

5

5

5

1

4

175

4

5

4

4

2

3

1

2

2

2

176

1

5

1

5

1

2

4

2

1

2

177

5

5

5

5

5

5

5

2

1

1

178

4

3

5

5

3

3

4

2

3

4

179

3

3

3

4

3

5

4

2

4

2

180

1

2

5

5

3

5

5

2

2

3

181

4

2

3

3

3

3

2

2

4

3

182

1

1

2

1

3

3

1

2

2

2

183

1

2

5

3

2

3

4

2

3

2

184

5

1

3

4

3

3

3

2

1

1

185

1

1

1

1

1

3

1

5

2

5

186

2

5

1

5

5

5

1

3

2

3

187

2

2

2

4

1

3

1

3

2

4

188

4

3

3

4

2

3

4

3

4

4

189

1

2

4

5

3

1

3

1

3

4

190

2

3

4

2

2

4

3

3

1

1

191

2

2

4

5

4

1

3

2

2

2

45

192

2

4

2

4

2

5

2

2

2

3

193

2

5

4

3

5

3

3

2

2

2

194

3

2

4

3

5

3

1

3

2

2

195

3

2

3

4

3

4

2

2

2

2

196

3

1

4

5

5

4

2

5

2

2

197

2

1

4

5

4

4

3

3

2

2

198

2

4

3

5

5

5

3

2

1

1

199

3

2

3

5

4

4

5

2

1

1

200

4

4

5

3

5

5

2

2

3

2

Responses given by the respondents to Bajaj Allianz Health hazards Premium Amount Risk Cover Plan Time Period Medical Benefits Other Benefits No. of Hospitals Associated Free access health services Tax benefits Cashless benefits

31 33

56 60

45 41

51 39

17 27

200 200

32 29 39 32 39

49 50 60 53 51

35 33 35 41 41

50 48 38 43 41

34 40 28 31 28

200 200 200 200 200

33

84

39

21

23

200

37 37

70 76

50 44

32 31

11 12

200 200

46

47

48

49

50

Ranking given by the Respondents to “HDFC Standrad Health Insurance Plan” Respond ent No.

Health hazards

Premium Amount

Risk Cover Plan

Time Period

Medical Benefits

Other Benefits

No. of Hospitals Associated

Free access health services

Tax benefits

Cashless benefits

1

4

4

1

3

4

3

3

4

4

2

2

3

3

3

3

4

4

5

3

3

3

3

4

5

1

2

4

1

2

3

4

3

4

3

3

1

2

1

5

1

4

3

3

5

1

1

1

1

1

1

1

1

1

1

6

4

3

2

3

3

4

3

3

5

3

7

1

4

3

2

1

1

2

3

4

1

8

2

2

3

3

1

3

3

1

4

3

9

1

1

1

1

3

3

2

2

2

3

10

3

3

3

2

1

3

3

3

2

2

11

4

2

3

1

3

3

3

1

3

5

12

2

3

4

5

1

2

3

4

5

1

13

1

2

3

3

3

3

1

5

3

2

14

1

1

1

1

1

1

1

1

1

1

15

4

5

4

1

3

2

3

3

1

3

16

1

3

3

4

1

4

3

3

2

1

17

2

3

3

2

3

4

5

1

3

1

18

5

3

2

3

5

1

3

3

4

4

19

3

4

4

3

3

3

5

1

3

1

20

4

2

3

3

2

4

4

5

2

2

21

1

2

3

5

2

3

5

2

2

3

22

5

2

3

5

1

2

3

3

3

3

23

3

1

3

2

2

4

3

2

1

4

24

3

3

1

2

2

3

4

1

3

2

25

5

3

3

2

2

5

4

2

2

1

26

1

3

5

5

5

4

2

3

3

3

27

1

3

3

1

1

2

2

3

2

3

28

3

3

3

1

3

5

5

3

2

1

29

5

4

1

3

5

3

2

3

2

3

30

5

4

4

3

5

2

1

2

2

3

31

4

3

3

3

3

2

2

2

3

3

32

3

2

2

5

3

3

3

1

5

5

33

3

1

3

2

3

2

1

2

4

5

34

1

2

1

3

2

2

3

4

2

3

35

2

1

5

2

1

2

3

1

3

3

51

36

4

3

2

5

4

3

5

4

1

1

37

2

2

3

2

3

3

3

3

2

3

38

2

3

3

2

3

2

3

3

3

3

39

3

4

5

3

5

3

5

5

4

5

40

2

3

3

2

3

1

2

2

3

3

41

3

3

3

2

3

3

4

3

2

3

42

3

3

3

3

3

3

3

3

3

2

43

5

3

5

3

4

3

5

3

5

3

44

3

4

3

3

3

3

3

3

3

3

45

4

1

4

1

3

2

3

3

4

3

46

1

2

3

1

3

2

4

3

3

3

47

2

1

3

1

4

1

3

2

4

4

48

4

4

3

2

4

5

1

1

3

3

49

4

5

3

3

5

4

5

5

4

5

50

4

2

2

2

3

5

2

3

3

2

51

2

2

3

3

2

3

4

4

2

2

52

2

3

5

2

2

3

4

2

3

2

53

5

5

4

3

4

5

4

4

3

5

54

3

3

3

1

5

4

2

5

5

5

55

1

1

3

2

1

4

2

2

4

2

56

2

3

5

4

3

4

3

2

3

4

57

3

1

2

3

2

5

1

2

1

3

58

4

3

2

2

1

2

5

3

3

2

59

3

4

3

4

5

3

4

5

5

3

60

1

2

3

5

2

3

5

1

3

2

61

3

4

3

4

5

1

3

4

1

4

62

4

3

2

1

2

1

1

3

3

1

63

2

5

5

4

3

2

3

5

4

3

64

2

3

4

3

4

2

3

3

1

3

65

3

4

2

4

2

4

2

2

3

1

66

3

5

1

2

4

2

3

3

2

5

67

1

3

1

3

4

1

4

4

2

3

68

4

2

3

5

1

3

2

4

3

5

69

3

4

3

3

3

2

1

4

4

5

70

5

3

2

4

1

3

4

1

3

1

71

3

4

4

3

1

2

3

5

2

3

72

4

5

3

3

2

3

3

3

4

5

73

3

4

4

3

3

3

3

3

4

4

74

4

2

3

2

3

3

3

3

4

3

75

3

4

3

4

3

4

3

3

4

3

52

76

3

4

1

3

3

2

5

1

3

3

77

2

2

5

1

3

3

3

3

2

5

78

1

2

1

5

5

5

5

1

3

2

79

1

2

3

5

5

3

3

1

1

3

80

2

3

3

1

3

3

2

1

2

4

81

4

3

3

3

3

3

3

3

3

3

82

2

1

1

2

3

2

3

2

2

1

83

2

4

3

4

3

1

3

2

3

3

84

2

4

5

1

3

3

2

2

1

5

85

4

4

5

4

4

3

4

5

4

3

86

5

4

1

2

1

2

1

5

2

5

87

4

4

5

5

5

5

5

4

4

4

88

4

4

4

4

4

4

4

5

5

4

89

4

4

4

4

4

4

4

5

5

4

90

3

2

3

2

4

3

4

3

3

4

91

2

2

3

3

1

2

2

3

4

3

92

4

5

4

1

2

4

2

2

3

3

93

4

2

4

2

2

2

1

4

5

1

94

4

4

4

4

5

5

2

3

3

3

95

3

2

4

3

3

2

3

2

2

4

96

5

5

1

2

2

2

4

5

1

2

97

1

3

3

3

4

3

3

3

4

3

98

3

3

3

1

3

4

3

3

4

5

99

2

2

3

4

3

2

2

3

3

1

100

2

3

3

3

3

3

1

3

3

3

101

1

4

3

4

3

3

3

2

2

2

102

3

3

4

5

1

5

3

4

3

4

103

2

3

1

5

4

3

2

2

3

4

104

1

3

4

5

3

1

3

3

3

4

105

5

5

4

3

3

3

3

3

2

2

106

4

3

4

5

2

3

3

2

3

3

107

1

3

2

4

5

1

3

2

2

2

108

3

3

4

5

1

3

5

3

3

2

109

5

5

4

3

3

2

1

3

2

4

110

3

3

4

5

3

3

2

2

2

2

111

4

5

4

3

1

5

1

2

3

3

112

1

3

5

2

4

1

5

3

2

2

113

3

4

5

1

2

3

4

3

2

2

114

1

2

1

2

4

3

1

4

3

3

115

5

3

2

1

2

3

3

2

3

2

53

116

4

1

2

2

2

3

2

3

2

3

117

4

3

2

3

1

4

2

3

4

4

118

3

2

3

3

5

3

5

3

3

4

119

5

3

4

5

3

5

2

3

2

2

120

2

4

3

3

2

3

3

2

3

2

121

3

3

3

3

2

2

3

2

2

2

122

5

4

5

3

5

5

5

2

2

3

123

1

3

3

5

2

3

1

4

4

5

124

3

3

4

3

1

1

1

4

2

5

125

3

3

5

3

3

5

1

4

2

4

126

3

4

3

2

3

3

4

2

2

2

127

2

3

2

1

5

4

5

3

1

2

128

3

1

1

3

3

1

3

3

4

5

129

2

2

1

3

3

3

4

2

3

2

130

5

1

3

4

4

2

3

2

2

4

131

3

3

1

3

5

1

3

3

2

5

132

3

3

1

3

3

3

3

3

3

3

133

3

3

4

3

3

3

4

2

2

2

134

3

1

5

1

5

1

3

2

3

4

135

4

5

2

5

3

2

3

2

2

2

136

3

5

4

5

3

2

4

3

3

3

137

2

3

5

5

1

1

5

2

3

2

138

5

1

1

4

4

4

1

3

3

4

139

3

5

4

2

5

4

5

2

3

4

140

1

1

4

3

5

1

2

3

3

3

141

4

1

3

2

1

3

4

2

2

2

142

5

5

2

1

4

3

4

2

2

2

143

4

2

4

4

5

3

1

3

3

4

144

2

4

5

4

4

3

1

3

2

3

145

3

3

4

5

3

2

1

3

3

4

146

3

2

3

3

3

2

2

2

3

4

147

1

3

3

3

3

4

3

4

4

3

148

3

3

3

3

3

2

5

4

3

2

149

3

1

3

3

2

4

5

5

4

5

150

2

3

4

3

2

5

2

3

3

3

151

3

3

1

5

4

3

3

2

2

2

152

1

1

3

4

5

4

2

2

3

2

153

1

1

5

4

1

5

1

2

1

2

154

1

1

5

5

1

3

1

2

2

2

155

5

5

5

5

2

4

2

2

2

1

54

156

2

1

3

5

2

5

2

1

1

1

157

1

1

4

4

1

3

4

1

1

1

158

5

1

2

4

4

3

3

1

1

1

159

3

3

5

5

3

4

1

2

1

1

160

5

3

5

4

1

4

2

1

2

2

161

2

2

3

2

4

4

5

2

2

2

162

4

4

1

4

4

4

4

2

3

4

163

2

1

5

1

3

5

2

1

1

1

164

1

3

2

5

1

4

2

3

3

3

165

3

4

3

1

2

4

1

3

3

4

166

1

2

4

1

2

5

2

3

4

2

167

3

3

2

3

5

3

3

4

4

4

168

3

1

2

1

3

1

5

4

4

4

169

1

1

5

4

5

4

2

3

4

3

170

2

1

5

5

2

5

3

2

2

2

171

4

5

2

4

1

2

2

2

3

3

172

1

5

4

4

2

4

2

2

3

4

173

3

1

3

1

3

5

3

4

4

4

174

3

4

2

2

3

3

3

4

5

3

175

3

4

5

3

3

2

5

2

1

1

176

3

1

3

2

5

3

2

2

2

2

177

3

3

3

3

3

3

3

1

1

1

178

3

4

4

4

4

4

3

4

4

3

179

1

2

1

2

1

3

3

2

3

2

180

3

5

4

4

4

4

4

3

3

2

181

3

1

5

5

2

4

4

3

2

2

182

3

3

5

3

2

2

2

2

2

2

183

3

4

4

5

5

2

2

2

1

2

184

3

4

4

1

4

5

4

1

1

1

185

3

2

4

5

3

2

3

5

3

4

186

5

4

4

4

1

3

2

3

2

2

187

3

4

3

2

5

5

4

4

2

4

188

5

2

1

5

5

5

1

4

2

2

189

5

3

1

2

1

4

5

4

2

3

190

4

2

3

1

4

1

4

1

1

1

191

1

4

3

3

2

5

1

2

3

3

192

4

5

1

5

3

4

5

3

3

2

193

1

2

5

5

2

4

4

2

2

3

194

4

1

5

4

2

5

2

2

2

2

195

1

1

5

5

2

5

3

2

2

2

55

196

2

2

5

4

2

5

3

2

2

2

197

1

3

5

4

2

5

1

2

3

4

198

4

2

2

4

3

4

1

1

1

1

199

4

1

4

4

1

5

2

1

1

1

200

3

2

3

5

4

4

3

2

2

2

Responses given by the respondents to HDFC Standard Health hazards Premium Amount Risk Cover Plan Time Period Medical Benefits Other Benefits No. of Hospitals Associated Free access health services Tax benefits Cashless benefits

Rank 1

Rank 2

Rank 3

Rank 4

Rank 5

Total

38 35

33 38

66 66

39 40

24 21

200 200

29

24

71

42

34

200

29 35

38 39

58 65

37 32

38 29

200 200

22 31

39 43

67 67

41 31

31 28

200 200

26

63

68

28

15

200

25 28

61 55

71 62

33 35

10 20

200 200

56

57

58

59

Responses given by the respondents to “ICICI Lombard” Respo ndent No.

Premium Amount

Risk Cover Plan

Time Period

Medical Benefits

Other Benefits

No. of Hospitals Associated

Free access health services

Tax benefits

Cashless benefits

60

1

3

4

2

2

2

2

3

2

5

2

4

5

4

3

3

3

4

5

4

3

2

2

3

5

4

1

1

2

5

4

2

4

4

5

1

2

3

4

2

5

5

5

5

5

5

5

5

5

5

6

2

4

4

5

5

5

2

4

4

7

2

2

1

2

4

4

2

1

5

8

3

4

4

4

2

1

4

3

2

9

5

5

3

1

2

4

1

1

2

10

2

4

1

3

4

2

5

3

4

11

1

2

4

2

2

1

5

2

4

12

4

1

3

2

3

1

3

3

4

13

3

2

5

2

5

3

2

5

3

14

4

5

2

5

5

5

5

5

2

15

2

2

5

5

1

4

2

4

2

16

2

5

5

5

1

2

4

1

4

17

1

4

1

2

5

2

3

2

4

18

4

5

2

1

2

4

4

2

2

19

5

5

4

4

5

4

4

4

5

20

4

4

1

4

2

3

4

1

3

21

3

5

4

4

2

1

1

3

5

22

3

2

4

4

1

4

2

4

2

23

4

4

3

3

5

2

1

3

5

24

2

4

1

1

4

5

4

2

3

25

5

4

4

5

1

5

1

1

3

26

2

3

4

4

5

5

4

5

5

27

2

4

3

5

1

4

2

5

2

28

2

5

4

1

4

4

5

1

5

29

2

5

5

3

4

5

5

4

5

30

2

3

1

3

5

3

3

4

4

31

4

4

4

4

3

4

3

5

5

32

1

1

4

4

4

2

2

4

3

33

5

4

5

4

5

4

4

2

1

34

4

4

4

4

4

3

1

2

1

35

1

4

2

5

3

4

1

5

2

36

5

4

5

5

1

2

4

2

4

37

4

3

2

3

2

4

3

5

4

38

3

4

4

4

4

4

4

4

4

39

4

4

4

4

1

2

2

5

4

40

3

4

4

4

4

4

3

3

4

41

2

2

4

2

2

4

3

5

4

42

4

2

1

4

4

3

4

4

2

43

4

5

4

4

4

4

2

4

3

44

4

4

4

3

4

4

5

4

5

61

45

5

1

4

4

4

4

4

4

4

46

5

1

3

2

1

4

4

3

4

47

1

2

5

4

3

5

4

2

2

48

4

4

3

3

4

4

4

3

3

49

3

3

2

4

5

2

1

3

3

50

4

4

4

4

5

4

3

3

3

51

3

1

1

4

4

3

4

4

4

52

4

4

4

4

4

3

3

4

4

53

4

3

4

5

2

2

4

4

4

54

4

5

1

5

4

5

5

4

3

55

5

2

4

1

5

3

4

3

4

56

3

2

3

4

5

5

5

5

4

57

5

4

3

4

2

4

3

4

5

58

4

1

4

1

2

2

1

3

2

59

1

4

4

2

1

4

2

4

4

60

1

1

1

1

1

1

1

1

1

61

4

4

4

5

4

1

5

4

4

62

5

5

5

4

5

4

5

5

5

63

5

4

4

3

4

5

5

4

2

64

1

1

2

1

3

2

2

3

1

65

4

3

5

3

5

4

4

4

4

66

2

5

5

4

5

1

4

4

2

67

3

4

5

3

3

5

5

1

1

68

2

4

2

5

4

3

5

1

2

69

4

4

3

5

4

5

3

2

4

70

3

4

5

4

3

2

1

5

4

71

4

3

3

5

2

2

5

2

5

72

3

2

4

4

1

1

4

5

5

73

4

4

2

4

2

4

2

3

4

74

3

5

2

5

4

4

2

5

2

75

1

4

5

2

4

4

5

3

5

76

3

4

3

4

3

4

4

3

4

77

5

4

4

2

4

4

5

4

4

78

5

4

4

2

4

2

5

3

4

79

1

4

2

2

4

4

5

4

3

80

1

2

4

4

4

2

2

4

2

81

2

2

4

2

4

1

5

1

1

82

4

4

4

4

4

4

4

4

4

83

4

1

2

3

2

3

2

3

1

84

5

4

2

4

4

4

4

4

4

85

2

4

3

2

2

1

4

3

2

86

2

3

2

5

2

2

4

2

4

87

1

2

5

4

1

2

4

3

2

88

1

2

2

1

1

2

2

3

4

62

89

4

2

2

2

4

3

5

4

4

90

1

2

5

3

4

2

2

2

3

91

3

1

1

2

1

1

4

3

1

92

4

3

2

1

5

4

3

2

5

93

1

5

1

3

1

2

4

3

2

94

4

5

5

1

2

3

2

5

2

95

3

5

4

5

4

4

4

3

3

96

3

2

4

5

5

3

3

4

3

97

4

4

2

5

4

4

2

5

4

98

4

4

4

4

3

4

5

5

2

99

1

4

5

4

1

1

4

4

5

100

4

2

4

4

4

4

4

4

4

101

5

1

1

2

1

5

2

2

2

102

1

1

2

5

1

4

4

3

4

103

2

3

4

2

4

1

3

3

2

104

1

2

2

5

5

4

3

3

3

105

2

1

5

2

1

5

3

2

3

106

1

1

1

5

1

5

3

3

2

107

5

5

1

2

4

1

2

2

2

108

5

1

2

3

1

2

3

3

3

109

1

1

2

4

5

3

3

2

3

110

5

5

2

5

1

5

3

2

2

111

2

1

1

3

1

5

2

3

2

112

5

3

4

2

1

4

3

2

3

113

3

4

5

1

1

2

3

2

3

114

4

3

2

1

2

3

2

3

4

115

1

4

4

5

4

5

2

3

2

116

5

5

4

5

5

5

3

2

3

117

1

5

1

4

2

5

3

4

3

118

5

1

5

3

4

4

2

3

3

119

1

5

1

1

1

5

3

2

3

120

2

5

1

5

4

5

2

3

2

121

1

5

1

5

5

1

2

2

2

122

1

3

2

3

2

3

2

2

2

123

4

2

3

4

5

3

3

4

4

124

5

2

5

5

2

5

4

2

4

125

1

3

5

1

3

5

5

2

4

126

2

5

5

5

1

2

5

2

2

127

1

5

2

3

3

3

5

1

3

128

5

5

1

5

5

1

2

4

3

129

5

5

1

5

1

3

4

3

2

130

5

1

3

2

5

1

3

2

2

131

1

5

1

3

5

1

1

2

3

132

1

5

5

4

1

1

3

3

3

63

133

1

2

5

5

1

2

2

2

2

134

3

3

4

4

5

1

2

3

2

135

1

5

1

5

4

5

3

2

2

136

2

1

2

2

4

3

3

3

3

137

5

4

3

5

3

4

3

3

2

138

4

2

1

3

5

4

3

3

3

139

4

2

3

3

2

2

3

3

2

140

5

2

1

3

4

4

3

3

3

141

2

5

4

3

1

5

2

2

2

142

1

5

4

5

4

1

2

2

2

143

4

3

3

4

1

3

3

3

3

144

1

2

2

3

5

3

2

2

3

145

1

5

2

5

5

5

2

3

3

146

5

1

5

1

5

3

2

3

2

147

5

1

5

1

2

5

3

4

4

148

5

1

2

4

5

3

3

3

4

149

5

5

5

4

1

1

2

4

5

150

2

1

5

3

3

4

2

3

3

151

1

3

2

1

5

1

2

2

2

152

5

1

1

2

3

5

2

3

2

153

5

2

1

4

3

5

2

1

2

154

4

3

2

2

1

5

1

2

2

155

1

1

1

1

1

1

1

2

2

156

4

1

2

3

1

4

1

1

1

157

2

1

3

3

2

5

2

1

1

158

2

4

3

5

2

4

1

1

1

159

4

1

1

2

1

5

1

1

2

160

5

2

2

2

2

4

2

2

1

161

4

5

5

3

2

3

2

2

2

162

4

3

3

3

5

5

3

3

2

163

5

2

2

1

1

1

1

1

1

164

4

4

1

3

2

5

2

3

3

165

3

2

5

5

1

5

3

3

3

166

4

2

3

4

2

5

3

4

3

167

5

4

4

3

5

2

4

4

4

168

5

3

4

5

4

3

4

4

4

169

5

1

2

4

1

3

2

4

3

170

5

1

3

1

1

5

2

2

2

171

4

5

2

5

1

1

3

3

2

172

3

1

1

3

5

3

3

3

2

173

5

5

3

5

3

5

3

4

4

174

3

3

3

4

4

4

1

5

4

175

1

1

5

1

1

4

2

1

2

176

2

4

3

2

1

3

1

2

2

64

177

2

2

2

2

2

2

1

1

1

178

5

1

2

2

2

5

3

4

4

179

4

4

3

4

4

5

4

3

2

180

3

1

2

2

1

2

2

3

3

181

5

1

1

1

2

1

4

2

3

182

5

1

2

1

1

5

2

2

2

183

1

1

2

4

5

5

3

1

2

184

3

1

3

1

1

1

1

1

1

185

5

2

3

4

4

5

2

3

5

186

3

5

3

4

4

4

2

2

3

187

3

5

3

4

4

5

2

2

4

188

4

2

2

1

2

2

4

2

4

189

4

5

4

4

3

4

3

2

4

190

4

1

5

3

2

5

1

1

1

191

3

2

1

3

3

4

2

3

2

192

1

5

2

4

2

1

2

3

3

193

4

2

2

1

5

5

2

2

2

194

5

3

5

4

4

5

2

2

2

195

4

2

1

1

2

4

2

2

2

196

5

1

1

1

1

5

2

2

2

197

4

1

2

3

2

5

2

3

2

198

5

1

3

1

2

4

1

1

1

199

4

1

2

2

2

4

1

1

1

200

5

1

2

3

2

5

3

2

2

Responses given by the respondents to ICICI Lombard Rank 2

Rank 3

Rank 4

Rank 5

Total

29

23

30

48

70

200

39

31

28

53

49

200

Rank 1 Health hazards Premium Amount

65

Risk Cover Plan Time Period Medical Benefits Other Benefits No. of Hospitals Associated Free access health services Tax benefits Cashless benefits

45

39

22

51

43

200

36 30

48 33

32 37

49 56

35 44

200 200

49

40

19

53

39

200

30

31

30

57

52

200

25

60

49

41

25

200

24 18

54 66

59 43

43 52

20 21

200 200

66

67

68

69

70

Responses given by the respondents to “Others Companies” Respo ndent No.

Health hazards

Premium Amount

Risk Cover Plan

Time Period

Medical Benefit s

Other Benefits

No. of Hospitals Associate d

Free access health services

Tax benefit s

Cashl ess benef its

1

1

2

5

1

1

1

1

5

1

4

2

5

5

4

5

5

5

4

5

4

5

3

1

1

3

4

3

5

5

2

2

4

4

5

1

5

5

4

2

4

2

5

1

5

4

3

4

3

4

3

4

3

4

3

6

1

1

5

1

4

2

4

1

1

1

7

5

1

4

5

4

5

5

1

3

1

8

4

5

2

5

5

1

2

5

2

5

9

5

4

4

2

2

1

5

4

5

1

10

5

1

5

5

4

5

1

4

1

5

11

2

5

1

5

1

5

4

4

1

3

12

4

2

3

2

5

4

5

5

2

5

13

5

1

1

4

1

4

4

1

4

5

14

4

3

4

5

4

4

2

3

2

3

15

5

1

5

4

4

4

5

4

5

4

16

5

1

4

3

4

5

1

5

3

5

17

5

2

5

3

1

1

1

2

1

5

18

3

5

4

1

2

5

5

5

5

5

19

1

3

1

5

2

4

3

5

5

4

20

5

5

1

2

1

1

5

1

5

4

21

5

1

1

3

5

1

4

5

1

4

22

1

5

1

3

5

4

5

1

5

4

23

1

2

5

5

5

3

1

5

2

1

24

1

1

5

4

5

5

3

5

1

5

25

1

1

5

4

5

5

3

5

1

5

26

1

4

1

5

4

2

3

5

4

5

27

5

1

2

1

3

1

1

2

1

4

28

5

1

5

4

4

4

5

1

4

1

29

5

1

4

5

2

3

2

4

3

4

30

4

4

4

1

1

1

3

1

1

2

31

2

5

1

4

1

1

4

5

5

5

71

32

3

5

5

5

5

1

5

1

4

4

33

5

4

5

3

5

5

1

3

3

4

34

1

4

5

4

5

4

5

5

1

2

35

1

5

5

5

1

5

5

4

1

4

36

4

5

5

1

4

1

2

2

4

1

37

5

2

3

3

4

4

1

5

1

5

38

2

5

2

4

5

5

2

5

3

5

39

3

5

5

3

5

5

5

5

3

5

40

5

5

5

3

5

5

1

5

2

5

41

5

5

3

5

3

5

3

4

5

3

42

5

1

1

1

1

3

5

5

2

5

43

5

5

1

5

5

5

5

5

5

1

44

1

5

4

5

5

5

5

1

5

4

45

4

5

3

5

5

5

3

4

3

4

46

5

4

5

5

5

5

5

5

5

5

47

5

4

5

2

1

5

5

5

5

5

48

5

5

1

4

5

4

1

5

1

1

49

5

5

5

2

5

5

5

5

5

5

50

4

4

4

3

5

5

2

1

4

3

51

3

3

5

5

3

3

3

4

5

5

52

3

1

5

5

1

3

4

5

5

5

53

3

3

5

5

3

5

1

5

3

3

54

5

5

2

3

3

4

3

5

2

3

55

1

1

2

2

3

3

1

1

5

4

56

4

4

1

5

2

1

4

1

4

1

57

5

2

1

1

5

1

3

3

3

5

58

5

4

1

1

5

1

5

1

5

1

59

1

5

5

5

5

1

3

4

5

1

60

3

2

5

5

3

5

3

1

5

5

61

5

5

5

3

4

5

3

4

4

2

62

5

5

5

3

4

5

3

4

5

5

63

4

2

4

3

3

4

5

3

4

3

64

5

4

5

5

4

5

4

4

5

3

65

1

2

2

1

2

1

1

1

1

2

66

3

5

5

4

5

4

5

5

5

5

67

5

1

2

1

3

1

4

5

5

3

68

2

4

3

1

1

4

2

4

3

2

72

69

5

1

5

1

3

5

2

3

5

1

70

3

5

5

2

4

5

4

5

5

3

71

1

5

5

4

5

1

5

5

1

2

72

1

5

1

2

4

1

3

4

1

4

73

4

1

1

1

5

5

2

3

4

4

74

1

2

5

1

5

1

5

1

2

1

75

4

2

1

4

1

5

5

1

2

1

76

2

5

2

4

5

1

5

4

5

4

77

5

5

5

5

5

5

5

5

5

5

78

1

3

5

5

1

5

3

4

5

5

79

5

1

3

5

1

5

1

4

1

2

80

5

1

3

1

4

3

3

4

5

5

81

4

5

1

3

3

5

4

3

5

1

82

5

1

1

5

1

5

3

4

5

3

83

5

5

5

5

5

5

5

5

5

5

84

2

3

2

2

3

2

3

2

2

1

85

4

3

5

1

5

5

5

5

5

5

86

4

3

1

2

1

3

2

1

3

2

87

1

3

4

3

3

1

3

2

5

5

88

2

5

3

1

3

5

3

3

1

3

89

5

5

5

5

5

5

5

5

5

5

90

5

5

5

5

5

5

5

5

5

5

91

5

5

5

4

2

5

5

4

5

5

92

4

4

2

2

3

3

4

4

2

2

93

1

3

2

4

5

3

5

4

1

4

94

2

2

4

5

4

4

1

5

5

5

95

4

5

5

5

2

3

1

1

4

1

96

2

4

3

5

2

5

5

3

5

5

97

2

4

4

3

1

4

5

4

5

1

98

5

5

5

4

3

5

5

1

3

5

99

5

5

5

5

5

2

5

4

1

1

100

5

5

5

1

5

5

4

5

5

3

101

3

2

4

2

4

5

1

2

1

2

102

1

5

2

3

4

3

2

4

2

5

103

3

2

1

5

4

2

3

1

2

4

104

1

4

5

3

2

4

5

5

2

3

105

4

3

2

1

5

4

1

2

1

5

73

106

1

5

2

3

4

5

1

2

2

5

107

5

4

3

2

1

5

4

2

1

4

108

5

1

2

3

4

5

1

2

4

5

109

1

2

3

4

5

1

2

4

3

2

110

5

1

2

3

1

5

4

2

4

1

111

1

3

2

4

5

3

2

3

1

5

112

1

2

3

4

5

1

2

2

3

4

113

1

2

3

4

5

4

3

4

5

1

114

1

4

3

5

2

3

1

2

3

4

115

2

5

1

3

1

2

2

1

2

5

116

1

3

4

5

4

1

4

2

4

1

117

1

2

3

4

5

5

1

2

4

1

118

1

3

3

2

4

5

1

4

3

2

119

3

4

1

2

5

4

3

1

2

3

120

3

5

2

5

1

2

1

1

1

4

121

1

5

2

5

4

4

5

4

2

4

122

1

2

1

5

1

3

1

4

5

4

123

2

1

5

2

3

1

5

4

5

4

124

1

1

1

2

3

5

2

4

4

5

125

2

5

1

2

5

1

3

4

2

4

126

1

1

2

1

1

5

1

5

3

4

127

4

5

4

5

2

1

1

1

2

1

128

5

3

2

5

1

3

5

2

4

4

129

4

4

3

5

1

5

1

1

1

4

130

1

3

5

1

3

1

5

4

4

2

131

1

5

3

5

1

3

5

5

2

4

132

1

5

3

2

1

5

5

4

2

4

133

1

5

1

2

2

5

1

4

2

5

134

1

5

1

3

2

4

5

4

2

4

135

1

2

1

2

1

1

1

5

4

4

136

2

4

2

3

2

1

1

3

3

5

137

5

4

1

2

3

5

3

3

1

2

138

3

5

4

2

1

2

3

1

5

5

139

5

2

3

1

2

5

4

2

1

5

140

5

2

3

4

1

2

3

3

4

5

141

1

5

4

3

2

1

2

2

3

1

142

2

3

1

2

3

1

2

4

4

4

74

143

1

3

2

5

2

2

4

3

1

5

144

1

3

1

1

1

1

4

3

5

4

145

2

5

1

3

1

1

3

5

4

2

146

1

4

5

1

5

4

5

4

1

2

147

3

1

5

2

5

5

1

4

4

2

148

1

2

5

5

1

4

1

4

4

2

149

2

3

2

2

1

2

3

4

2

4

150

5

4

2

1

5

2

1

1

5

5

151

5

2

4

3

2

1

5

2

5

2

152

2

3

4

5

4

2

3

3

2

5

153

3

2

4

2

3

4

2

4

3

1

154

2

3

1

3

5

4

2

3

2

4

155

3

2

3

4

3

4

4

2

3

4

156

3

3

2

3

1

2

1

1

2

5

157

3

4

3

1

4

5

1

2

3

2

158

4

3

5

1

3

1

1

2

5

1

159

2

2

2

2

1

3

3

5

1

3

160

3

1

4

3

4

1

1

4

2

3

161

1

3

2

1

5

3

2

5

1

1

162

1

3

5

1

1

2

1

5

5

2

163

1

2

4

5

5

2

4

4

3

3

164

2

1

3

3

4

5

3

3

2

5

165

5

5

1

3

1

3

2

4

2

5

166

4

1

5

4

3

3

1

5

5

1

167

1

2

5

5

4

1

5

2

1

3

168

1

2

4

3

4

3

4

2

4

5

169

3

2

2

3

1

3

1

2

3

4

170

1

3

2

1

4

2

1

3

2

4

171

3

3

4

5

4

4

5

1

1

3

172

3

1

5

5

5

2

4

5

4

2

173

5

3

2

4

1

1

2

2

4

4

174

2

2

1

1

1

1

2

4

1

5

175

1

2

2

1

4

5

2

4

5

4

176

5

4

5

4

4

5

5

1

5

1

177

1

1

1

1

1

1

1

5

5

5

178

1

2

2

1

1

1

1

4

3

5

179

2

1

2

1

2

1

2

3

3

3

75

180

4

1

2

1

1

2

1

1

2

5

181

2

4

2

2

5

1

5

4

2

3

182

2

2

3

5

5

5

3

1

1

2

183

2

3

3

4

3

4

1

1

2

5

184

2

2

2

2

2

2

2

5

1

3

185

2

3

3

2

2

5

2

1

1

1

186

1

1

2

1

3

2

5

2

5

1

187

4

1

4

5

3

2

3

2

2

2

188

3

1

5

1

4

1

3

4

3

3

189

4

1

3

3

5

2

1

1

2

4

190

5

1

2

4

5

5

1

2

3

4

191

3

1

5

4

5

2

2

2

2

4

192

5

3

4

1

1

3

3

2

4

2

193

3

1

1

1

3

1

1

2

5

4

194

5

3

1

1

3

1

3

3

2

4

195

2

3

1

2

5

1

1

3

2

3

196

1

3

2

2

4

3

1

3

1

4

197

3

2

2

1

1

3

2

2

1

4

198

1

3

4

1

4

3

5

2

4

3

199

5

3

5

3

5

3

1

3

2

3

200

5

1

2

1

2

1

1

4

4

5

76

Responses given by the respondents to “Other Companies” Rank 1

Rank 2

Rank 3

Rank 4

Rank 5

Total

Health hazards

59

29

27

25

60

200

Premium Amount

44

37

38

27

54

200

Risk Cover Plan

40

42

29

30

59

200

Time Period

45

33

37

30

55

200

Medical Benefits

47

23

31

40

59

200

Other Benefits

50

25

29

29

67

200

No. of Hospitals Associated

53

30

38

26

53

200

Free access health services

36

36

25

53

50

200

Tax benefits

41

42

28

32

57

200

Cashless benefits

33

25

28

51

63

200

77

78

79

80

DATA ANALYSIS AND FINDINGS Ranks given by respondents to Health Hazards Factor Ranking frequencies 2 3 4 5 40 31 23 56 56 45 51 17 33 66 39 24 23 30 48 70 29 27 25 60

1 50 31 38 29 59

LIC BAJAJ HDFC ICICI OTHERS

Total 605 633 622 493 602

Rank 3 1 2 5 4

Based on rankings given by respondents and after analyzing data it was found that: Bajaj Allianz Health Insurance Company is the best in Health Hazards.  HDFC Standard Company got 2nd rank in Health Hazards.  LIC Health Plans comes under 3rd rank in Health Hazards.  Others Companies Health Insurance Plans got 4th rank.  ICICI Lombard Health Insurance Comp. comes in 5th rank. Ranks given by respondents to Premium Amount

LIC BAJAJ HDFC ICICI OTHERS

1 61 33 35 39 44

Ranking frequencies 2 3 4 5 27 22 33 57 60 41 39 27 38 66 40 21 31 28 53 49 37 38 27 54

Total 602 633 626 558 590

Rank 3 1 2 5 4

Based on rankings given by respondents and after analyzing data it was found that: Bajaj Allianz Health Insurance Company is the best in Premium Amount.  HDFC Standard Company got 2nd rank in Premium Amount.  LIC Health Plans comes under 3rd rank in Premium Amount.  Others Companies Health Insurance Plans got 4th rank.  ICICI Lombard Health Insurance Comp. comes in 5th rank. 81

Ranks given by respondents to Risk Cover

1 71 32 29 45 40

LIC BAJAJ HDFC ICICI OTHERS

Ranking frequencies 2 3 4 5 46 21 18 44 49 35 50 34 24 71 42 34 39 22 51 43 42 29 30 59

Total 682 595 572 592 574

Rank 1 2 5 3 4

Based on rankings given by respondents and after analyzing data it was found that: LIC Health Plans is the best in Risk Covering.  Bajaj Allianz Health Insurance Comp comes under 2nd rank in Risk Cover.  ICICI Lombard Health Insurance Comp. comes in 3rd rank.  Others Companies Health Insurance Plans got 4th rank.  HDFC Standard Company got 5th rank in Risk cover. Ranks given by respondents to Time Period

LIC BAJAJ HDFC ICICI OTHERS

1 60 29 29 36 45

Ranking frequencies 2 3 4 5 50 32 20 38 50 33 48 40 38 58 37 38 48 32 49 35 33 37 30 35

Total 674 580 583 601 563

Rank 1 4 3 2 5

Based on rankings given by respondents and after analyzing data it was found that: LIC Health Plans is the best in Time Period.  ICICI Lombard Health Insurance Comp. comes in 2nd rank.  HDFC Standard Company got 3rd rank in Time Period.  Bajaj Allianz Health Insurance Comp comes under 4th rank in Time Period.  Others Companies Health Insurance Plans got 5th rank. 82

Ranks given by respondents to Medical Benefits

1 LIC BAJAJ HDFC ICICI OTHERS

49 39 35 30 47

Ranking frequencies 2 3 4 35 37 33 60 35 38 39 65 32 33 37 56 23 31 40

5 46 28 29 44 59

Total 608 644 619 549 559

Rank 1 2 3 5 4

Based on rankings given by respondents and after analyzing data it was found that: LIC Health Plans is the best in Medical Benefits.  Bajaj Allianz comes under 2nd rank in Medical Benefits.  HDFC Standard Company got 3rd rank in Medical Benefits.  Others Companies Health Insurance Plans got 4th rank.  ICICI Lombard Health Insurance Comp. comes in 5th rank. Ranks given by respondents to Other benefits

LIC BAJAJ HDFC ICICI OTHERS

1 60 32 22 49 50

Ranking frequencies 2 3 4 5 47 27 26 40 53 41 43 31 39 67 41 31 40 19 53 39 25 29 29 67

Total 661 612 580 607 562

Rank 1 2 4 3 5

Based on rankings given by respondents and after analyzing data it was found that: LIC Health Plans is the best in Other Benefits.  Bajaj Allianz comes under 2nd rank in Other Benefits.  ICICI Lombard Health Insurance Comp. comes in 3rd rank.  HDFC Standard Company got 4th rank in Other Benefits.  Others Companies Health Insurance Plans got 5th rank.

83

Ranks given by respondents to Number of Hospital associated

LIC BAJAJ HDFC ICICI OTHERS

1 56 39 31 30 53

Ranking frequencies 2 3 4 5 32 27 25 60 51 41 41 28 43 67 31 28 31 30 57 52 30 38 26 53

Total 599 632 618 530 604

Rank 4 1 2 5 3

Based on rankings given by respondents and after analyzing data it was found that: Bajaj Allianz comes under 1st rank in No. of Hospital associated.  HDFC Standard Company got 2nd rank in No. of Hospital associated  Others Companies Health Insurance Plans got 3rd rank.  LIC Health Plans in 4th rank in No. of Hospital associated.  ICICI Lombard Health Insurance Comp. comes in 5th rank. Ranks given by respondents to Free access Health services

LIC BAJAJ HDFC ICICI OTHERS

1 95 33 26 25 36

Ranking frequencies 2 3 4 5 47 24 16 18 84 39 21 23 63 68 28 15 60 49 41 25 36 25 53 50

Total 785 683 657 619 555

Rank 1 2 3 4 5

Based on rankings given by respondents and after analyzing data it was found that: LIC Health Plans in 1st rank in Free access Services.  Bajaj Allianz comes under 2nd rank in Free access Services.  HDFC Standard Company got 3rd rank in Free access Services.  ICICI Lombard Health Insurance Comp. comes in 4th rank.  Others Companies Health Insurance Plans got 5th rank.

84

Ranks given by respondents to Tax Benefits

LIC BAJAJ HDFC ICICI OTHERS

1 73 37 25 24 41

Ranking frequencies 2 3 4 5 46 33 11 37 70 50 32 11 61 71 33 10 54 59 43 20 42 28 32 57

Total 707 690 658 619 578

Rank 1 2 3 4 5

Based on rankings given by respondents and after analyzing data it was found that: LIC Health Plans in 1st rank in Tax Benefits.  Bajaj Allianz comes under 2nd rank in Tax Benefits.  HDFC Standard Company got 3rd rank in Tax Benefits.  ICICI Lombard Health Insurance Comp. comes in 4th rank.  Others Companies Health Insurance Plans got 5th rank. Ranks given by respondents to Cashless Benefits Ranking frequencies 1

2

3

4

5

Total

Rank

LIC

46

61

50

23

20

690

2

BAJAJ

37

76

44

31

12

695

1

HDFC

28

55

62

35

20

636

3

ICICI

18

66

43

52

21

608

4

OTHERS

33

25

28

51

63

514

5

Based on rankings given by respondents and after analyzing data it was found that: Bajaj Allianz comes under 1st rank in Cashless Benefits.  LIC Health Plans in 2nd rank in Cashless Benefits.  HDFC Standard Company got 3rd rank for Cashless benefits.  ICICI Lombard Health Insurance Comp. comes in 4th rank.  Others Companies Health Insurance Plans got 5th rank.

85

OVERALL RANKING GIVEN BY THE RESPONDENTS FOR ALL VARIABLES LIC

BAJAJ

HDFC

ICICI

OTHERS

Health hazards

3

1

3

5

4

Premium Amount

3

1

2

5

4

Risk Cover Plan

1

2

5

3

4

Time Period

1

4

3

2

5

Medical Benefits

1

2

3

5

4

Other Benefits

1

2

4

3

5

No. of Hospitals Associated

4

1

2

5

3

Free access health services

1

2

3

4

5

Tax benefits

1

2

3

4

5

Cashless benefits

2

1

3

4

5

86

FINAL OVERALL RANKING TABLE Ranking frequencies 1

2

3

4

5

Total

Rank

LIC

6

1

2

1

0

42

1

BAJAJ

4

5

0

1

0

42

1

HDFC

0

2

6

1

3

31

2

ICICI

0

1

2

3

4

20

3

OTHERS

0

0

1

4

5

16

4

87

Findings Based on the responses collected from the respondents and after tabulating and using ranking technique it was found that:-

About Favorite Companies Health Plan  “LIC’s” Health Insurance Policies Plans and “BAJAJ ALLIANZE” Health Insurance Plan both are approximetly equally preferred by the consumers , they have given similar 1st Rank to both of them.  As per rank given by the Respondents to ―HDFC” Standard Health Insurance policies, it comes in 2nd most preferred Health insurance companies plans.  India‘s largest Pvt. Sectors Bank, which is also in General , Health, Fire & Vehicle insurance “ICICI Lombard” got 3rd Rank by the Respondents.  Many of ―OTHER COMPANIES” like Bharati Axa , Kotak Mahaindra Life Insurance, Max New York Life Insurance companies Health Plans are less impressive , and they got 4 th Rank by Respondents.

88

RECOMMENDATION The Health Insurance recommendations, Some of the keys ones are as follows:

♦ Lowering The Limit Of Capital Requirement: The capital requirement for health insurance companies be reduced to Rs 25 crore from the current Rs 100 crore. Present Rs 100-crore requirement is a deterrent since a larger capital requirement will bring in additional cost associated with such capital. ♦ Raising The FDI Limit: The foreign direct investment (FDI) limit be raised to 51 per cent from the existing 26 per cent. This could attract global health insurance players and encourage them to take a long-term perspective of their investments in the country. ♦ Grading And Accredition Of Health Providers: The grading and accreditation of hospitals and health providers in a posttariff regime. The parameters used to evaluate the hospitals would include medical specialties (evaluated on the availability of equipment, qualification and adequacy of medical personnel). The provision of a database is something that could be taken up by the Tariff Advisory Council in active collaboration with the IRDA. ♦ Advertisement Of Health Insurance: Large efforts should be laid towards developing health insurance as an alternative and acceptable method of personal finance risk management tool. The whole aim should be to diverted towards popularizing health insurance as a concept in rural areas under the guidance of the ministry of finance and the IRDA. The Research also recommends that (1) Life insurance companies to develop underwriting guidelines and sell health insurance policies because of their wide distribution network. 89

(2) Multiple health insurance products should be offered at various price points to customers. (3) IRDA should engage the services of the Ministry of Health and Family Welfare, Indian Medical Council, Indian Medical Association, healthcare associations and other bodies. Other Recommendations ♦ The abolition of the service tax on health insurance products. It has also been suggested that income tax holidays be accorded to the health insurance companies for 10 years from the date of incorporation. ♦ The introduction of a common pool for terminally ill people/people who do not have access to any kind of health insurance. ♦ Fraudulent claims, when discovered and proved, should be treated as criminal offence and subject to strict legal action including imprisonment. ♦ Systems of co-payment, co-insurance and voluntary deductibles to be used to (1) Make health insurance more viable, (2) Control frauds (3) Refrain customers wanting to avail luxury facilities.

90

QUESTIONNAIRE Name of Respondent: - ____________________________ Date: Gender (a) Male (b) Female Age (in Years) (a) 18 - 25 (b) 26 – 35 Qualification (a) 12th

(c) 36 - 45 (d) above 45

(c) Graduate

(d) Postgraduate (e) Professional

Monthly Income (in Rs.) (a) Below 10,000 (b) 10,001-20,000 (c) 20,001-30,000 (d) above 30,000 Occupation (a) Student (b) Private Employee (c) Govt. Employee (d) Business Man Q.1 Do you have any Insurance Policy? (a) Yes (b) No Q.2 Are you aware about Health Insurance? (a)Yes ( b) No Q.3 If yes, do you know benefits of health insurance? (a) Yes ( b ) No Q.4 Do you have any Health Insurance Policy? (a) Yes (b) No Q.5 If yes, which companies plan do you avail? (a)LIC (b) Bajaj Alliance (c) ICICI Lombard (d) HDFC

(e) Others

Q.6 How did you get this health Policy? (a)Employer Provides (b) Own purchase (c) Family Provides Q.7 How much premium do you pay annually? (a) 1000- 5000 (b) 5001- 10000 (c) 10001 – 15000 (e) Above 15000

91

Q.8 Why did you purchase this health insurance plan? (a) Health Expenses recover (b) Tax benefits (c) Recover Future uncertainty Q.9 Please Rank all these companies as per services provided by them from 1-5

Plans Factors

LIC

Bajaj Alliance

HDFC

ICICI

Standard

Lombard

Others

Health hazards Covered Premium Amount Risk Cover Plan Time Period Medical Benefits Other Benefits No. of Hospitals Associated Free access health services Tax benefits Cashless benefits

92

BIBLIOGRAPHY Author’s Name

Kothari, C.R.

Book Name

Research MethodologyMethods and Techniques

Place of Publication

Wiley Eastern Ltd., New Delhi

Websites:hdfcstandardlifeinsurance.com licindia.com icicilombard.com Wikipedia.com

Repots:IIMA 1999. Indian Institute of Management, Ahmedabad. Report of the one day workshop on 'Health Insurance in India'. Oct. 30, 1999. IIMA 2000. Indian Institute of Management, Ahmedabad. Report on Conference on Health Insurance, March 18-19,2000 and three Technical Workshops on March 15-17,2000.

93