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顺应DRG改革趋势!中国人保健康好医保·长期医疗系列产品迭代升级
Huan Qiu Wang· 2025-06-20 08:06
Core Viewpoint - The Chinese government has issued new guidelines aimed at enhancing the insurance industry's service capabilities and risk management, particularly in health insurance, which is expected to drive product innovation and market expansion [1]. Group 1: Policy and Market Response - The State Council's new guidelines are seen as a significant policy shift for the insurance industry, focusing on improving health insurance services and expanding coverage [1]. - Major insurance companies are actively upgrading their products and services in response to evolving market demands, with China Life Insurance and Ant Group launching upgraded versions of their health insurance products [1][2]. Group 2: Product Upgrades - China Life Insurance has upgraded its "Good Insurance·Long-term Medical (Flagship Version 2025)" and "Good Insurance·Senior Long-term Medical (2025 Version)" products, enhancing their service offerings in advanced hospital networks and health management [2]. - The upgraded products now include coverage for 340 international special departments and 121 high-end private hospitals, breaking the traditional limitations of medical insurance [2]. - The advanced medical equipment and drug list has been expanded from 202 to 1501 items, allowing for 100% reimbursement with zero deductible for eligible treatments [2]. Group 3: Health Management Services - The new offerings include a comprehensive health management service that adds a "Family Doctor" module, providing 24/7 online consultations and chronic disease management [3]. - This integration of insurance and health management reflects a shift from traditional reimbursement models to a more holistic approach to health care, aligning with national policy goals [3].
中国人保健康全新升级好医保·长期医疗系列产品
Zheng Quan Ri Bao Wang· 2025-06-19 13:53
Core Viewpoint - China People's Health Insurance Co., Ltd. has upgraded its long-term medical insurance products in collaboration with Ant Financial to support the construction of a multi-level medical system in the country [1][2]. Group 1: Product Features - The upgraded products include "Good Medical Insurance · Long-term Medical (Flagship Version 2025)" and "Good Medical Insurance · Elderly Long-term Medical (2025 Version)" [1]. - In the field of tumor treatment, the new products have expanded the network of proton therapy institutions from the original Shanghai Proton and Heavy Ion Hospital to include 9 additional locations in Beijing, Guangzhou, and others, increasing accessibility to advanced radiation therapy by 10 times [1]. - The flagship product now covers 340 international special departments in hospitals and 121 high-end private hospitals, allowing users to enjoy international-level medical environments at affordable prices [1]. Group 2: Coverage and Reimbursement - Both products guarantee renewal for general medical expenses for 20 years and provide lifetime renewal for cancer and 11 types of cardiovascular diseases, offering stable protection for patients requiring long-term treatment [2]. - The reimbursement mechanism for general diseases employs a "segmented reimbursement" approach, where expenses under 10,000 yuan are reimbursed at 30%, and expenses exceeding 10,000 yuan are reimbursed at 100%. For cancer and the specified cardiovascular diseases, the reimbursement is at 100% [2]. - The "Good Medical Insurance · Elderly Long-term Medical (2025 Version)" includes an innovative "Advanced Hospital Insurance for Severe Malignant Tumors" to address the challenges elderly patients face in accessing quality medical resources, thereby reducing the time from diagnosis to treatment for cancer patients [2].