Recently, Ping An Health Insurance launched ping an e-health insurance · special medical products. On the existing basis of Ping an e-health insurance, it added the responsibility of special medical security, and took the lead in landing in Beijing, Shanghai and Shenzhen. Ping An Health Insurance said that this is also a leading special product in the market that does not limit the bed fee (excluding suites).
For the development trend of millions of medical insurance, Xu Yuchen, a senior actuary, said in an interview with the reporter of the daily economic news: “in the compensation service, we found that some customers are willing to pay more, so as to obtain better protection, including special international VIP wards in public hospitals and even outpatient reimbursement in some private hospitals. This is the upward trend of the service.”
Since the birth of the first one million medical insurance in 2016, the premium of hundreds of yuan has pried the insured amount of millions of yuan, filled the gap of middle-end medical insurance and was highly favored by the market. According to the forecast, the medical insurance market will exceed 300 million yuan in 2000. Million medical insurance is the first “seven-year itch”. The reporter of the daily economic news noted that various insurance companies continue to expand the coverage content, the coverage range of people, and extend the guarantee renewal period, showing their continued optimism about the prospect of this insurance.
Huimin insurance how to develop millions of medical insurance
The relevant person in charge of Ping An Health Insurance said that in the past six years, millions of medical treatment has gone through three stages.
Before 2015, the medical insurance market was mainly ordinary medical insurance with a premium of less than 100 yuan. The form of such products was similar to that of social medical insurance, and supplementary reimbursement was mainly made for the unpaid part within the scope of social security;
In 2016, Ping An Health Insurance launched ping an e life insurance. The premium of less than 1000 yuan brought millions of insured amount to users. This feature made it quickly detonate the market. In the first year of the birth of one million medical insurance, it received 200 million yuan of premium from 400000 users;
By 2020, the premium scale of one million medical insurance in that year will exceed 50 billion yuan, and the number of users will exceed 90 million. Also in this year, urban commercial insurance (hereinafter referred to as “Huimin insurance”) was born. As a “affordable version” of millions of medical insurance, according to incomplete statistics, by the end of 2021, a total of 177 Huimin insurance had been launched nationwide, with 140 million people insured and a premium of about 14 billion yuan.
According to the white paper on the development of China’s million medical insurance industry, the market scale of million medical insurance will maintain an annual growth rate of 25% – 40%, which means that by 2025, the premium scale of million medical insurance market will exceed 200 billion yuan.
In the Research Report on health insurance products for 20202021, China Re life insurance pointed out that after the wide-ranging launch of Huimin insurance products, the concept of “high insurance amount + high deductible” implemented by millions of medical treatment has been further impacted. At the same time, Huimin insurance has formed a crushing trend on millions of medical treatment in terms of premium and accessibility of sick bodies.
On this basis, the coping strategies of insurance enterprises usually have two directions: first, upgrade to high-end, pay more attention to self funded projects and special needs / private institutions with less social security coverage, and locate them as higher-grade medical insurance products than Huimin insurance (focusing on the internal responsibility of social security), which can be summarized as “upward expansion”; The second is to supplement the responsibility design of “high frequency and low loss”, and form differentiated competition with huiminbao with the positioning of “million insured amount, low frequency and high loss”, which is “downward supplement”.
the scope of guarantee is expanded upward: the price is more expensive and the guarantee is more sufficient
It is understood that due to the uncertainty of the quality of non-public medical institutions, the preferred expansion direction of million medical insurance is the special needs department of public hospitals. In the middle of 2021, the enhanced version of exclusive e-health special needs was launched, and “special needs” became an independent business form, not just an optional plan for millions of medical insurance.
The so-called special medical care is a medical and health care service that was only open to specific groups in the past. Compared with the general outpatient service, it is better in terms of doctor experience, drug use progressiveness and medical service experience. In the above report, China Re life insurance believes that the premium of special medical insurance for unlimited diseases is at least three times that of ordinary million medical insurance (30 years old), which makes the customer acceptance of special medical insurance poor.
“It’s a little more expensive than the traditional one million medical insurance, but the guarantee service is much better.” Ping An Health Insurance said. Suppose a 35-year-old family member is insured for special medical treatment of e-health insurance. On the premise of social security, the first year rate after successful insurance is about 1600 yuan (the product rate is subject to the actual purchase version), which is equivalent to less than 5 yuan per day.
The reporter of the daily economic news noted that in addition to special medical needs, in recent years, million medical insurance has expanded the coverage of special drugs, equipment reimbursement, proton heavy ions, car-t reimbursement and services.
For example, in July 2021, Ping An Life Insurance launched the “cellular immunotherapy (paragraph a) medical insurance” exclusive to car-t. since then, many insurance companies have included the treatment in the million medical insurance liability; In the exclusive e-student 2021 outpatient and emergency edition, the medical responsibility of “analgesic pump (implantable intrathecal drug infusion system)” with an insured amount of 1 million has been added; In September 2021, TPL upgraded the global special drug insurance to a new product containing 75 kinds of imported special drugs and 10 kinds of imported special equipment.
actively expand the direction of sick body and long-term medical insurance
The guiding opinions on further enriching the supply of life insurance products issued by the CBRC in 2021 and the report on issues and suggestions on the development of China’s commercial health insurance in 2022 all mentioned that insurance institutions are encouraged to meet the needs of consumers, moderately relax the insurance conditions and provide comprehensive health insurance products and services.
Due to the difficulties in data accumulation and risk control ability, the insurance industry rarely tried to innovate sick insurance products in the past. With the development of medical big data and the integration of medical and health industry and insurance industry, the pricing ability and risk control ability of insurance companies have been further improved. The sick people who were once unable to obtain insurance protection have also been gradually included in the consideration scope of insurance companies.
Recently, China Pacific Insurance (Group) Co.Ltd(601601) life insurance, The Pacific Securities Co.Ltd(601099) health insurance and Shantai Health Technology Co., Ltd. under China Pacific Insurance (Group) Co.Ltd(601601) China Pacific Insurance (Group) Co.Ltd(601601) under China Pacific Insurance (Group) Co.Ltd(601601) 601 the Single solid pulmonary nodules less than 6mm, essential hypertension (less than 160100 mmHg) and type II diabetes (glycosylated hemoglobin less than 7%) have the opportunity to be insured.
In the above report, China Re life insurance pointed out that when the healthy population has reached the limit, facing the competitive pressure of Huimin insurance, the industry has gradually paid attention to expanding the insurable population, and the development of chronic disease products has also been put on the agenda.
Zhu Yougang, chairman of Ping An health insurance, said that in terms of personal health, million medical care will move from a single guarantee product to “health insurance + HMO system” (HMO: health maintenance organization), from “one million medical care, only healthy people” to “more than three”, that is, “multiple people + multi-layer guarantee + multiple service systems”. There are two core groups to expand the specific population. One is the three chronic disease specific groups of pulmonary nodules, liver diseases and three high diseases, and the other is the three specific demand groups of children, the elderly and pregnant women.
In recent years, major insurance companies have also tried long-term medical insurance with adjustable rates. The reporter of the daily economic news noted that up to now, many insurance companies such as Ping An Life Insurance, Ping An health insurance, PICC Life Insurance, human health insurance, The Pacific Securities Co.Ltd(601099) health insurance, Taikang Life Insurance and CITIC Prudential Life Insurance have launched “20-year guaranteed renewal” and lifelong long-term medical insurance.
