2024
9
UK Consumers and Health Insurance Report 2024
2024-11-21T10:01:49+00:00
REPE0B91C64_005B_46A0_9685_546C4CBF0AD0
2195
177444
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Report
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The health insurance market is relatively shielded from macroeconomic challenges, such as the cost of living crisis, with higher-income consumers accounting for a majority of total ownership. However, even among…
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  8. UK Consumers and Health Insurance Report 2024

UK Consumers and Health Insurance Report 2024

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The UK health insurance market is relatively shielded from macroeconomic challenges, such as the cost of living crisis, with higher-income consumers accounting for a majority of total ownership. However, even among these people, many are looking for ways to reduce financial pressures. This is leading to consumers shopping around for cheaper policies, although very few will cancel entirely.

UK Health Insurance Market – Current Consumer Trends

Through marketing efforts and packaged pricing, private hospitals and healthcare providers have both bolstered the rise in self-pay treatments. To counter this growing trend, insurers need to emphasise the cost savings and additional benefits offered by PMI policies.

Although PMI is perceived as a product for older individuals, due to its focus on secondary hospital treatments, the product is increasingly diversifying towards offering primary care options and additional benefits. This transition has allowed providers to showcase the everyday value a PMI policy can offer younger consumers, who are looking to align with brands that can support their heightened focus on holistic health.

UK Consumers and Health Insurance Report – What’s Inside?

Key Topics Analysed in the Report

  • The size of the health insurance market and a five-year forecast for PMI.
  • Market share for the PMI and HCP markets.
  • Competitive strategies, launch activity and innovation in the market.
  • Ownership of insurance products, who owns health insurance, and who is paying for it.
  • Interest in health insurance, how can insurers unlock demand, and key groups to focus on.
  • Key factors behind choice of policy, including the importance of price, level of coverage and additional benefits.
  • Attitudes towards health and health insurance, including concerns with NHS waiting times and switching activity.

Report Scope

This report examines the UK market for health insurance. The main focus is on PMI (private medical insurance). The Report also touches on other health covers available, including health cash plans (HCPs), healthcare trusts and private healthcare plans.

PMI is designed to cover the costs of private treatment for what are commonly known as acute medical/surgical conditions (ie curable short-term illnesses or injuries). The main advantage of having this cover is that it ensures prompt access to treatment should the policyholder become ill or injured.

  • Policies are either fully underwritten (requiring the policyholder to disclose their full medical history) or written on a moratorium basis (the policyholder needs to give more limited information and the policy excludes pre-existing conditions, whether or not diagnosed).
  • The market for PMI can be segmented into two discrete sectors: Personal PMI – policies arranged by individuals; and Corporate PMI – group schemes arranged by an employer for some or all employees.
  • Alongside traditional PMI, there are a number of policy variants, such as policies that restrict cover to a specific condition/set of conditions (eg cancer or heart disease) or to certain specified treatments (eg physiotherapy or psychiatry).
  • There are also policies that are designed to cover diagnosis only or treatment and aftercare only.

HCPs provide cash benefits to cover everyday costs associated with primary care treatment (eg dental examinations), hospital treatment (though not the treatment itself) and post-operative care. The majority of plans do not cover the full cost, but pay a fixed rate usually between 50% and 75%. Plans may also include protection cover, wellness services and telephone helplines. Unlike PMI, HCPs work on the basis of ‘guaranteed acceptance’, meaning that subscribers are not required to undergo a medical examination and premiums are not based on claims history. Some plan providers adjust premiums according to different age bands, although most do not. Some also impose an upper age limit for joining or offer reduced benefits to those over a certain age.

Healthcare trusts are where individual companies (typically larger companies) provide a form of PMI which is administered by insurance companies. The employer sets up the trust and establishes a fund that is used to pay for the medical treatments of its beneficiaries. This provides health cover for employees and their dependents. Subscribers can receive hospital attention or undergo operations in private hospitals more quickly or at a more suitable time that can be offered through the NHS.

Meet the Expert Before the Analysis

This report was written by Charlie Landsborough. Charlie joined Mintel in January 2023 as a research analyst for financial services. Prior to joining Mintel, he had just graduated and was working as an investment assistant at an impact investment fund. Charlie has an undergraduate degree in Advertising and a masters degree in Investment and Finance.

PMI is evolving beyond covering hospital treatments with brands now embedding themselves into consumers’ daily lives to promote healthier living.

Charlie-Landsborough-AnalystCharlie Landsborough
Financial Services Analyst

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  1. Executive Summary

    • Opportunities for the health insurance market
    • Removing affordability barriers will be key to expanding PMI ownership
    • Providers will need to compete on more than cost
    • NHS concerns offer a chance to emphasise the value of corporate PMI
    • Market dynamics and outlook
    • Market size & forecast
    • New PMI sales will continue to rise whilst NHS backlog remains
    • Subscribers and people covered rise by over 7% in 2023
    • Graph 1: number of subscribers and people covered on PMI, 2019-23
    • Bupa and Simplyhealth lead PMI and HCP markets
    • Graph 2: estimated market shares of HCP providers, based on GWPs, 2023
    • Graph 3: estimated market shares of largest PMI providers, based on GWP, 2023
    • What consumers want and why
    • One-in-five Brits have health-related cover
    • Graph 4: insurance product ownership, 2024
    • Nearly one-in-four Brits are interested in taking out PMI in the next two years
    • Providers can differentiate themselves with perks and benefits
    • Graph 5: interest in health insurance benefits, 2024
    • Purchase decisions are motivated by a range of policy features and perks
    • Graph 6: key considerations when choosing health insurance policy, 2024
    • Consumers seeking value for money and personalisation from PMI policies
    • Innovation and marketing
    • Advertising spend sees a big boost
    • Graph 7: total above-the-line, online display and direct mail advertising on private healthcare insurance, 2019/20-23/24
    • Advertising expenditure remains concentrated around the major providers
    • Graph 8: top advertisers by above-the-line, online display and direct mail advertising expenditure on private healthcare insurance, 2023/24
    • TV advertising remains the leading channel
    • Graph 9: above-the-line, online display and direct mail advertising expenditure on private healthcare insurance, by channel, 2020/21-23/24
    • Aviva looks to boost the nation’s health by partnering with Joe Wicks
  2. Market Dynamics

    • Market size and performance
    • PMI boom continues…
    • Graph 10: market size for PMI – gross earned premiums, 2020-24
    • … with growth remaining strong in 2024
    • Number of PMI subscribers and people covered reach a new record high
    • Subscribers and people covered rise by over 7% in 2023
    • Graph 11: number of subscribers and people covered on PMI, 2019-23
    • PMI treatment invoices up 15% year-on-year in May
    • Market forecast
    • New PMI sales will continue to rise whilst NHS backlog remains
    • Increasing uptake by employers set to drive growth
    • Market segmentation
    • Average annual premiums rise for third consecutive year
    • Graph 12: average annual premium for health insurance products, 2019-23
    • Corporate subscribers and people covered rise to record-high…
    • … as firms look to reduce sickness absence
    • Graph 13: number of subscribers and people covered on corporate PMI, 2019-23
    • Graph 14: gross earned premiums for corporate PMI, 2019-23
    • People covered by individual policies reaches highest-ever level…
    • … whilst subscription number reaches 12-year-high
    • Graph 15: gross earned premiums for personal PMI, 2019-23
    • Graph 16: number of subscribers and people covered on personal PMI, 2019-23
    • Claims activity
    • Average claims value stabilises…
    • Graph 17: total number and average value of PMI claims, 2019-23
    • … despite a significant rise in claimants
    • Ongoing NHS accessibility problems drive PMI claim demand
    • Musculoskeletal conditions are the most common claim type
    • Graph 18: proportion of PMI claimants, by condition, 2023
    • Alternatives to PMI
    • HCPs consolidate growth in 2023…
    • … as subscriber numbers continue to rise
    • People covered on healthcare trusts hits a data series-high…
    • … while premiums remained broadly stable
    • PMI providers need to promote savings and wider benefits in comparison to self-pay
    • Market share
    • Bupa remains PMI market leader
    • Graph 19: estimated market shares of largest PMI providers, based on GWP, 2023
    • Simplyhealth maintains position as HCP market leader
    • Graph 20: estimated market shares of HCP providers, based on GWP, 2023
    • Exeter Friendly achieves highest premiums growth rate in 2023
    • Market drivers
    • NHS backlog remains high…
    • Graph 21: total number of people waiting for NHS services in England, 2019-2024
    • … fuelling ongoing demand for private healthcare
    • Inflation eases, but affordability concerns remain high
    • Graph 22: CPI inflation rate, 2021-24
    • The recovery in financial wellbeing has slowed…
    • Graph 23: the financial wellbeing index, 2016-24
    • …but consumer confidence is on the mend
    • Graph 24: consumer financial confidence index, 2019-24
    • Consumer Duty places the onus on insurers to improve policyholder outcomes
  3. What Consumers Want and Why

    • Product ownership
    • One in five Brits have health-related cover
    • Graph 25: insurance product ownership, 2024
    • Health insurance remains the top form of health cover
    • The market is skewed towards higher earners…
    • Graph 26: health insurance product ownership, by household income, 2024
    • …with two-thirds of Brits paying for health insurance themselves
    • Graph 27: health insurance payees, 2024
    • Interest in health insurance
    • Nearly one-in-four Brits are interested in taking out PMI in the next two years
    • Graph 28: interest in taking out health insurance in the next two years, 2024
    • Entry level options will be key to removing affordability barriers
    • Interest in health insurance mirrors ownership trends
    • Graph 29: interest in taking out health insurance in the next two years, by household income, 2024
    • Providers need to promote benefits beyond just protection
    • Highlight the benefits of early PMI adoption to younger Brits
    • Graph 30: interest in taking out health insurance in the next two years, by generation, 2024
    • Interest in benefits
    • Providers can differentiate themselves with perks and benefits
    • Graph 31: interest in health insurance benefits, 2024
    • Consumers are placing increased emphasis on access to primary care
    • Providers can target young Brits through wellness and mental health benefits
    • Graph 32: interest in health insurance benefits, by generation, 2024
    • Dental services are among the top added benefits
    • Providers must support consumers to achieve better health habits
    • Older consumers want cover for chronic conditions and cancer
    • Graph 33: interest in health insurance benefits, by age, 2024
    • Key factors behind choice of policy
    • Purchase decisions are motivated by a range of policy features and perks
    • Graph 34: key considerations when choosing health insurance policy, 2024
    • Consumers are evaluating the total cost of a policy
    • Additional benefits rank low but providers should not overlook their value
    • Attitudes towards health insurance
    • Consumers seeking value for money and personalisation from PMI policies
    • Graph 35: attitudes towards health insurance, 2024
    • Concerns around access to treatment remain high
    • Providers must not neglect demand for in-person consultations
    • Consumers are seeking policies tailored to their individual needs
    • Providers must address the perception of poor value among higher earners
  4. Innovation And Marketing Trends

    • Launch activity and innovation
    • Aviva looks to boost the nation’s health by partnering with Joe Wicks…
    • …and launching the #MoveWithAviva campaign with Strava
    • itsu partners with the Vitality Programme
    • Vitality launches new digital underwriting tool
    • Bupa aims to make private healthcare accessible to a wider audience
    • Advertising and marketing activity
    • Advertising spend sees a big boost
    • Graph 36: total above-the-line, online display and direct mail advertising on private healthcare insurance, 2019/20-23/24
    • Advertising expenditure remains concentrated around the major providers
    • Graph 37: top advertisers by above-the-line, online display and direct mail advertising expenditure on private healthcare insurance, 2023/24
    • Bupa rolls out “It’s time” campaign promoting Blua
    • TV advertising remains the leading channel
    • Graph 38: above-the-line, online display and direct mail advertising expenditure on private healthcare insurance, by channel, 2020/21-2023/24
  5. Appendix

    • Market forecast data and methodology
    • Market forecast and prediction intervals
    • Forecast methodology
    • Report scope and definitions
    • Market definition
    • Market definition (cont.)
    • Abbreviations and terms
    • Methodology
    • Consumer research methodology
    • Nielsen Ad Intel coverage

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