Core Viewpoint - The article discusses the challenges faced by policyholders of reimbursement-type insurance products, particularly in medical insurance, regarding coverage continuation after the policy expiration while treatment is still ongoing [1][2]. Group 1: Insurance Types and Coverage - Reimbursement-type insurance products, such as medical and accident insurance, may have coverage issues if treatment extends beyond the policy expiration [2]. - Not all insurance types face the same issues; critical illness and life insurance are payout-type insurances that provide compensation regardless of actual medical expenses incurred, as long as the incident occurs within the coverage period [1][2]. Group 2: Responsibility Continuation - The concept of "responsibility continuation" allows for claims to be made for medical expenses incurred after the policy expiration if the incident occurred during the policy's active period [2]. - The duration of responsibility continuation varies by insurance type and specific product, with common durations being 30 days, and some extending to 90 or 180 days [3]. Group 3: Claims Processing - In cases where claims span two policy years, typically only one deductible is applied, and the remaining amount is fully compensated, although this can vary by product [3]. - Consumers are advised to report claims as soon as possible to avoid complications in the claims process, as delays may lead to disputes over the validity of the claim [4]. Group 4: Consumer Recommendations - It is recommended that consumers maintain documentation of their policy payment deadlines and consider automatic renewal options for long-term medical insurance to prevent coverage lapses [4].

Group 1 - The article discusses the challenges faced by elderly individuals with chronic conditions in purchasing comprehensive health insurance, particularly million medical insurance, due to age limits and health disclosures [1][2] - Cancer is identified as the disease with the highest payout rate in the insurance industry, leading to a recommendation for cancer-specific medical insurance, which offers more lenient health disclosures and lower premiums [1][2] - Cancer medical insurance is particularly suitable for individuals with chronic diseases or those on a limited budget, as it provides targeted coverage for cancer-related medical expenses [2][3] Group 2 - A comparison between cancer medical insurance and million medical insurance reveals that the former has a higher age limit for applicants and lower premiums, making it more accessible for older individuals [3][4] - For instance, the annual premium for cancer medical insurance at age 60 is 1,255 yuan, while for million medical insurance, it is 2,268 yuan, highlighting the cost-effectiveness of cancer medical insurance [3] - Important considerations when purchasing medical insurance include ensuring the ability to pass health disclosures, understanding renewal conditions, and being aware of any restrictions on external medications [4]

Core Insights - The aging population in China is projected to reach 310 million by the end of 2024, accounting for 22% of the total population, highlighting the increasing demand for health insurance among the elderly [1] - The complexity of insurance products and high premiums pose challenges for older adults in securing adequate coverage, necessitating a focus on effective insurance planning [1] Group 1: Insurance Product Recommendations - For individuals under 60 and in good health, a million-dollar medical insurance is recommended due to its broad coverage, including hospitalization and special outpatient services, with coverage amounts typically reaching hundreds of thousands [2] - For those over 60 or with health issues, cancer insurance with more lenient health disclosures is advisable, particularly for older adults with conditions like diabetes or hypertension [2] - If neither million-dollar medical insurance nor cancer insurance is available, city-customized medical insurance, which is often government-guided and affordable, can serve as a last line of defense against major illnesses [2] Group 2: Importance of Accident Insurance - Accident insurance is crucial for elderly individuals, as falls are the leading cause of death among those aged 65 and older [3] - When selecting accident insurance, it is important to consider age limits, with many products capping eligibility at 65 or 80 years, and to prioritize medical coverage that includes expenses not covered by social insurance [3] - Additional benefits such as hospitalization allowances and extra compensation for fractures are recommended to better meet the needs of older adults [3] Group 3: Guidelines for Effective Insurance Planning - Experts suggest that elderly individuals should follow principles of "precise risk coverage" and "avoid excessive spending," focusing on a combination of medical and accident insurance as foundational coverage [4] - The "three cautions" to avoid pitfalls include: accurately disclosing health conditions, avoiding impulsive purchases due to peer pressure or promotional offers, and being wary of "policy upgrade" scams [4][5] - The "three priorities" for achieving precise coverage emphasize the combination of medical and accident insurance, early planning and purchasing before age 60, and prioritizing policies with guaranteed renewal options to maintain coverage despite health changes [4][5]