Core Insights - The report highlights the growing challenge of providing insurance for individuals with pre-existing conditions in the context of an aging population and increasing chronic diseases among younger people [1][2] - The average treatment cost for this group is approximately 90,000 yuan, which is 2.1 times the annual disposable income of residents, indicating a significant financial burden [1] - The insurance industry is viewing insurance for individuals with pre-existing conditions as a key area for innovation and inclusive health insurance solutions [1][6] Group 1: Market Demand and Challenges - Nearly 30% of individuals with pre-existing conditions are denied coverage due to health disclosures, and many are unaware that they can obtain insurance despite their conditions [2][3] - Over 75% of this group desires insurance products that cover their existing conditions and are willing to pay extra premiums for such targeted coverage, indicating a substantial unmet demand in the market [2] - Medical insurance has become a necessity for 44.5% of individuals with pre-existing conditions, with specialized products for cancer recurrence and disability risks emerging as important supplements [2][3] Group 2: Differentiated Needs Among Subgroups - Older individuals with pre-existing conditions have a stronger demand for long-term stable coverage due to higher treatment costs and longer illness duration [3] - Younger individuals are more affected by sub-health and chronic diseases, preferring insurance products with lower entry barriers and flexible coverage [3] - There is a significant demand for insurance that covers pregnancy-related health issues among the mother and baby demographic [3] Group 3: Role of AI in Insurance Innovation - AI is driving systemic changes across the insurance service chain, addressing the challenges faced by individuals with pre-existing conditions [4][5] - Waterdrop Insurance has launched 214 insurance products for individuals with pre-existing conditions, with 34 being first-of-their-kind in China, and an average of 1.14 days to launch a new product [4] - AI has improved user experience and operational efficiency, with AI customer service achieving an average response time of 1.5 seconds and significantly reducing underwriting processing time [4][5] Group 4: Industry Collaboration and Ecosystem Development - Waterdrop Insurance has initiated a "Universal Product Alliance" with 18 insurance companies to scale up inclusive insurance solutions through industry collaboration [6] - The former vice-chairman of the China Insurance Regulatory Commission emphasized the need for policy, industry, and technology to work together to promote high-quality development of insurance for individuals with pre-existing conditions [6] - The insurance service chain requires enhanced collaboration among institutions to build a more robust and open insurance future, ensuring that inclusive coverage reaches all who need it [6] Group 5: Future Development Path - The development path for insurance for individuals with pre-existing conditions is becoming clearer, representing a new growth curve for the insurance industry and a commitment to inclusive and technology-driven values [7]
水滴联合18家保司成立“普惠产品联盟”