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中高端医疗险开始靠“转保”挖客户了
经济观察报· 2025-09-16 10:13
Core Viewpoint - The article discusses the increasing trend of "policy transfer" in the short-term health insurance sector, particularly in the context of slowing growth in new medical insurance policies. Existing customers are becoming a key target for mid-to-high-end medical insurance products, with insurance brokers and platform institutions actively promoting policy transfers [1][4]. Group 1: Policy Transfer Phenomenon - The phenomenon of "policy transfer," common in auto and long-term insurance sales, is now emerging in the short-term health insurance sector [2]. - An example is provided where a client, Ms. Liu, is advised by her insurance broker to transfer her expiring medical insurance policy to a new product, "Zhongminbao," which offers expanded coverage despite a significant increase in premium from several hundred to nearly 2000 yuan [3]. Group 2: Transfer Rules and Conditions - Different insurance products have varying rules for policy transfers. For instance, "Zhongminbao" requires the previous policy to be active and past the waiting period, with a minimum coverage of 150,000 yuan and a maximum deductible of 10,000 yuan [4]. - The transfer process is noted to be more complex than direct purchasing, requiring clients to submit their original policy details and health disclosures, which increases operational costs for insurance companies [4]. Group 3: Changing Consumer Demands - Consumer demand for medical insurance is evolving, with products that cover outpatient medications and special medical services becoming more popular. Products with relaxed health disclosures are particularly attractive to individuals with pre-existing health conditions [5]. - The expansion of coverage responsibilities is leading to increased premiums, and brokers can earn higher commissions by promoting more comprehensive mid-to-high-end medical insurance products [5]. Group 4: Considerations for Consumers - While policy transfers can waive waiting periods, consumers must be cautious about the underwriting process, which may be less convenient if health conditions fall within the inquiry limits. Existing health issues may not be covered under the new policy [5].
百万医疗险,内卷中求增长
Hu Xiu· 2025-07-07 12:38
Core Insights - The million medical insurance sector has seen significant innovation and upgrades in 2023, with major players expanding coverage to include outpatient treatments and advanced medications [1][2][3] - The competition in the million medical insurance market is intensifying, with companies striving to enhance their offerings to meet evolving consumer demands [5][9] - Despite a slowdown in growth, the market for million medical insurance is expected to continue expanding, driven by increasing healthcare costs and the need for supplementary insurance [10][17] Company Developments - Ant Group's "Good Insurance" series has upgraded its core products to include coverage for specific diseases treated in advanced hospitals and expanded outpatient medication reimbursements [1] - China Life has launched its first 10-year guaranteed renewal product, "Guoshou Kangyue Zhenxiang," which covers outpatient expenses for specific major diseases [2] - ZhongAn Insurance has upgraded its health insurance series, "Zunxiang Esheng" and "Zhongminbao," to include long-term medication coverage and expanded hospitalization benefits [1][2] Market Trends - The million medical insurance market has evolved from high-end and mid-range medical insurance to more affordable options, with products like "Zunxiang Wuyou" and "Eshengbao" gaining popularity [4][9] - The market has seen a shift towards covering outpatient treatments and advanced therapies, with many products now offering zero deductible options [7][8] - The overall scale of the million medical insurance market has grown from negligible in 2016 to approximately 600 billion yuan by 2023, accounting for about 20% of the medical insurance market [9][13] Competitive Landscape - Major players like Renbao Health, ZhongAn, and Ping An Health dominate the market, with their products collectively accounting for a significant share of the total premium income [14][15] - The competitive environment has led to a focus on improving renewal conditions and expanding coverage, with many products now offering guaranteed renewal periods [5][6] - The introduction of lower-cost alternatives like "Hui Min Bao" has created additional pressure on million medical insurance products, although its impact appears to be diminishing [13][21] Future Outlook - The potential for growth in the million medical insurance sector remains strong, with expectations that it could reach a scale of 1.7 to 2.6 trillion yuan by 2029 [18] - The increasing pressure on basic medical insurance is likely to drive demand for commercial health insurance, positioning million medical insurance as a crucial supplement [17][23] - However, challenges such as low claims payout ratios and the need for better customer satisfaction must be addressed to ensure sustainable growth [22][23]