I believe that many friends will hesitate about one of the indicators when choosing major illness insurance, that is, the number of diseases covered by major illness insurance.
But is that really the case?
So, today I will talk to you about whether the number of guaranteed diseases is as much as possible. The specific content is as follows:
Is the more diseases in the serious illness insurance, the better?
Is the more mild and moderate diseases better?
1
In fact, as early as 2007, the China Insurance Industry Association and the China Medical Doctor Association jointly issued the "Specification for the Use of Disease Definitions in Critical Illness Insurance", which unified the expression of the 25 most common diseases in major illness insurance products and related insurance terms.
The specification stipulates the definition of critical illness insurance and requires that all major illness insurance should contain 6 types of critical illness:
malignancy
Acute myocardial infarction
Coronary artery bypass grafting
Sequelae of stroke
End-stage renal disease
Major organ transplantation
These 6 items alone account for 80% of insurance claims, and when you add up to the other 19 high-incidence major illnesses, it is more than 95% of major illness claims.
In 2020, the two associations revised the 2007 version of the Definition of Severe Illness based on the current disease data, the development of medical technology and the common treatment plan of the medical industry, so that the current "Specification for the Use of Disease Definitions in Critical Illness Insurance (2020 Revised Edition)" has been obtained.
At present, the liability for serious illness has added 3 kinds to the original 25 high-incidence diseases, and no matter which insurance company's serious illness insurance, they must include these 28 kinds of major illnesses.
Specifically, you can take a look at the data:
According to the data released by [General Reinsurance], it is not difficult to find that whether it is male or female, the two major types of diseases of [malignant tumors] + [cardiovascular and cerebrovascular diseases] already account for more than 90% of the claim rate.
In addition, the three types of "liver and kidney failure", "paralysis" and "severe brain injury" have accounted for more than 95% of all claims.
That is to say, as long as the 28 diseases of the serious illness insurance exceed the required ones, they are already qualified, and there is not much difference as to whether there are 30 more or 100 more after that.
2
Mild and moderate illnesses are essentially supplemented by the responsibility for serious diseases.
Because critical illness coverage is for critical illnesses, the claim conditions are not relaxed.
Moreover, the reality is that many diseases have not yet developed to the extent agreed upon in the contract at the time of onset, so they will be temporarily unable to settle claims because they do not comply with the terms, and at the same time, they will also cause disputes.
To this end, insurance companies have developed both mild and moderate liabilities to meet the actual needs.
This means that a certain number of mild and moderate illnesses will effectively increase the probability of claims for the major illness insurance we buy.
But this does not mean that the more mild and moderate symptoms, the better.
In fact, the number of mild and moderate diseases is sufficient as long as it can cover the mild diseases corresponding to high-incidence serious diseases
Taking the 6 types of serious diseases that are required to be insured as an example, the corresponding mild and moderate diseases are as follows:
Through this table and combined with the incidence of real diseases, the mild and moderate diseases of a major illness insurance are very qualified as long as they include the above diseases, and although the number of more diseases appears to be more comprehensive, it will not actually bring much help.
3
Write at the end
In fact, at this point, it is not difficult for us to understand one thing:
For critical illness insurance, too many diseases do not make much sense, as long as they can cover those diseases that are guaranteed and high.10% are sufficient.
Therefore, when purchasing critical illness insurance, we should not only focus on the local situation, but look at the product itself as a whole to see whether the responsibility of the product is practical and whether the cost performance is high enough.
After all, serious illness insurance is one of the most complex and complex insurance types in insurance, so it cannot be generalized, but every detail must be carefully controlled to ensure that you can buy the most suitable product for yourself.