Nan Fang Du Shi Bao·2026-01-17 14:37Core Insights - The annual claims reports from leading insurance institutions in Shenzhen reveal significant health trends among residents, particularly highlighting the rising incidence of critical illnesses among the 30-50 age group, with a notable increase in younger patients [1][2] Group 1: Critical Illness Trends - The primary demographic for critical illness claims in Shenzhen is aged 30-50, accounting for 49.47% of claims, with the youngest claimant being just 2 years old [1] - Malignant tumors are the leading cause of critical illness claims, comprising 84.66% of cases, followed by circulatory system diseases at approximately 10% [2][4] - The top five critical illnesses in Shenzhen include various cancers and severe cardiovascular conditions, indicating a significant health threat to the population [4][5] Group 2: Claims Data and Statistics - In 2025, the total number of claims in Shenzhen approached 150,000, with a growth rate of about 10%, and total payouts reaching approximately 1.17 billion yuan, nearly half of which were for critical illnesses [1] - The highest individual claim in 2025 was 21.25 million yuan, related to a severe case of breast cancer, highlighting the financial impact of critical illnesses [8] - Tencent Weibo reported a total claims amount of 8.4 billion yuan with over 25.7 million claims, indicating a growing trend in health-related claims across different demographics [7] Group 3: Emerging Health Risks - There is a rising trend of liver disease and hypertension among the middle-aged population, while leukemia remains a significant health threat for children, with over 30% of pediatric critical illness claims attributed to it [1][5] - The report from Tencent Weibo also noted a 176.4% increase in allergy-related claims among adolescents, emphasizing the need for awareness and preventive measures [7] Group 4: Technological Advancements in Claims Processing - The integration of AI in claims processing has led to significant improvements, with some claims being processed in as little as 8 seconds, showcasing the industry's move towards more efficient and user-friendly services [10] - The introduction of a "one-stop settlement" model allows for simultaneous completion of medical insurance reimbursements and commercial insurance claims, drastically reducing the claims processing time [10]