近三成带病体因健康告知被拒保 水滴保AI驱动破解投保难题

Core Insights - The report indicates a rapid growth in the chronic illness insurance market in China, with the market size surpassing 12 billion yuan in 2024, reflecting a 50% year-on-year increase [1] - Waterdrop Insurance plans to launch 214 innovative chronic illness insurance products by 2025, leveraging AI technology to promote inclusivity in insurance coverage [1] Group 1: Market Demand and Challenges - The elderly population in China has reached 310 million, accounting for 22% of the total population, with 75% suffering from at least one chronic illness [2] - The prevalence of chronic diseases among the youth is alarming, with their rates being twice that of the elderly, highlighting a significant gap in insurance coverage for this demographic [2] - The average treatment cost for chronic patients is 87,000 yuan, which is 2.1 times the national annual disposable income, indicating a substantial protection gap [2] Group 2: Insurance Accessibility Issues - Nearly 30% of chronic illness patients face rejection due to inability to pass health disclosures, with 52.4% feeling there are limited insurance options available [4] - A strong willingness to pay for coverage exists, with 75.4% of respondents willing to pay extra premiums for coverage of pre-existing conditions, averaging 4,049 yuan annually [4] Group 3: AI and Product Innovation - Waterdrop Insurance has launched 214 chronic illness insurance products, including 34 that are industry-firsts, and 37 that allow for coverage without health disclosures [6] - The use of AI and big data is emphasized as crucial for improving underwriting, pricing, and health management capabilities, making risk assessment more accurate [6][8] - The AI underwriting tool "KEYI.AI" significantly reduces the average processing time for health insurance applications by 80%, enhancing user experience [8] Group 4: Collaborative Efforts for Inclusive Insurance - Waterdrop Insurance has initiated a "Inclusive Product Alliance" with 18 insurance companies to focus on the insurance needs of chronic patients, the elderly, and maternal groups [8] - The goal is to create affordable and accessible insurance products that meet the needs of various demographics, ensuring that insurance serves its fundamental purpose of protection [8]