Core Insights - The report highlights the growing demand for insurance among individuals with pre-existing conditions due to rising treatment costs and a significant protection gap [1][2] - The health insurance sector in China is facing challenges in product restructuring and meeting the needs of the aging population and younger individuals with chronic diseases [1][2] Group 1: Market Trends - The average treatment cost for individuals with pre-existing conditions in China is 87,000 yuan, which is 2.1 times the annual disposable income of residents [2] - Over 60% of severe disease patients incur out-of-pocket expenses exceeding 100,000 yuan, indicating a clear protection gap [2] - The growth rate of health insurance from property insurance companies reached 9.08% in the first half of 2025, while life insurance companies only saw a growth of 0.15% [1] Group 2: Product Development - Waterdrop Insurance has launched 214 new insurance products for individuals with pre-existing conditions by 2025, averaging one new product every 1.14 days [3] - The use of AI technology has significantly improved efficiency, reducing the average processing time for complex health insurance underwriting by 80% and achieving a 99.8% accuracy rate [3] Group 3: Industry Recommendations - The report suggests that government departments should enhance policy support and integrate pre-existing condition insurance into the inclusive insurance framework [3] - Companies are encouraged to invest more resources into the development of pre-existing condition insurance, leveraging big data and AI to improve risk assessment and underwriting capabilities [3] - A "Inclusive Product Alliance" has been initiated by Waterdrop Insurance in collaboration with 18 insurance companies to promote the implementation of inclusive insurance [3]
带病体保险保障缺口明显 《报告》:六成以上重疾患者自付疾病花费超10万元