非标体人群投保难题如何破局
Jin Rong Shi Bao·2025-08-08 07:05

Core Insights - The article discusses the challenges faced by individuals with pre-existing health conditions in obtaining medical insurance due to strict health disclosure requirements, which often lead to denied coverage or increased premiums [1][2] - Recent trends show that some insurance companies are beginning to offer products that do not require health disclosures, providing new opportunities for individuals with non-standard health conditions [3][4] Group 1: Health Disclosure Challenges - Health disclosure is a critical step in the insurance process, where insurers assess the applicant's health history to determine risk and coverage options [2] - Non-standard health individuals often face significant barriers, including denial of coverage or limited benefits due to their health status [2][4] - The prevalence of chronic diseases in China, with over 400 million diagnosed patients, highlights the need for insurance products that cater to this demographic [4][6] Group 2: Emerging Insurance Products - Some insurance companies, such as Ping An and Taikang Online, have started to introduce high-end medical insurance products that waive health disclosures, aiming to lower barriers for applicants [3][5] - These new products typically come with limitations, such as shorter coverage periods (usually one year) and potential restrictions on claims [3][5] - The introduction of these products reflects a growing recognition of the insurance needs of non-standard health individuals, who represent a significant market opportunity [4][6] Group 3: Industry Challenges and Innovations - The insurance industry faces challenges in meeting the needs of non-standard health individuals, including data barriers, pricing difficulties, and the need for innovative risk management strategies [5][6] - Experts suggest that tailored insurance products for specific chronic conditions and dynamic pricing models could better serve this demographic [5][6] - The potential for innovation in this area is seen as a key focus for the future development of the medical insurance market in China [6]