GlobeMed Egypt

What GlobeMed Egypt does

GlobeMed Egypt is the largest Third-Party Administrator (TPA) of healthcare benefits in Egypt, established in August 2012 as a subsidiary of GlobeMed Group, the leading regional healthcare benefits manager operating across 12 MENA countries. The company administers health insurance portfolios for 18 insurance companies (payers) and 24 payer entities, with a combined 1.3 million+ insured members including 700,000 TPA clients and 500,000 pharmacy benefits management members. Its core offerings include Full TPA Services for Payers, Pharmacy Benefits Management (PBM), Out-Patient Benefits Management (OBM), Self-Funded Schemes for Large Employers, and a consumer-facing Discount Card program. These services are delivered through a network of 4,200+ contracted healthcare providers and 1,017 pharmacies across Egypt.

The company's technology stack is built on the proprietary i*Care web platform, which supports policy management, claims processing, provider network management, and approval workflows. The ARC medical rules engine is the operational core, covering 6,500+ drug ingredients and policy parameters, and automating up to 80% of claims processing. Supporting digital services include the GlobeMed FIT mobile app for member self-service, an e-prescription system, SMS-based OTP authentication for fraud prevention, telehealth consultations, a WhatsApp service with an AI chatbot, in-home medication delivery and lab services, and a Second Medical Opinion service. Physical distribution is anchored by 14 in-hospital field offices and three regional branches (Cairo HQ, Alexandria, Assiut).

GlobeMed Egypt operates on a managed services revenue model, primarily earning per-member-per-month (PMPM) or per-transaction fees from insurance companies and self-funded employers based on portfolio size. The consumer Discount Card is a subscription product at 250 EGP annually. Distribution is direct enterprise sales only, with no resellers or distributors. The company is privately held, with H.E. Mr. Michel Pharaon serving as Chairman, and operates as part of GlobeMed Group's cross-border network of 24,000+ regional providers and 120,000+ global providers.

Name

GlobeMed Egypt

Legal name

GlobeMed Egypt

Website

https://globemedegypt.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

251–500 employees

Short description

GlobeMed Egypt is the largest Third-Party Administrator (TPA) of healthcare benefits in Egypt, serving 18 insurance companies, 24 payer entities, and 1.3M+ insured members through its proprietary i*Care platform, ARC medical rules engine, and a network of 4,200+ providers and 1,017 pharmacies.

Ownership category

akta.pro rank

Product category

Healthcare Benefits Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Services-Health Services (8000)

akta.pro primary industry

Utilization Management (Prior Auth/Medical Necessity) Administration (HLAEALAF)

akta.pro secondary industry

Individual Health Insurance Administration (TPA/ASO) (FSAIAEAK)

Keywords

• Healthcare benefits management
• Third-party administration
• Pharmacy benefits management
• Claims processing services
• Health insurance administration

Headquarters

HQ city

Cairo

HQ country

Egypt

HQ region

Africa

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure, Others

Revenue model

1. TPA Services for Insurance Companies: Full Third-Party Administrator services for insurance companies (payers) including policy management, claims processing, provider network management, and member administration. Revenue derived from per-member-per-month (PMPM) fees or per-transaction fees based on insured portfolio size.
2. Pharmacy Benefits Management (PBM): Pharmacy claims processing and management services with a network of 1,017 pharmacies. Includes chronic medication management, drug utilization review, and automated coverage decisions. Services 24 payer entities and 500,000 insured members.
3. Self-Funded Employer Schemes: Healthcare benefits administration services for large self-funded employers, managing their employee healthcare benefits portfolios with access to 4,200+ provider network.
4. Discount Cards: Annual discount cards providing access to 1,500+ healthcare providers for non-insured individuals or families. Annual fee of 250 EGP.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels8 records

Core offering

GlobeMed Egypt is a Third-Party Administrator (TPA) that manages healthcare benefits on behalf of insurance companies and self-funded employers. Its core offering connects payers, healthcare providers, and insured members through the proprietary i*Care platform, providing claims processing, policy administration, provider network management, pharmacy benefits management, and member self-service tools. Revenue is generated through PMPM and per-transaction fees from enterprise clients, plus subscription fees from individual discount card holders.

Product overview

GlobeMed Egypt operates as a comprehensive healthcare benefits management Third-Party Administrator (TPA) platform offering a portfolio of interconnected solutions. The core offering consists of Full TPA Services, Pharmacy Benefits Management (PBM), Out-Patient Benefits Management (OBM), and Self-Funded Schemes for Large Groups. Supporting these are digital service modules including the GlobeMed FIT mobile app for self-service insurance management, WhatsApp Service for customer support, E-Prescription Service for electronic prescriptions, Telehealth Services for remote consultations, One-Time Password (OTP) for secure claims processing, Second Medical Opinion (SMO), In-Home Services (medication delivery and lab tests), and Field Offices at 14 hospitals. The company also offers Platform Access for payers through its i*Care web application. Together, these products serve 18+ insurance payers and 1.3 million+ insured members through a network of 4,200+ healthcare providers.

Differentiator

Problem solved

Functional benefit

Products and services

• Full TPA Services for Payers Comprehensive Third-Party Administrator services for insurance payers in Egypt, including policy management, claims processing, provider network management, fraud detection, health data analytics, and drug utilization review. Built on the proprietary i*Care platform with ARC rules engine that automates up to 80% of claims processing.
• Pharmacy Benefits Management (PBM) Comprehensive pharmacy benefits management covering 1,017 pharmacies across Egypt with 6,500+ drug ingredients in clinical database, including drug utilization review, automated coverage decisions, chronic medication management, and barcode-based dispensing. Serves 24 payer entities and 500,000 insured members.
• Out-Patient Benefits Management (OBM) Comprehensive outpatient benefits management combining IT platform with operational best practices for managing diagnostic tests, radiology, pharmacy, and other outpatient services with real-time eligibility verification.
• Access to Platform for Payers (i*Care) Web-based platform access for payers to manage claims, policy administration, provider network, chronic care management, and reporting using the proprietary i*Care system.
• Self-Funded Schemes for Large Groups

Quantifiable outcome

• Automated up to 80% of claims processing through ARC medical rules engine
• +4 more outcomes

Named customers13 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Two partnerships are on record, tiered flagship.

• Northeastern University - Bouvé College of Health SciencesflagshipStrategic or Co-development Partner · 1 May 2023Research collaboration on 'Harnessing the Role of the Private Sector in advancing the Universal Health Coverage (UHC) in Egypt'. Joint research initiative launched in May 2023 under the patronage of Egypt's Minister of Finance and Minister of Health, producing insights and recommendations for private sector involvement in universal health coverage.
• GlobeMed GroupflagshipOthersParent company and regional network spanning 12 countries across Middle East and Africa. GlobeMed Group manages $3 billion in claims annually for insurance programs in public and private sectors across the region. All GlobeMed subsidiaries are connected through a cross-border automated system enabling direct billing with 24,000+ contracted providers regionally and 120,000+ providers globally.

Scale indicators7 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Bupa: Bupa is a leading global health insurance and healthcare group that administers its own medical insurance portfolios and works with employer groups. It is comparable to GlobeMed Egypt as a healthcare administration incumbent, particularly in markets where Bupa partners with TPAs for service delivery in the MENA region.
• Sedgwick: Sedgwick is a global leader in claims management and loss adjustment services, including healthcare-related claims administration. It is comparable to GlobeMed Egypt as a broad incumbent offering scalable TPA and claims processing capabilities, though Sedgwick's portfolio is significantly broader and heavier on property/casualty claims.
• AXA Partners: AXA Partners is the global assistance and TPA arm of AXA, providing healthcare benefits administration, claims handling, and assistance services across multiple continents. It is comparable to GlobeMed Egypt as a broad incumbent offering healthcare TPA services with global reach, though at a much larger scale and with broader service portfolio.
• Allianz Partners: Allianz Partners provides international health insurance administration, assistance, and TPA services globally. It is comparable to GlobeMed Egypt as a broad incumbent serving both insurers and corporate clients with healthcare benefits management, though it operates at multinational scale and focuses on cross-border employer schemes.
• Crawford & Company: Crawford & Company is a global claims management and TPA provider serving insurance carriers and self-insured organizations. It is comparable to GlobeMed Egypt as a broad incumbent offering healthcare claims administration and managed services, though with a global footprint and broader product set.

Emerging players

• Now Health International: Now Health International is a specialist international health insurance provider focused on expatriate and cross-border employer markets, particularly in the MENA and Asia Pacific regions. It is comparable to GlobeMed Egypt's self-funded employer business targeting multinationals and internationally-mobile employees in Egypt.

Regional players

• GlobeMed Gulf: GlobeMed Gulf is another sister company within the GlobeMed Group, serving the Gulf region. It operates the same platform and business model as GlobeMed Egypt but in a different geography, useful as a regional comparable for understanding platform scaling and cross-border revenue potential.
• Daman (National Health Insurance Company): Daman is the UAE's leading specialized health insurer and benefits administrator, providing health insurance management for both public and private sector schemes. It is comparable to GlobeMed Egypt as a regional healthcare administration player, though Daman operates primarily in the UAE market and is more insurer-led than pure TPA.
• GlobeMed Saudi: GlobeMed Saudi is a sister company under the same GlobeMed Group parent, providing TPA services in the Saudi Arabian market. While it operates in a different geography, it leverages the same i*Care platform and ARC medical rules engine, giving GlobeMed Egypt a direct operational and technological peer within its own corporate family.

Direct peers

• MedNet: MedNet is a leading healthcare management and TPA company operating across the MENA region, including Egypt. It directly competes with GlobeMed Egypt in providing third-party administration services, claims processing, and provider network management to insurance companies and self-funded employers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@globemedegypt2515/videos
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• LinkedInlinkedin.com/company/globemed-egypt

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about GlobeMed Egypt