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城市定制型商业医疗保险(惠民保)
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中国人寿服务“健康中国”建设,领跑普惠保障新赛道
Da Zhong Ri Bao· 2025-11-18 04:44
Core Viewpoint - China Life Insurance Company is committed to the mission of "protecting people's health" and actively participates in the construction of a multi-level medical security system, aligning with national policies to address aging population and rural revitalization [1][2][10] Summary by Sections Multi-level Health Security Development - The company has developed a multi-level health security system that aligns with national trends and policies, focusing on policy health insurance, long-term care insurance, and urban customized commercial medical insurance [2][10] - The national policy emphasizes the sustainable development of commercial insurance and the improvement of urban and rural residents' major illness insurance mechanisms [1][2] Major Illness Insurance - As one of the first institutions to undertake major illness insurance, China Life has built a comprehensive operational system covering underwriting, claims, medical verification, and risk control since 2012 [2][3] - The company has served over 40 million insured individuals in Guangxi, significantly reducing the financial burden of major illnesses through efficient claims processes [3][5] Long-term Care Insurance - China Life is a pioneer in the long-term care insurance system, responding to the challenges of an aging population and establishing a standardized operational framework since the pilot program began in 2016 [3][5] - The company has developed various representative service models in cities like Chengdu, Guangzhou, and Tianjin, contributing valuable experience for the establishment of a long-term care insurance system suitable for China's context [3][5] Urban Customized Commercial Medical Insurance - The company has actively participated in over 100 "惠民保" projects, which provide effective supplementary insurance for low-income and elderly populations [5][6] - Projects like "大爱无疆" in Zhuhai and "西湖益联保" in Hangzhou have been successful in bridging the gap in insurance coverage for vulnerable groups, promoting the development of the pharmaceutical industry [6][8] Future Development Plans - Looking ahead to the "15th Five-Year Plan," the company aims to consolidate its position in major illness insurance, enhance urban medical insurance, and accelerate the development of long-term care insurance [9][10] - The company plans to innovate in new fields and strengthen cooperation with government policies to meet diverse health insurance needs [9][10]
安盛扎根中国26载:以“精准普惠”践行金融高质量发展,深度服务国家战略
Sou Hu Cai Jing· 2025-09-29 05:14
Core Viewpoint - China's inclusive finance is transitioning from "broad coverage and basic protection" to "quality improvement and precise inclusiveness" under the dual drive of policy and technology [1] Group 1: Company Initiatives - AXA Tianping has been recognized for its continuous efforts in the inclusive insurance sector, showcasing its influence and commitment [1] - The company won the "Inclusive Financial Product Innovation Award" for its "Employee Welfare Protection Plan," which addresses the insurance needs of small and micro enterprises [3] - AXA Tianping is integrating insurance solutions into the core business scenarios of partners, enhancing service reach and customer acceptance [3] Group 2: Collaboration and Research - The company collaborates with local governments to enhance the accessibility and efficiency of inclusive health insurance through customized commercial health insurance projects [4] - AXA Tianping, in partnership with academic institutions, conducted research to identify financial needs among low- to middle-income groups, providing empirical evidence for product design [4] Group 3: Future Outlook - The company aims to continue its commitment to China's modernization process, emphasizing the role of insurance in economic stability and social progress [5][6]
金融监管总局出手,规范行业发展!
Jin Rong Shi Bao· 2025-08-01 07:52
城市定制型商业医疗保险(以下简称"城市商业医疗险")业务,迎来规范发展新阶段。 7月31日,金融监管总局向业内发布《关于推动城市商业医疗险高质量发展的通知》(以下简称《通知》), 从突出普惠定位、坚守商业属性、规范精准定价、提升服务能力、共建良好生态、注重统筹规划六个维 度,全面规范城市商业医疗险业务,推动实现商业可持续发展,保护保险消费者合法权益。 回应社会关切 推动实现可持续发展 城市商业医疗险,即我们常说的"惠民保",是由地方政府及相关部门指导、保险公司商业运作、与基本医 保衔接的商业保险,具有投保门槛低、保费低、保额高等特点。 一方面,要突出城市商业医疗险普惠定位。《通知》要求,保险业要坚持以人民为中心的发展思想,围绕 人民群众的优质医疗保障需求,优化城市商业医疗险产品供给,及时将医疗新技术、新药品、新器械应用 纳入责任范围,提供覆盖广泛、公平可得、保费合理、保障有效的保险服务。要努力扩大城市商业医疗险 的惠及面,推动商业医疗保险可及可信、可保可赔、可感可知。 另一方面,城市商业医疗险要坚守商业属性,遵循保险规律。《通知》指出,城市商业医疗险应当遵循市 场化、法治化原则,坚持保险公司自主经营,人民群众 ...