老年群体健康险市场迎变,“照护服务纳入赔付权益”求解结构性矛盾
Xin Lang Cai Jing·2026-01-20 01:04

Group 1 - The health insurance purchasing difficulties faced by the elderly population are gradually being addressed, with policies encouraging the introduction of dedicated health insurance products for this demographic [1][2] - Shanghai's recent measures highlight the need for specialized health insurance for the elderly, acknowledging the unique health risks they face and advocating for differentiated product designs rather than generic offerings [1][2][4] Group 2 - The current health insurance market for the elderly is characterized by structural contradictions, with limited product availability and high restrictions, leading to a mismatch between existing offerings and the actual needs of older adults [2][5] - Existing products like "惠民保" provide broad coverage but primarily address immediate medical expenses rather than the ongoing care and management needs of the elderly, indicating a gap in the market [4][5] Group 3 - The introduction of care services as a compensation right in health insurance represents a significant innovation, allowing for earlier intervention in chronic disease management and rehabilitation, which aligns more closely with the needs of the elderly [6][7] - Major insurance companies are increasingly focusing on health management and care services, expanding their offerings to better serve the elderly population [7][8] Group 4 - The insurance industry faces challenges in product innovation for the elderly, with a tendency to replicate Western models without adequately addressing local needs [8][9] - Companies are encouraged to balance profitability with policy compliance by adopting a layered approach to product design, integrating health management as a risk control tool, and collaborating with public services to mitigate risks [9][10]

老年群体健康险市场迎变,“照护服务纳入赔付权益”求解结构性矛盾 - Reportify