商业健康险迈向万亿市场,深度重构成破局关键
Di Yi Cai Jing·2025-10-24 13:40

Core Insights - The health insurance sector in China is experiencing a significant growth opportunity, with premium income expected to exceed 1 trillion yuan in 2025, driven by regulatory support and evolving health demands [1][2][3] - The market is projected to reach approximately 1.6 trillion yuan by 2035 under normal growth conditions, and potentially 2.6 trillion yuan if latent demand is fully realized, necessitating profound changes in product structure and operational logic [2][3] Industry Trends - Health insurance is becoming a bright spot in the insurance industry amidst low interest rates, with steady growth and profitability [2] - The integration of health insurance with health management services is essential for future development, moving beyond traditional financial products to create a comprehensive health ecosystem [5][6] Strategic Directions - The industry must focus on deep restructuring, including better alignment with basic medical insurance and the development of independent insurance products that can overcome medication restrictions [3][4] - Innovation is crucial, with a need for differentiated product offerings such as long-term medical insurance and customized solutions for specific demographics like the elderly and those with chronic conditions [3][4] Regulatory Support - Recent regulatory guidelines emphasize the importance of integrating health management into health insurance, highlighting its strategic role in reducing health risks and improving public health [6][7] - The introduction of dividend-based critical illness insurance is seen as a potential growth area, as it can enhance coverage and leverage customer resources more effectively [4] User Engagement Challenges - Despite the recognized importance of health management, low user awareness remains a significant barrier to industry growth, necessitating efforts to improve service precision, convenience, and transparency [7]