续写百万医疗险的长期主义——蓝医保好医好药版新品书写新篇
13个精算师·2025-12-15 09:20

Core Viewpoint - The health insurance industry in China is transitioning from a phase of rapid growth driven by high volume to a focus on long-term value, emphasizing quality over mere coverage as consumer expectations evolve [1][3]. Group 1: Aging Population and Medical Reform - China is rapidly entering a deeply aging society, with projections indicating that by the end of 2024, 22.0% of the population will be aged 60 and above, and 15.6% will be aged 65 and above [3]. - This demographic shift is increasing the burden of chronic diseases and medical demands, creating a clear development space for commercial health insurance to provide stable, long-term, and high-quality supplementary coverage [3]. - The implementation of DRG/DIP payment reforms clarifies the supplementary role of commercial insurance, with current payment structures showing that personal cash payments account for 49%, while commercial insurance only covers 7.7% of innovative drug costs, indicating significant potential for growth in commercial health insurance [3]. Group 2: Long-term Commitment of Blue Medical Insurance - Blue Medical Insurance has established a long-term commitment to its customers, evolving from a "product as service" concept to a comprehensive "good doctor, good medicine, good service" model [5][6]. - The introduction of the Blue Medical Insurance product in 2022, featuring a 20-year guaranteed renewal promise, addresses customer concerns about renewal anxiety and builds trust [6]. - By 2023, Blue Medical Insurance expanded its focus to include health management services for families, enhancing its offerings to meet real user needs [6]. Group 3: Evolution of Good Doctor, Good Medicine, Good Service - The launch of the upgraded Blue Medical Insurance (Good Doctor, Good Medicine version) in December 2025 represents a comprehensive enhancement of its core service system, aiming to meet diverse customer expectations for high-quality health coverage [8][10]. - The upgrade includes an expanded network of medical resources, incorporating 186 top private hospitals and ensuring access to cutting-edge treatment options, with total coverage for claims raised to 10 million yuan [10]. - The drug coverage has been significantly enhanced, with a total of 276 special drugs included, and 100% coverage of 32 newly approved special drugs in 2025, addressing critical patient needs [11]. - Service improvements include seamless integration of online consultations, extensive hospital networks, and a commitment to hassle-free claims processing, enhancing the overall patient experience [12]. Conclusion - The evolution of Blue Medical Insurance reflects a proactive response to the challenges of an aging society, the emergence of innovative drugs, and the restructuring of the medical payment system, focusing on user-centric health needs and delivering a reliable health management partnership [13][14].

续写百万医疗险的长期主义——蓝医保好医好药版新品书写新篇 - Reportify