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中国太保寿险上海分公司:“沪惠保”筑牢健康民生保障防线

Core Viewpoint - The "Huibao" project by China Pacific Life Insurance Shanghai Branch exemplifies the financial industry's commitment to public welfare and health security, aligning with the principles of the 20th National Congress of the Communist Party of China and the Central Financial Work Conference [1] Group 1: Project Overview - "Huibao" was launched in 2021 and operates under the principles of "government guidance, commercial operation, and benefiting the people," quickly becoming a key part of Shanghai's multi-tiered medical insurance system [1] - The product features low entry barriers, broad coverage, and high protection, allowing all basic medical insurance participants in Shanghai to access benefits without restrictions based on age, occupation, residency, or health status [1] Group 2: Product Development - The design of "Huibao" has been continuously upgraded to meet the evolving medical insurance needs of citizens, expanding the list of covered high-cost medications to 48 [3] - The product integrates a cooperative insurance model and advanced medical coverage, tailored to the specific needs of Shanghai residents, demonstrating a "one city, one policy" approach [3] Group 3: Claims Service Innovation - The optimization of claims services is a highlight of "Huibao," with the application rate of electronic medical data rising from 65% in the first year to 90% currently [4] - The transition from traditional "self-claim" to "proactive claims" has significantly expedited the claims process, achieving an average resolution time of "same-day completion" [4] Group 4: Beneficiary Impact - The project has provided substantial support to individuals like Ms. Chen, who faced high medical costs due to severe illness, with the government funding "Huibao" for economically disadvantaged groups [6] - "Huibao" has processed over 1.33 million claims, with total payouts exceeding 2.4 billion yuan, demonstrating its impact on alleviating financial burdens from medical expenses for numerous families [6] Group 5: Community Engagement - The company actively engages in community activities, such as charity concerts and fraud prevention campaigns, to enhance public awareness of insurance and financial literacy [8] - Looking ahead, the company aims to further refine the "Huibao" project to better meet the health and welfare needs of Shanghai residents, contributing to a more comprehensive multi-tiered medical insurance system [8]