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十四五·十四物“系列报道之十二 一份保单托起家庭希望
Ren Min Wang· 2025-11-02 06:34
Core Insights - The "Hui Min Bao" insurance program has become a crucial support for individuals with pre-existing conditions, providing affordable coverage and financial relief during medical emergencies [1][2][3] Group 1: Program Overview - "Hui Min Bao" is a government-guided, commercially underwritten health insurance aimed at the general public, characterized by low thresholds, low premiums, and high coverage [2][3] - The program is open to all ages, professions, and health statuses, specifically targeting individuals with pre-existing conditions, thus filling the gap between basic medical insurance and commercial health insurance [2][3] Group 2: Growth and Development - From 2020 to 2025, the number of "Hui Min Bao" products has increased significantly, from 102 to 313, reflecting a rapid expansion and optimization of the program [3] - The initiative is part of China's broader goal to establish a multi-tiered social security system and promote inclusive commercial health insurance during the 14th Five-Year Plan period [3] Group 3: Coverage and Accessibility - Over 80% of "Hui Min Bao" products now include coverage for special medications, addressing the needs of chronic disease patients, such as those with hypertension and diabetes [3] - The pricing mechanism has evolved from a fixed rate to a differentiated pricing model based on age and health status, ensuring affordability for low-income groups [4] Group 4: Impact on Individuals - Personal testimonies highlight the program's role in providing not only financial support but also psychological reassurance during health crises [1][4] - The program has transformed from merely providing medical access to offering comprehensive health management services, enhancing the overall healthcare experience for beneficiaries [4]
88元保费不变!“深圳惠民保”升级
Shen Zhen Shang Bao· 2025-04-23 03:33
Core Viewpoint - The 2025 "Shenzhen Huimin Insurance" program has been upgraded to include Shenzhen residents participating in off-site medical insurance, maintaining the premium at 88 yuan while expanding coverage and reducing deductibles [1][2]. Group 1: Coverage Expansion - The 2025 "Shenzhen Huimin Insurance" will now cover Shenzhen residents with off-site medical insurance, allowing participation regardless of age, occupation, or health status [1]. - The program has seen significant uptake, with 6.09 million participants in 2024, ranking among the top in the country [1]. Group 2: Deductible Reductions - The deductibles for various benefits have been reduced by up to 28.6%, with specific reductions of 4,000 yuan across five treatment categories [2]. - For instance, the deductible for "medical directory expenses" and "hospital self-paid compliant drugs" has decreased from 15,000 yuan to 11,000 yuan [2]. Group 3: Enhanced Benefits - The program now includes coverage for self-paid compliant diagnostic and treatment expenses during hospitalization, with a deductible of 11,000 yuan and a payment ratio of 70% [3]. - The annual maximum coverage for rare diseases has been increased to 600,000 yuan, and new treatments have been added to the coverage list [3]. Group 4: Direct Settlement Process - The "one-stop" direct settlement process allows participants to settle both medical insurance and "Shenzhen Huimin Insurance" claims simultaneously at over 9,600 designated medical institutions [4]. - This process has resulted in 99% of claims being settled directly, minimizing the need for participants to prepay and submit extensive documentation [4]. Group 5: Enrollment and Payment Options - Participants can use their medical insurance personal account balances for eligible family members and can enroll through various online platforms, including WeChat and Alipay [5]. - An AI assistant has been integrated into the official enrollment platform to provide users with quick and accurate responses to inquiries [5].
保费依然88元!2025年度“深圳惠民保”正式上线
券商中国· 2025-04-22 06:59
Core Viewpoint - The 2025 "Shenzhen Huiminbao" program continues to provide affordable healthcare insurance with a premium of 88 yuan per person per year, aiming to enhance accessibility and reduce the financial burden of medical expenses for residents [2][3]. Summary by Sections Program Overview - The "Shenzhen Huiminbao" program is an essential part of Shenzhen's multi-tiered medical insurance system, providing supplementary medical coverage alongside basic medical insurance, critical illness insurance, and medical assistance [1]. Premium and Coverage - The annual premium remains unchanged at 88 yuan per person, with efforts to lower claim thresholds, expand coverage, and increase the number of insured individuals [3]. Benefit Adjustments - The program has upgraded its benefits for 2025 by reducing the deductible amounts across various categories by 4,000 yuan. For instance, the deductible for "medical expenses within the insurance directory" and "hospital self-paid compliant drugs" has decreased from 15,000 yuan to 11,000 yuan [3]. Claims Process - The program emphasizes a "one-stop" claims process, allowing insured individuals to settle their medical expenses directly at over 9,600 designated medical institutions in Shenzhen and other cities in the province [7][9]. Inclusion of New Treatments - New high-cost self-paid treatments, such as proton therapy and robotic surgery, have been included in the coverage. Additionally, the annual maximum coverage for certain rare diseases has been increased to 600,000 yuan [5]. Expansion of Eligibility - The 2025 program expands eligibility to include Shenzhen residents participating in out-of-town medical insurance, ensuring they can benefit from the "Shenzhen Huiminbao" program [5]. Enrollment Channels - Various enrollment channels are available, including official WeChat accounts, Alipay, and new options like the Traffic Bank APP, enhancing accessibility for potential participants [11]. Special Group Support - The program will also assist special groups, such as medical assistance recipients and disabled residents, by streamlining their enrollment and payment processes [12].