2010 Health Insurance Benchmark

With local health insurance providers demonstrating similar abilities in matching a company’s existing benefit schedule, many have found service provision as a key area to differentiate themselves from the competition.

Certainly 2009 brought with it a number of developments amongst providers and transformed the way in which the day to day running of an account is carried out. The main area of progression being the development and launch of online facilities that allow both the member and the company to monitor their insurance plans at the touch of a button.

Website facilities have proven a big hit with group administrators and have empowered them to proactively manage their health insurance arrangements. Downloading benefit details, claims reports and premium payments can be carried out without delay and detailed statistical analysis can assist administrators to make informed decisions at renewal.

The following table shows services provided from top local Hong Kong health insurance companies:

 

Insurance Rating

AXA China

AA

Falcon Insurance

A-

Mass Mutual

AAA

Liberty International

A

Online Claims

 

 

 

 

-Claim Submission

Y

N

N

N

-Claim Tracking

Y

N

N

N

-Email Claim Payment Advice

Y

Y

Y

Y

-Online Claim Enquiry

N

N

N

Y

-Tailor Made Claim Form

N

N

N

Y

Medical Network

-Hospital
-Panel Doctor

1,000 GP/300 SP
HMMP/QHMS

1,000 GP+SP
HMMP/QHMS

2700 GP+SP
QHMS/HMMP/ UCMG/UMP

1,000 Clinics
UMP & QHMS

Claims Turn Around Time

-In-Patient

14-17 W/D

15 W/D

10 W/D

10-16 W/D

-Out-Patient

7-14 W/D

10 W/D

7 W/D

10-16 W/D

Emergency Assistance Provider

 

IPA

IPA

IPA

SOS

Online Employer Access

-Claim Reports

Y

N

Y

N

-Benefits Schedule

Y

N

Y

N

-Member details

Y

N

Y

N

-Newsletter

Y

N

N

N

-Claim Form Download

Y

Y

Y

N

-Premium Payment History

N

N

Y

N

Member Advice Hotline

 

Y

Y

Y

Y

Method of Payment

-Credit Card

N

N

N

N

-Cheque

Y

Y

Y

Y

-Bank Transfer

Y

Y

Y

Y

-Standing Order

N

Y

N

N

Group-Individual Transfer

 

Y

N

N

N

 

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