Health Care Insurance

AT Global has an in depth knowledge and experience in the Health Care Insurance Industry.

We offer a broad range of services to the Health Care Insurance Industry including:

  • Product Development for health care insurances, including policy wordings, terms and conditions
  • Actuarial analysis of health care insurance risks, and development of models for financial projections taking into account different health care elements such as:
    • Inpatient, outpatient services and prescription drugs
    • Illegibility conditions
    • Insurance term
    • Annual coverage limits; territorial / geographic coverage and limits
    • Health care services for emergency cases, including transportation services for medical emergencies
    • Hospitalisation class
    • Maternity health care services, congenital anomaly cover
    • Different types of tests, diagnosis and treatments for urgent and non-urgent medical cases
    • Laboratory tests services, X-ray, MRI, CT-scan, ultra sound and endoscopy diagnostic services
    • Dental and gum services, hearing and vision aids, vision correction surgeries and laser
    • Organ and tissue transplants
    • Pre-existing conditions
    • Additional benefits, for example accommodation for persons accompanying children or cases of critical conditions, in hospital cash benefits
    • Repatriation services including repatriation of mortal remains
  • Valuation of health care insurance liabilities including claims liabilities for reported and not reported claims
  • Development of a policy for claims reserving reported and IBNR claims

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