北极星(免健告)中高端医疗险

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免健告开启“非标体”窗口 中高端医疗险加速进军
Huan Qiu Wang· 2025-07-15 07:21
Core Viewpoint - The insurance industry is witnessing a shift with multiple companies launching high-end medical insurance products that do not require health disclosures, raising discussions about underwriting standards and market trends [1][3]. Group 1: Market Trends - Several insurance companies, including Taikang Online and Ping An Property & Casualty, are promoting "no health disclosure" high-end medical insurance as a key selling point, which can cover general pre-existing conditions [3]. - The trend was initiated by Zhong An Insurance with its launch of the Zhong Min Bao high-end medical insurance, prompting other insurers to follow suit [3]. - The market for high-end medical insurance is becoming increasingly competitive, with a significant focus on the "non-standard" population, which includes over 300 million chronic disease patients in China [3][4]. Group 2: Product Features and Risks - The new insurance products feature relaxed underwriting conditions and higher coverage limits, but their sustainability is under scrutiny due to potential risks [4]. - These products often include high deductibles and restrictions on pre-existing condition coverage to manage risk, leading to disparities in coverage and claims experience between healthy individuals and the "non-standard" population [4]. - Concerns about "adverse selection" are prominent, as individuals with poorer health are more likely to purchase these insurance products, potentially increasing overall risk and claims rates [3][4].
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
"健康告知",这一横亘在大量非健康人群与商业健康保障之间的巨大鸿沟,正在被悄然填平。7月14日,北京商报记者注意到,近期包括平安产 险、泰康在线等在内,多家险企推出了无需健康告知的中高端医疗险产品。 健康告知是风险筛选的第一道也是最重要的闸门。不用看复杂的健康告知就能投保,到底是真的降低了投保门槛,还是营销噱头?又将如何影响 医疗险市场走向? 以泰康在线的泰享无忧·中高端医疗险为例,据介绍,该产品的主要卖点包括免健康告知、无职业限制、一般既往症可保可赔等。平安产险推出的 北极星(免健告)中高端医疗险同样投保无需健康告知,能赔一般既往症。 在保险领域,健康告知,是指保险公司在投保前了解投保人的健康情况,保险公司评估风险的重要环节,一般告知内容包括疾病史、身体现状、 家庭病史、职业等。通常采取询问和有限告知的方式。如实告知也是投保人的法定义务,在投保时没有做到如实告知,容易给将来的理赔埋下隐 患。 此前,健康告知几乎是所有商业健康险,尤其是中高端医疗险不可逾越的环节。保险公司据此评估风险,决定是否承保、是否加费或设置责任免 除条款。对于身体存在异常指标或既往病史的"非标体"人群,这一过程往往意味着保障机会的丧失或 ...