Abstract

People buy insurance to protect themselves against possible financial loss in the future. Health insurance provides protection against the possibility of financial loss due to health care use. A selection among health insurance options is a multiattribute decision making problem including many conflicting criteria. This problem can be better solved using the fuzzy set theory since human decision making is generally based on vague and linguistic data. We propose an integrated methodology composed of fuzzy AHP and fuzzy TOPSIS to select the best health insurance option. The considered option types, Health Savings Account (HSA), Flexible Spending Accounts (FSA), and Health Reimbursement Arrangement (HRA) are evaluated using eight different criteria under fuzziness. A sensitivity analysis is also realized.

Highlights

  • Health insurance is a type of insurance coverage that pays for medical and surgical expenses those are incurred by the insured

  • Employees may have a difficulty in selecting the best health insurance product to meet their needs since it is a complex problem including many dimensions

  • We proposed a fuzzy integrated multiattribute decision making methodology based on analytic hierarchy process (AHP) and TOPSIS

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Summary

Introduction

Health insurance is a type of insurance coverage that pays for medical and surgical expenses those are incurred by the insured. Health insurance can either reimburse the insured for expenses incurred from illness or injury or pay the care provider directly. Health insurance has been an important issue and its applications differ among countries: Australia (Connelly et al 2010), Africa Countries (Carapinha et al 2011), Uganda (Basaza et al 2008), South Korea and Taiwan (Lee et al 2008), Ireland (Armstrong 2010), Canada (Devlin et al 2011), C. Kahraman et al Fuzzy multiattribute consumer choice among health insurance options. With competition increasing among health care plans, employees of large firms typically are faced with more opportunities for choice and more complex options than in the past. The dominant model of choice assumes careful examination and weighing of alternatives, but as the number of choices grows, this becomes an increasingly complex and difficult task

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