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Probabilistic models for medical insurance claims

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  • Abebe Tessera

Abstract

The paper develops two probabilistic models for claim size in health insurance based on the claims of families and individuals covered by the policy. First, general models for the numbers of families and persons covered by a medical insurance are developed. These are then used to construct models for claim size. Applications of these general models are then analysed and discussed. Copyright © 2007 John Wiley & Sons, Ltd.

Suggested Citation

  • Abebe Tessera, 2007. "Probabilistic models for medical insurance claims," Applied Stochastic Models in Business and Industry, John Wiley & Sons, vol. 23(4), pages 307-317, July.
  • Handle: RePEc:wly:apsmbi:v:23:y:2007:i:4:p:307-317
    DOI: 10.1002/asmb.673
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    Cited by:

    1. Shang-Yin Yang & Chou-Wen Wang & Hong-Chih Huang, 2016. "The Valuation of Lifetime Health Insurance Policies with Limited Coverage," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 83(3), pages 777-800, September.
    2. Guglielmo D’Amico & Shakti Singh & Dharmaraja Selvamuthu, 2023. "Analysis of fair fee in guaranteed lifelong withdrawal and Markovian health benefits," Annals of Finance, Springer, vol. 19(3), pages 383-400, September.

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