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近三成带病体因健康告知被拒保 水滴保AI驱动破解投保难题
Sou Hu Cai Jing· 2025-12-03 02:47
Core Insights - The report indicates a rapid growth in the chronic illness insurance market in China, with the market size surpassing 12 billion yuan in 2024, reflecting a 50% year-on-year increase [1] - Waterdrop Insurance plans to launch 214 innovative chronic illness insurance products by 2025, leveraging AI technology to promote inclusivity in insurance coverage [1] Group 1: Market Demand and Challenges - The elderly population in China has reached 310 million, accounting for 22% of the total population, with 75% suffering from at least one chronic illness [2] - The prevalence of chronic diseases among the youth is alarming, with their rates being twice that of the elderly, highlighting a significant gap in insurance coverage for this demographic [2] - The average treatment cost for chronic patients is 87,000 yuan, which is 2.1 times the national annual disposable income, indicating a substantial protection gap [2] Group 2: Insurance Accessibility Issues - Nearly 30% of chronic illness patients face rejection due to inability to pass health disclosures, with 52.4% feeling there are limited insurance options available [4] - A strong willingness to pay for coverage exists, with 75.4% of respondents willing to pay extra premiums for coverage of pre-existing conditions, averaging 4,049 yuan annually [4] Group 3: AI and Product Innovation - Waterdrop Insurance has launched 214 chronic illness insurance products, including 34 that are industry-firsts, and 37 that allow for coverage without health disclosures [6] - The use of AI and big data is emphasized as crucial for improving underwriting, pricing, and health management capabilities, making risk assessment more accurate [6][8] - The AI underwriting tool "KEYI.AI" significantly reduces the average processing time for health insurance applications by 80%, enhancing user experience [8] Group 4: Collaborative Efforts for Inclusive Insurance - Waterdrop Insurance has initiated a "Inclusive Product Alliance" with 18 insurance companies to focus on the insurance needs of chronic patients, the elderly, and maternal groups [8] - The goal is to create affordable and accessible insurance products that meet the needs of various demographics, ensuring that insurance serves its fundamental purpose of protection [8]
水滴保举办2025服务生态大会 携手18家险企成立“普惠产品联盟”
Zheng Quan Ri Bao Wang· 2025-11-28 10:46
Core Insights - The second Waterdrop Insurance Service Ecosystem Conference was successfully held, where Waterdrop Insurance, in collaboration with various organizations, released a report on the insurance needs of individuals with pre-existing conditions [1][2] - The establishment of the "Inclusive Product Alliance" by Waterdrop Insurance and 18 insurance companies aims to promote the accessibility of insurance services [1][2] Group 1: Industry Developments - The former vice chairman of the China Insurance Regulatory Commission emphasized that developing insurance for individuals with pre-existing conditions is crucial for expanding coverage and improving public welfare [1] - The insurance industry is encouraged to leverage AI and big data to enhance underwriting, pricing, and health management capabilities, making risk assessment for individuals with pre-existing conditions more accurate [1] Group 2: Company Initiatives - Waterdrop Insurance has focused on underserved groups such as the elderly and those with pre-existing conditions, utilizing AI and large model technology to create a health protection ecosystem covering millions of families [2] - By 2025, Waterdrop Insurance plans to launch 214 insurance products for individuals with pre-existing conditions, averaging one new product every 1.14 days, thereby creating a "universe of innovative insurance products" [2] - The "Inclusive Product Alliance" aims to collaborate with various insurance companies to develop affordable and accessible insurance products for the public [2]
90后职场人成健康“高危”群体 线上投保成为职场人主流选择
Huan Qiu Wang· 2025-10-16 03:10
Core Insights - The article highlights the increasing health burden among modern professionals, with a significant percentage facing difficulties in obtaining critical illness insurance due to pre-existing health conditions [1][2][3] Group 1: Health Status of Professionals - A recent report indicates that over 70% of professionals have multiple health issues, with common conditions including fatigue, poor sleep, and chronic diseases [2] - The report reveals that 37% of professionals face rejection when applying for critical illness insurance, with rejection rates exceeding 40% for those with lung nodules and thyroid diseases [1][3] Group 2: Economic and Health Anxiety - Professionals aged 31-40 are under significant financial pressure, with 83% managing multiple financial burdens, including housing and education costs [2] - Even with a monthly income of 20,000 yuan, many professionals can only sustain their living expenses for a limited time in the event of a family member's serious illness [2] Group 3: Insurance Awareness and Challenges - There is a growing recognition of the necessity for commercial health insurance, with 82.3% of professionals acknowledging its importance [3] - Despite a strong desire to purchase insurance, only 30% of professionals actually do so, primarily due to barriers such as pre-existing conditions and complex insurance terms [3][5] Group 4: Innovations in Insurance Products - Waterdrop Insurance has focused on developing insurance products tailored for individuals with pre-existing conditions, launching 214 products by 2025, including 34 that are industry firsts [4] - The company utilizes AI and big data to enhance product design and risk management, aiming to meet the needs of over 400 million individuals with health issues [4][5] Group 5: Future Directions in Insurance - The future of insurance for individuals with pre-existing conditions may involve a shift towards an "insurance + service" model, integrating health management and rehabilitation services [6]