广东七部门联合发文,21项举措打造健康保险“广东样板”
Nan Fang Du Shi Bao·2026-02-13 10:53

Core Viewpoint - The "Guiding Opinions" issued by multiple departments in Guangdong aim to promote the high-quality development of health insurance, aligning with the "14th Five-Year Plan" and focusing on building a multi-level medical security system [2][6]. Group 1: Key Directions and Measures - The "Guiding Opinions" outline six key directions, including the establishment of a Guangdong-specific insurance system, deepening the integration of finance and healthcare, and enhancing consumer protection [2][5]. - A total of 21 targeted support measures have been introduced to create a "Guangdong model" for multi-level health insurance services [2]. Group 2: Current Market Status - Guangdong is the largest health insurance market in China, with 889 million people covered by commercial health insurance and total claims reaching 43 billion yuan, providing risk protection of 640 trillion yuan [2][3]. - Over 70 million urban and rural residents are included in the major illness insurance coverage, allowing for secondary reimbursement without additional fees [3]. Group 3: Product Supply and Innovation - There are currently 11,000 commercial health insurance products available in Guangdong, catering to various income levels and healthcare needs [4]. - Cross-border medical insurance and exclusive critical illness insurance for the Greater Bay Area have covered 150,000 people, providing risk protection exceeding 200 billion yuan [4]. Group 4: Future Development Plans - The "Guiding Opinions" emphasize the need for a systematic upgrade in health insurance, focusing on a multi-tiered insurance system and the integration of digital transformation [5][6]. - Future efforts will include enhancing collaboration between central and local authorities, optimizing policy resources, and promoting health insurance development [6].