调研|从“保基本”向外延伸:健康险如何打好多层次医疗保障组合拳
Xin Lang Cai Jing·2025-09-25 23:44

Core Insights - The health insurance network in China is continuously evolving, enhancing public awareness and demand for risk protection [1][2] - Insurance companies play a crucial role in the multi-tiered medical security system and are driving innovations in health services [1][2] Group 1: Health Insurance Development - The basic medical insurance system is a vital part of the social security framework, aimed at reducing medical costs for the public and improving welfare [1] - Catastrophic health insurance provides additional coverage for high medical expenses beyond basic insurance, requiring no extra payment [1] - China Life Insurance has fully covered urban and rural residents' catastrophic health insurance across 14 cities in Guangxi from 2013 to 2015, currently serving over 40 million insured individuals [1] Group 2: Service Innovations - China Life's Nanning branch has established partnerships with nearly 1,800 medical institutions, facilitating extensive coverage for medical billing [2] - The company promotes a one-stop instant settlement system combining basic insurance, catastrophic insurance, and medical assistance, allowing patients to complete reimbursements upon discharge [2] - Efforts are made to extend services to remote communities, ensuring accessibility and understanding of insurance policies through local language explanations [2] Group 3: Poverty Alleviation Initiatives - In Tian Deng County, a poverty alleviation initiative called "Four Guarantees" was launched, focusing on health, employment, industry, and basic safety nets [3] - The initiative includes full subsidies for vulnerable groups, a collaborative insurance model for employment, and agricultural production insurance [3] - The program aims to enhance the community's ability to resist poverty and improve overall economic stability [3][4] Group 4: Commercial Insurance Growth - The "Hui Min Bao" product has gained traction, addressing the insurance needs of low-income, elderly, and pre-existing condition populations [5] - Launched in April 2022, this initiative has successfully implemented customized commercial insurance across 14 cities in Guangxi [5] - The "Hui Min Bao" business not only alleviates medical expenses for participants but also supports the innovation of medical products and services [5]