Indonesia Health and Medical Insurance Market

The market is segmented by Providers Type (Public, Private), Term (Short-term, Long-term), and Product Type (Single/Individual Health Insurance Products, Group Health Insurance Products) - Growth, Trends, and Forecast (2019-2024)

Market Snapshot

Indonesia Market snapshot
Study Period:


Base Year:



The Indonesia health and medical insurance market is expected to register a healthy CAGR of 7.7 %, during the forecast period of 2019-2024.

Key Players:

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Market Overview

The Indonesian health and medical insurance market is expected to register a healthy CAGR of 7.7% during the forecast period (2019-2024). The market is a mix of both social security schemes and private insurance providers, which contribute in the ratio of 2:3.

The year 2019 was supposedly the year wherein Indonesian national health insurance scheme, JKN (UHC), has considered to cover the entire country population with some kind of comprehensive health insurance coverage.

Jaminan Kesehatan Nasional (JKN) was implemented in 2014, by the newly-formed social security agency (BPJS). JKN care aims to be comprehensive, covering treatment for day-to-day concerns, like flu, through to open-heart surgery, dialysis, and chemotherapy. Currently, nearly 165 million citizens are enrolled in BPJS Health.


  • Increasing income levels to be the key driver for the growing healthcare demand

  • JKN’s goal to cover all of Indonesia is continuously driving up the consumption  trends of various healthcare facilities

  • Rising patient volumes could lead to higher demand for generic prescription drugs


  • Higher amount of cases of malpractices and corruption discourage foregin investors

  • The connected health and healthcare IT market is struggling

  • Lack of proper access to healthcare, which leads to higher mortality of mother and child

Scope of the Report

A complete background analysis of the Indonesian health insurance industry, which includes an assessment of the National Health Accounts, economy, and emerging market trends by segments, significant changes in market dynamics, and market overview, is covered in the report.

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Key Market Trends

Spotlight on the Private Health Insurance and the Growth Trends in the Sector

Private health insurance in Indonesia contributes roughly about 20 million, which is, on an average, 8% of the entire population. With increasing income levels and growing awareness toward comprehensive health security schemes that are available to a wide range of public in Indonesia, more and more players are entering the market, further widening the scope of medical coverage within Indonesians. In the private sector, health insurance penetration is estimated at 4% or 7.5 million people mainly present in the urban areas, based on the data from the country’s leading insurers.

For the middle-income class, the ranks of those that can afford private health coverage is increasing. Hence, employers in the medium- and large-scale companies are recognizing both the responsibility and benefits of such health coverage. The country’s transition from state-financed healthcare systems to the one based on the insurance, and the state contributions to the poor, have paved the way for significant opportunities for private insurers. With increasing demand for public health services, the affluent class of Indonesia is seeking private insurance, expecting to receive faster or higher quality service. Most of the private health insurance schemes provide benefits for hospitalization, ambulances, and medicines. With additional premiums, some players also offer outpatient care. With regard to the reimbursement of health expenditure, there are certain restrictions that limit the benefits of the term commonly known as ‘insurance ceiling’.

Health insurance

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Universal Health Coverage in Indonesia Aiming to Meet Healthcare Needs of the Entire Country, by 2019

The healthcare system in Indonesia is evolving rapidly, to meet the varied health needs of its vast population. It is the fourth most populous country, and is facing challenges of the growing healthcare costs to implement the UHC initiative, which is named as JKN (Jaminan Kesehatan Nasional).

This initiative ensures that more than 40% of the country residents are covered by government sponsored subsidies, to address their health concerns. Indonesia’s quick transition from official development assistance for health and a budget deficit facing the country’s social insurance administration organization (called BPJS), which administers the national health insurance program, have made health technology assessment (HTA) a critically important tool.

UHI in Indonesia

Competitive Landscape

The market is predominantly controlled by the top 10 participants that cover 75% of the market, creating a consolidated market with tougher competition among the players. However, it is disheartening to note that the country’s health insurance industry is plagued with about 24% of fraud rate in health insurance claims.

Major Players

  1. Allianz Care
  2. AXA Indonesia
  3. AIA Financial Indonesia
  4. Prudential Indonesia
  5. Manu Life Indonesia

* Complete list of players covered available in the table of contents below

Indonesia CL

Table of Contents


    1. 1.1 Scope of the Study

    2. 1.2 Key Deliverables of the Study

    3. 1.3 Study Assumptions


    1. 2.1 Analysis Methodology

    2. 2.2 Research Phases



    1. 4.1 Insights on the Implementation of Indonesia's National Health Insurance Scheme (Jaminan Kesehatan Nasional, or JKN) on the Health Coverage in Indonesia

    2. 4.2 NHIA - Latest Regulations on Health Insurance in Indonesia

    3. 4.3 Brief on the Indonesian Five-year UHC Goal and its Implications on the Indonesian Health Sector


    1. 5.1 Current Market Scneario

    2. 5.2 Market Dynamics

      1. 5.2.1 Drivers

      2. 5.2.2 Restraints

      3. 5.2.3 Opportunities

    3. 5.3 Brief on the Insurance Premiums, Trend in the Medical Inflation Rate and the Comparison with the Asian Average on Health Insurance Premium Costs

    4. 5.4 Importance of the Role Played by Private Health Insurance, alongside JKN

    5. 5.5 Macroeconomical Trends and the Rise of the Middle Class in the Procurement of Health Insurance

    6. 5.6 Indonesian Health Spending Profile and the Per Capita Health Expenditure

    7. 5.7 Industry Attractiveness - Porter's Five Forces Analysis

    8. 5.8 Value Chain/Supply Chain Analysis


    1. 6.1 BY PROVIDERS

      1. 6.1.1 Public/Social Health Insurance

        1. Askes

        2. Askesin

        3. Jamkesmas

        4. JPKG

        5. JPKM

      2. 6.1.2 Private

    2. 6.2 BY TERM

      1. 6.2.1 Short -term

      2. 6.2.2 Long-term

    3. 6.3 BY PRODUCT TYPE

      1. 6.3.1 Single/Individual Health Insurance Products

      2. 6.3.2 Group Health Insurance Products


    1. 7.1 Overview (Market Concentration and Major Players)

    2. 7.2 Company Profiles

      1. 7.2.1 Allianz Care

      2. 7.2.2 AXA Indonesia

      3. 7.2.3 AIA Financial Indonesia

      4. 7.2.4 Prudential Indonesia

      5. 7.2.5 ManuLife Indonesia

      6. 7.2.6 AVIVA

      7. 7.2.7 BNI Life

    3. *List Not Exhaustive

  9. 9. APPENDIX

    1. 9.1 Indonesian Health Insurance Statistics - Social Health Insurance Scheme

    2. 9.2 Trend Analysis of Per Capita Health Expenditure in Comparison with other ASEAN Countries

    3. 9.3 Statistics on Age-wise Health Insurance Coverage in Indonesia


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