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兜住民生底线:普惠保险创新模式织密保障网
Zhong Guo Jing Ying Bao· 2025-10-10 19:18
官方信息显示,中国人寿广西分公司2024年实现总保费规模171亿元,同比增长36%,新承保业务保费 大幅增长,总保费市场份额达34%。普惠保险,已逐渐融入八桂大地的千行百业。 织就"立体保障网" 天等县位于广西壮族自治区西南部,隶属于广西崇左市,是国家乡村振兴重点帮扶县,同时也被列为国 家连片开发"滇桂黔"石漠化综合治理片区。山多地少、交通不便等现实因素,导致绝大多数人选择外出 务工。劳务输转成为群众增收的主要渠道。近年来,村庄空心化、农村"三留守"、农业抗风险能力弱等 问题逐渐出现。 天等县都康乡多信村村民农军(化名)告诉记者,自己因患急性心力衰竭、家中无稳定劳动力,被纳入 边缘易致贫户。2024年,因疾病住院总花费29.27万元,经基本医保、大病保险、医疗救助及补助报销 后,仍需要自费20.63万元。 中经记者 陈晶晶 广西南宁报道 从基本医保到大病保险,从普惠性的"惠民保"到多样化的商业健康险,我国的健康保障网络正不断织 密。特别是对于重特大疾病、长期康复、健康管理等超出基本医保支付范围的需求,商业保险正成为重 要补充和有力支撑。 近期,《中国经营报》记者在广西南宁、崇左等地实地调研了解到,中国人寿(6 ...
调研|从“保基本”向外延伸:健康险如何打好多层次医疗保障组合拳
Xin Lang Cai Jing· 2025-09-25 23:44
Core Insights - The health insurance network in China is continuously evolving, enhancing public awareness and demand for risk protection [1][2] - Insurance companies play a crucial role in the multi-tiered medical security system and are driving innovations in health services [1][2] Group 1: Health Insurance Development - The basic medical insurance system is a vital part of the social security framework, aimed at reducing medical costs for the public and improving welfare [1] - Catastrophic health insurance provides additional coverage for high medical expenses beyond basic insurance, requiring no extra payment [1] - China Life Insurance has fully covered urban and rural residents' catastrophic health insurance across 14 cities in Guangxi from 2013 to 2015, currently serving over 40 million insured individuals [1] Group 2: Service Innovations - China Life's Nanning branch has established partnerships with nearly 1,800 medical institutions, facilitating extensive coverage for medical billing [2] - The company promotes a one-stop instant settlement system combining basic insurance, catastrophic insurance, and medical assistance, allowing patients to complete reimbursements upon discharge [2] - Efforts are made to extend services to remote communities, ensuring accessibility and understanding of insurance policies through local language explanations [2] Group 3: Poverty Alleviation Initiatives - In Tian Deng County, a poverty alleviation initiative called "Four Guarantees" was launched, focusing on health, employment, industry, and basic safety nets [3] - The initiative includes full subsidies for vulnerable groups, a collaborative insurance model for employment, and agricultural production insurance [3] - The program aims to enhance the community's ability to resist poverty and improve overall economic stability [3][4] Group 4: Commercial Insurance Growth - The "Hui Min Bao" product has gained traction, addressing the insurance needs of low-income, elderly, and pre-existing condition populations [5] - Launched in April 2022, this initiative has successfully implemented customized commercial insurance across 14 cities in Guangxi [5] - The "Hui Min Bao" business not only alleviates medical expenses for participants but also supports the innovation of medical products and services [5]
170余亿元保费背后:国寿健康险守护壮乡
Zhong Guo Zheng Quan Bao· 2025-09-22 20:15
Core Viewpoint - China Life Insurance's health insurance initiatives in Guangxi are effectively addressing local health and economic challenges, providing essential support to vulnerable populations and contributing to rural revitalization efforts [1][8]. Group 1: Health Insurance Impact - In 2024, China Life's total premium scale in Guangxi reached 17.1 billion yuan, a 36% increase year-on-year, supporting major health insurance projects across 14 cities [1] - The "Anti-Poverty Four Guarantees" project disbursed 9.0366 million yuan in claims, while the "Hui Yong Bao" project has insured over 2.75 million people, with total payouts exceeding 170 million yuan [1][5] - The health insurance practices have created a protective network for the local population, addressing urgent health and economic needs [1][8] Group 2: Tailored Solutions for Local Needs - The health insurance products are designed to meet specific local challenges, such as the high risk of poverty due to health issues in labor-intensive areas like Tian Deng County [2] - The "Three Points" payment model for accident insurance involves contributions from the government, the company, and individuals, ensuring broad coverage [2] - The "Wo Hui Bao" insurance has provided significant support to fruit farmers, with 1.568 million yuan in claims paid out to individuals affected by accidents [3][7] Group 3: Collaboration with Local Governments - China Life has partnered with local governments to enhance the efficiency of health insurance services, exemplified by the seamless integration of health insurance claims with local medical systems [4][6] - The collaboration has led to a significant increase in the satisfaction of insurance services, with 100% satisfaction reported for online medical service applications [4] - The "Anti-Poverty Four Guarantees" project features a mechanism that combines efforts from government and enterprise to provide comprehensive support [5] Group 4: Digital Transformation and Service Efficiency - The company has implemented digital solutions that enhance the speed and accessibility of insurance claims, achieving a 99.9% electronic claim rate [7] - The establishment of a wide network of service centers and specialists ensures that services are available within a 15-minute radius for most residents [7] - The digital transformation has resulted in a claim processing time of just 1.47 days on average, significantly improving customer experience [7] Group 5: Broader Implications and Replicability - The health insurance model developed in Guangxi is seen as a replicable framework for enhancing multi-level medical insurance systems across China [8] - The comprehensive approach integrates health, employment, and industry support, demonstrating the potential for financial enterprises to contribute to national health and economic goals [8]
从少跑腿到快到账,中国人寿织密广西健康“保障网”
Bei Jing Shang Bao· 2025-08-22 12:40
Core Insights - China Life Insurance Company is actively engaging in the rural health insurance market in Guangxi, implementing innovative insurance models to address local needs and enhance accessibility for millions of insured individuals [1][3][4] Group 1: Digital Transformation in Health Insurance - The company has integrated digital solutions to streamline the claims process, significantly reducing the time for reimbursements, as evidenced by a case where funds were transferred within days [3][4] - A digital connection with the regional medical insurance fund has led to a 60% reduction in operational costs for system maintenance, showcasing the efficiency gained through technology [4] Group 2: Poverty Alleviation Insurance Initiatives - The "Four Guarantees" insurance model in Tiandeng County combines multiple insurance types to provide comprehensive coverage against poverty, including supplementary medical, accident, agricultural disaster, and anti-poverty insurance [5][7] - In 2024, the "Four Guarantees" project paid out approximately 903.66 million yuan, benefiting 1,597 individuals, demonstrating the program's impact on local communities [8] Group 3: Localized Insurance Products - The "Wo Hui Bao" insurance product in Wuming District is designed to address specific risks faced by local agricultural workers, providing coverage for accidents and major illnesses that are not covered by basic medical insurance [12][13] - As of June 2025, "Wo Hui Bao" has paid out 1.85 million yuan in claims, indicating its effectiveness in supporting local farmers and enhancing the rural social security system [14][15]
保险机构交出乡村振兴高分“答卷”
Jin Rong Shi Bao· 2025-08-08 08:01
Core Insights - The central rural work leadership group reported the effectiveness of the 2024 targeted assistance work, with China Pacific Insurance, China Life Insurance, and China People’s Insurance receiving the highest rating of "good" [1] Group 1: China People’s Insurance - China People’s Insurance focuses on activating rural revitalization through "small industries," demonstrating that small-scale projects can drive significant economic growth and employment [2] - Since 2002, China People’s Insurance has been involved in targeted assistance for 24 years, with a total of 5 counties supported, making it one of the financial institutions with the most assistance counties [2] - In 2024, China People’s Insurance paid out a total of 260 million yuan in various claims to the 5 targeted assistance counties [2] - Specific projects include the enhancement of 44 mushroom greenhouses in Shaanxi Province, leading to a production of 800,000 mushroom sticks, benefiting nearly 30 households and creating over 1,800 job opportunities [2] Group 2: China Life Insurance - In 2024, China Life Insurance provided over 443 million yuan in assistance funds, a historical high, and facilitated investment exceeding 763 million yuan, enhancing the industrial development of the targeted counties [4] - The company trained 6,275 individuals and achieved nearly 98 million yuan in consumer assistance, maintaining a high level of support [4] - China Life Insurance provided risk coverage for 2.7 billion people in agricultural insurance, with a total risk amount exceeding 32 trillion yuan, benefiting over 3.4 million households [4][5] Group 3: China Pacific Insurance - China Pacific Insurance has intensified its efforts in targeted assistance in Gansu and Anhui provinces, focusing on consolidating poverty alleviation achievements and promoting rural revitalization [7] - The company has donated funds for "anti-poverty insurance" and has been involved in medical assistance by donating treatment equipment and providing health services [7] - China Pacific Insurance is also engaged in educational support, donating accident insurance to education staff and school uniforms to students, while funding various rural revitalization projects [7][8]