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2025年最推荐的百万医疗险出炉:星相守实至名归
Sou Hu Wang· 2025-08-11 06:40
Core Viewpoint - The article highlights the unique advantages of the "Xingxiangshou" million medical insurance from Fosun United Health Insurance, which stands out in the crowded market due to its long-term coverage, high reimbursement limits, and comprehensive services [1][11]. Group 1: Long-term Coverage - The insurance offers a guaranteed renewal period of 20 years, alleviating concerns about renewal difficulties regardless of the insured's health changes [1]. - This feature is particularly beneficial for individuals aged 30-50, providing stability during retirement when health issues are more likely to arise [1]. Group 2: High Coverage and Comprehensive Protection - The policy provides a general medical coverage limit of 2 million and a critical illness medical coverage limit of 2 million, with an annual reimbursement cap totaling 4 million [2]. - It covers various high-cost medical expenses, including ICU fees, organ transplant surgeries, and long-term treatments like chemotherapy and dialysis [2]. - The insurance reduces three exclusion clauses compared to similar products, expanding coverage to include treatments like proton therapy and postoperative rehabilitation [2]. Group 3: Premium Version Advantages - The premium version extends coverage to 102 top-tier hospitals across China, allowing access to high-end medical resources [3]. - Policyholders can book appointments with senior doctors, significantly reducing waiting times for consultations [3]. - The insurance provides independent hospital rooms and prioritizes surgery scheduling, enhancing the overall treatment experience [3]. Group 4: Innovative Drug Coverage - The policy eliminates the traditional drug list restrictions, allowing for 100% reimbursement of necessary external medications prescribed by doctors at secondary hospitals or above [4]. - This is particularly advantageous for patients with cancer or rare diseases, as it covers many high-cost treatments previously excluded from other insurance plans [4]. Group 5: Family Shared Deductibles - The insurance allows for a shared deductible of 10,000 yuan for families, significantly lowering the threshold for claims compared to traditional products [6]. - If no claims are made in consecutive years, the deductible can decrease by 1,000 yuan annually, potentially reducing the family's out-of-pocket expenses [6]. Group 6: Value-Added Services - The policy includes various value-added services to assist patients throughout their medical journey, such as expedited appointment scheduling and hospitalization deposit coverage [7][8]. - Additional services include 24-hour health consultations, home care, and transportation assistance for discharged patients [9]. Group 7: Competitive Pricing - The insurance offers competitive pricing, with a single person aged 30 paying only 194 yuan annually for a 10,000 yuan deductible, which is over 30% cheaper than similar 20-year renewal products [10]. - Family discounts further enhance affordability, making it possible for a family of three to secure comprehensive medical coverage for less than 500 yuan annually [10].
把健康险卖给病人,真能卖十几亿?
第一财经· 2025-07-22 03:07
Core Viewpoint - The commercial health insurance industry is increasingly focusing on insurance products for patients with pre-existing conditions, particularly in the context of disease recurrence insurance, which is expected to see significant growth by 2025 [3][4]. Group 1: Market Trends and Developments - The disease recurrence insurance market has seen new product launches, such as the "Good Effect Insurance" series by Taikang Online, which expanded coverage from breast cancer to include lymphoma and lung cancer [5]. - In 2024, the health insurance premium income reached 977.4 billion yuan, marking an 8.2% growth, but the industry is facing stagnation due to market saturation among healthy individuals [6][7]. - The concept of insuring patients with pre-existing conditions is still relatively new and unclear, with estimates suggesting that the market could be around 50 billion yuan, primarily driven by supplementary medical insurance and high-end medical insurance [9]. Group 2: Product Insights - The most notable products in the disease recurrence insurance category are breast cancer recurrence insurance, which has become the largest single product in this segment, and million medical insurance that covers pre-existing conditions [12]. - The "Zhongminbao" product by Zhong An Insurance achieved rapid success, collecting 1.4 billion yuan in premiums within ten days of launch, indicating strong market demand [12][13]. Group 3: Sales and Distribution Challenges - The primary challenge in selling pre-existing condition insurance lies in distribution channels, as traditional channels are primarily focused on healthy individuals, making it difficult to reach the target demographic [16]. - Collaborations with hospitals are being explored to facilitate access to patients, but these partnerships face regulatory and operational uncertainties [17][18]. - Alternative sales strategies include leveraging pharmaceutical companies' distribution networks, which have shown some success in the market [18]. Group 4: Financial Performance and Risk Management - Currently, the existing pre-existing condition insurance products have not reported losses, but concerns remain regarding the maturity of cost control capabilities [21][22]. - The risk of high claims in million medical insurance products remains a concern, particularly for those that initially relaxed underwriting standards to attract customers [23][24]. - Insurers are employing traditional cost control methods, such as increased premiums and strict underwriting, to manage risks associated with these products [24][25].
星相守百万医疗险——2025年7月医疗保障的王者之选
Sou Hu Wang· 2025-07-08 08:46
Core Insights - The article highlights the increasing necessity of reliable million medical insurance in the face of rising healthcare costs, with the "Xingxiangshou" million medical insurance from Fosun United Health Insurance being recognized as the "Most Recommended Million Medical Insurance of the Year" for its innovative design and comprehensive coverage [1][10]. Industry Pain Points - The million medical insurance market, despite its variety, presents three core issues for users: uncertainty in renewal, tight medical resources, and restrictions on reimbursement for external medications [2]. - The "Xingxiangshou" product addresses these pain points through a systematic design focused on "full-cycle certainty" and "medical freedom" [2]. Five Core Advantages - **20-Year Full Responsibility Guarantee for Renewal**: "Xingxiangshou" is the only product in the market that guarantees renewal for both basic and additional responsibilities for 20 years, alleviating users' concerns about coverage interruption due to health deterioration [3]. - **No List Restrictions on External Medication Reimbursement**: The product covers external medication reimbursement up to 4 million yuan without a drug list limitation, significantly reducing the financial burden on patients needing high-cost treatments [4]. - **Universal Access to Special Medical Services**: The special version of "Xingxiangshou" allows reimbursement for services at 102 top-tier hospitals, with a competitive annual premium of 1,800 yuan, ensuring high-quality medical care for users [5]. - **Flexible Deductibles and Dual Deductions**: Users can choose from four deductible options, and the product offers a mechanism to reduce deductibles based on claims history and health check deductions, making claims easier to trigger [6]. - **Family Insurance Optimization**: The product supports flexible family member combinations and shared deductibles, enhancing practicality for families [7]. Real Case Studies - **Case Study 1**: A patient diagnosed with lymphoma benefited from the external medication coverage of "Xingxiangshou," receiving over 2 million yuan in reimbursements for CAR-T therapy and subsequent treatments [8]. - **Case Study 2**: A white-collar worker utilized the special version for a spinal surgery, experiencing expedited service and minimal out-of-pocket costs, highlighting the efficiency of the product [8]. Insurance Customization Guide - **Basic Coverage Option**: For budget-conscious users, the ordinary version with a 10,000 yuan deductible costs approximately 1,200 yuan annually [9]. - **Quality Medical Option**: The special version with no deductible is suitable for professionals seeking efficient medical services, costing 1,800 yuan annually [9]. - **Family Optimization Option**: Families can benefit from discounts and shared deductibles, ensuring comprehensive coverage for various medical needs [9]. Industry Evaluation - "Xingxiangshou" stands out in comparison to similar products due to its comprehensive coverage and long-term renewal commitments, making it a market leader [9].
百万医疗险,内卷中求增长
Hu Xiu· 2025-07-07 12:38
Core Insights - The million medical insurance sector has seen significant innovation and upgrades in 2023, with major players expanding coverage to include outpatient treatments and advanced medications [1][2][3] - The competition in the million medical insurance market is intensifying, with companies striving to enhance their offerings to meet evolving consumer demands [5][9] - Despite a slowdown in growth, the market for million medical insurance is expected to continue expanding, driven by increasing healthcare costs and the need for supplementary insurance [10][17] Company Developments - Ant Group's "Good Insurance" series has upgraded its core products to include coverage for specific diseases treated in advanced hospitals and expanded outpatient medication reimbursements [1] - China Life has launched its first 10-year guaranteed renewal product, "Guoshou Kangyue Zhenxiang," which covers outpatient expenses for specific major diseases [2] - ZhongAn Insurance has upgraded its health insurance series, "Zunxiang Esheng" and "Zhongminbao," to include long-term medication coverage and expanded hospitalization benefits [1][2] Market Trends - The million medical insurance market has evolved from high-end and mid-range medical insurance to more affordable options, with products like "Zunxiang Wuyou" and "Eshengbao" gaining popularity [4][9] - The market has seen a shift towards covering outpatient treatments and advanced therapies, with many products now offering zero deductible options [7][8] - The overall scale of the million medical insurance market has grown from negligible in 2016 to approximately 600 billion yuan by 2023, accounting for about 20% of the medical insurance market [9][13] Competitive Landscape - Major players like Renbao Health, ZhongAn, and Ping An Health dominate the market, with their products collectively accounting for a significant share of the total premium income [14][15] - The competitive environment has led to a focus on improving renewal conditions and expanding coverage, with many products now offering guaranteed renewal periods [5][6] - The introduction of lower-cost alternatives like "Hui Min Bao" has created additional pressure on million medical insurance products, although its impact appears to be diminishing [13][21] Future Outlook - The potential for growth in the million medical insurance sector remains strong, with expectations that it could reach a scale of 1.7 to 2.6 trillion yuan by 2029 [18] - The increasing pressure on basic medical insurance is likely to drive demand for commercial health insurance, positioning million medical insurance as a crucial supplement [17][23] - However, challenges such as low claims payout ratios and the need for better customer satisfaction must be addressed to ensure sustainable growth [22][23]