Overview
Health insurance plays a vital role in providing financial protection against the rising costs of medical care. For insurance professionals, understanding how health insurance works is essential for advising clients and supporting effective healthcare coverage.
This course provides a practical introduction to the principles and structure of health insurance, including policy coverage, benefits, exclusions, and the role of health insurance in protecting individuals and families from medical expenses.
Through structured online modules, participants develop the knowledge required to understand health insurance products and support clients in making informed decisions about healthcare coverage.
Who Should Enrol
This course is designed for professionals involved in health insurance distribution and customer advisory services, including:
- Insurance agents and financial advisers
- Health insurance sales professionals
- Bancassurance officers
- Customer service teams supporting health insurance clients
- Branch managers and distribution leaders
- Professionals seeking foundational knowledge in health insurance
What You Will Learn
Participants will gain practical knowledge and understanding of:
- The purpose and role of health insurance in financial protection
- Key types of health insurance plans and coverage structures
- Policy benefits, exclusions, and conditions
- The healthcare claims and reimbursement process
- Key stakeholders in the health insurance ecosystem
- Best practices for advising clients on health insurance solutions
Learning Pathway
This course forms part of the IIEA E-Academy Learning Pathway Framework™ for Insurance Agents, designed to strengthen foundational knowledge and advisory capability in insurance distribution.
Certification
Participants who successfully complete the course requirements will receive a Certificate of Achievement issued by the Insurance Institute of East Africa (IIEA).
Download BrochureLearning Outcomes
On completion of this course, you'll be able to:
- Get the big picture: understand the importance of the life and health insurance industries
- Develop a practical understanding of how health insurance works
- Pinpoint the differences between types of coverage, including medical expense, supplemental, long-term care, and disability
- Compare different types of health insurance provider organizations
- Define the needs met by health insurance providers
- Assess the advantages and disadvantages of flexible benefit plans
- Explore contract provisions and how individual and group plans are underwritten
- Learn how health insurance products are developed, marketed and sold
- Understand the role of reinsurance in promoting market stability and lower premiums
- Define relevant terms and key concepts
- Learn how to detect and prevent various health insurance fraud schemes
