Workflow
非标体
icon
Search documents
带病可投、无需健告,中高端医疗险加速向“非标体”市场进军
Bei Jing Shang Bao· 2025-07-14 13:58
Core Insights - The introduction of "no health declaration" policies in high-end medical insurance is bridging the gap between non-healthy individuals and commercial health insurance [1][3] - Major insurance companies like Ping An Insurance and Taikang Online are launching high-end medical insurance products that emphasize the absence of health declarations as a key selling point [3][4] Industry Trends - The trend of "no health declaration" in high-end medical insurance is gaining momentum, with multiple insurers following suit [3][4] - This shift addresses the pain point of being denied coverage due to health conditions, making it suitable for individuals with poor health or those who find it difficult to purchase traditional medical insurance [4][5] Market Dynamics - The market for "non-standard" individuals, defined as those with pre-existing conditions or chronic diseases, is substantial, with over 300 million chronic disease patients in China [5][6] - The traditional approach of excluding these individuals from coverage is being challenged as insurers seek to tap into this large potential consumer base [5][6] Risk Management - The industry is concerned about managing risks associated with "no health declaration" policies, particularly the risk of adverse selection where unhealthy individuals are more likely to purchase insurance [6][7] - Insurers face the dual challenge of increased risk from adverse selection and potential cost overruns due to medical misuse [7][8] Future Outlook - Experts predict that the high-end medical insurance market will evolve into a more stratified landscape, with different products catering to healthy individuals and "non-standard" individuals [9][10] - There is potential for the development of customized insurance products targeting specific chronic conditions, which could include dynamic pricing mechanisms based on the insured's health status [10]