普惠重疾险
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惠民保迈入存量优化新阶段:特药目录扩围,差异化设计满足多元需求
Guo Ji Jin Rong Bao· 2025-10-18 16:00
Core Insights - The "Hui Min Bao" insurance product has rapidly expanded across China since 2020, becoming a significant component of the multi-tiered medical insurance system, with 313 local products launched by July 2023, reflecting a market growth rate of 2.96% [1] - The market is transitioning from "incremental expansion" to "stock optimization," indicating a shift towards high-quality development, with over 80% of products still being traditional types [1][2] - The average price of basic Hui Min Bao products has increased to 95 yuan, up from approximately 60 yuan in 2021, as the pricing mechanism shifts from a single pricing model to a differentiated pricing model based on various factors [3] Market Dynamics - The number of operational products has stabilized at 202, with a slight decrease in the proportion of operational products expected from 2023 to 2025 [1] - New products are being introduced with a "dual-driven" approach, expanding into lower-tier markets while innovating within existing markets, such as the introduction of critical illness insurance products in Guangdong and Guangxi [2] - The average Hui Min Bao product now covers 41 types of special drugs, with over 80% of traditional products including special drug responsibilities, primarily focusing on cancer treatment and expanding to rare diseases and other conditions [2] Product Features - Many Hui Min Bao products now offer multiple versions for consumer choice, with nearly half providing various options to cater to different needs and payment capabilities [3] - The introduction of "add-on packages" allows consumers to enhance their coverage, such as hospitalization and online consultation reimbursements [3] - The development of Hui Min Bao faces challenges, including the need for scientific rate determination and effective risk management to ensure long-term stability [3]