Iranian Journal of Public Health 2017. 46(9):1247-1255.

Willingness to Pay for Complementary Health Care Insurance in Iran
Shirin NOSRATNEJAD, Arash RASHIDIAN, Ali AKBARI SARI, Najme MORADI

Abstract


Abstract

Background: Complementary health insurance is increasingly used to remedy the limitations and shortcomings of the basic health insurance benefit packages. Hence, it is essential to gather reliable information about the amount of Willingness to Pay (WTP) for health insurance. We assessed the WTP for health insurance in Iran in order to suggest an affordable complementary health insurance.

Methods: The study sample consisted of 300 household heads all over provinces of Iran in 2013. The method applied was double bounded dichotomous choice and open-ended question approach of contingent valuation.

Results: The average WTP for complementary health insurance per person per month by double bounded dichotomous choice and open-ended question method respectively was 199000 and 115300 Rials (8 and 4.6 USD, respectively). Household’s heads with higher levels of income and those who worked had more WTP for the health insurance. Besides, the WTP increased in direct proportion to the number of insured members of each household and in inverse proportion to the family size.

Conclusion: The WTP value can be used as a premium in a society. As an important finding, the study indicated that the households were willing to pay higher premiums than currently collected for the complementary health insurance coverage in Iran. This offers the policy makers the opportunity to increase the premium and provide good benefits package for insured people of country then better risk pooling.

 

 


Keywords


Willingness to pay, Health insurance, Contingent valuation method, Iran

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References


Sekhri N, Savedoff W (2005). Private health insurance: implications for developing countries. Bulletin of the World Health Organization. http://www.who.int/bulletin/volumes/83/2/sekhri0205abstract/en/.

Venkatachalam L (2004). The contingent valuation method: a review. The contingent valuation method: a review. 24(1): 89-124.

Ghosh, S, Mondal Sh (2011). Morbidity, Health expenditure and willingness to pay for health insurance amongst the urban poor a case study. Journal of Health Management, 13(4): 419-437.

Lang H C (2010). Willingness to pay for lung cancer treatment. Value in Health. 13(6): 743-749.

Rashidian A, Khosravi A, Khabiri R, Khodayari-Moez E, Elahi E, Arab M. & Radaee Z (2012). Health observatory: First report I.R. Iran multiple indicator demographic and health survey 2010 (IrMIDHS). Ministry of Health and Medical Education. Tehran.

Klose T (1999). The contingent valuation method in health care. Health policy, 47(2): 97-123.

Nosratnejad S, Rashidian A, Mehrara M, Sari A K, Mahdavi G, Moeeni M (2014). Willingness to pay for the social health insurance in Iran. Glob J Health Sci 6(5):154-163.

Carson R T, Mitchell R C (1989). Using surveys to value public goods: The contingent valuation method. Resources for the Future, Washington DC (1989).

Lopez-Feldman A (2012). Introduction to contingent valuation using Stata. Available one at, http://mpra.ub.uni-muenchen.de/41018/.

Nosratnejad S, Rashidian A, Dror DM (2016). Systematic review of willingness to pay for health insurance in low and middle income countries. PLoS One, 11(6): e0157470.

Dror DM, Radermacher R, Koren R (2007). Willingness to pay for health insurance among rural and poor persons: Field evidence from seven micro health insurance units in India. Health Policy, 82(1): 12-27.

Asenso-Okyere WK, Osei-Akoto I, Anum A, Appiah EN (1997). Willingness to pay for health insurance in a developing economy: A pilot study of the informal sector of Ghana using contingent valuation. Health Policy, 42(3): 223-37.

Mathiyazhagan K (1998). Willingness to pay for rural health insurance through community participation in India. Int J Health Plann Manage, 13(1): 47-67.

Binam J N, Nkama A, Nkendah R (2004). Estimating the willingness to pay for community health prepayment schemes in rural area: A case study of the use of contingent valuation surveys in Cameroon. www.csae.ox.ac.uk/conferences/2004-GPRaHDiA/papers/4h-Binam-CSAE2004.pdf.

Lofgren C, Thanh N X, Chuc N T, Emmelin A, Lindholm L (2008). People's willingness to pay for health insurance in rural Vietnam. Cost Eff Resour Alloc, 11;6:16.

Dong H, Mugisha F, Gbangou A, Kouyate B, Sauerborn R (2004). The feasibility of community-based health insurance in Burkina Faso. Health Policy, 69(1): 45-53.

Barnighausen T, Liu Y, Zhang X, Sauerborn R (2007). Willingness to pay for social health insurance among informal sector workers in Wuhan, China: a contingent valuation study. BMC Health Serv Res, 7: 114.

Lang HC, Lai MS (2008). Willingness to pay to sustain and expand National Health Insurance services in Taiwan. BMC Health Serv Res, 8: 261.

Nosratnejad S, Rashidian A, Mehrara M, Jafari N, Moeeni M, Babamohamadi H (2016). Factors influencing basic and complementary health insurance purchasing decisions in Iran: Analysis of data from a national survey. World Medical & Health Policy, 8 (2): 179-196

Hadley J, Reschovsky J D (2003). Health and the cost of non-group insurance. INQUIRY, 40(3): 235-253.

Holahan J (2001). Health status and the Cost Of Expanding Insurance Coverage. Health Aff (Millwood), 20(6): 279-286.


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