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Organizational, market and juridical consequences of the 2013 reform in voluntary health insurance in Bulgaria

Antoniya Slavcheva Dimova-Yordanova

Abstract

Introduction

VHI in Bulgaria was reformed in 2012-2013 following the need to harmonize Bulgarian VHI legislation with the EU requirements. All VHICs had to be relicensed under the terms of the Insurance Code and had to obtain license for sickness insurance or for sickness and accident insurance.

Methodology

The aim of the study is to analyse some major consequences to the organization of the VHI and market development using scientific literature and other official sources, legislative acts, and data bases, performing comparative and structural market and juridical analyses.

Results

The reform introduced two important changes. First, the statute of the VHICs has changed from such intended solely for VHI to companies, which can offer other insurance products as well. Second, instead of providing predefined and licensed benefit packages under the regulation of the Health Insurance Act, insurance companies, offering VHI, establish their own insurance products based on a contract for medical insurance. The number of individuals holding a VHI increased from less than 3 % of the population in 2010-2013 to 9.8 % in 2016. VHI expenditure grew by 28.8 % in value in 2015 compared with 2013.

Conclusion

The increased number of the insured individuals is most probably be due to achieved synergetic effect by the general and life insurance companies. It could be expected that their number will continue to rise. The diversity of the VHI services is strongly related to the legislative change due to the new legal requirements and the introduction of the contracts for medical insurance.

Keywords

voluntary health insurance, reform, Bulgaria

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DOI: http://dx.doi.org/10.14748/sssp.v4i0.5142

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About The Author

Antoniya Slavcheva Dimova-Yordanova
Medical University of Varna
Bulgaria

Economics and Healthcare Department

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