2026年度“北京普惠健康保”参保人数突破300万人

Core Insights - The "Beijing Inclusive Health Insurance" enrollment channel will officially close on December 31, 2025, with over 3 million participants currently enrolled [1] Group 1: Enrollment and Demographics - The primary demographic for the insurance product is aged 35-49, accounting for 29.1% of participants, followed by the 50-64 age group at 26.01% and the 65-80 age group at 22.47% [1] - Over 90% of the enrolled participants are healthy individuals, with 52.21% contributing to the medical insurance account [1] Group 2: Policy Changes for 2026 - The deductible for healthy individuals will decrease from 30,404 yuan to 15,000 yuan, with a new reimbursement rate of 25% for expenses between 15,000 yuan and 30,404 yuan, while expenses above 30,404 yuan will continue to be reimbursed at 80% [1] - The list of special drugs will expand to 159 types, including innovative treatments like CAR-T therapy and high-value chronic disease medications, covering 87 disease categories, with the special drug coverage limit increased to 1.5 million yuan [1] - The reimbursement rate for special drugs will increase from 60% to 65% for healthy individuals and from 30% to 35% for individuals with pre-existing conditions [1]