What kind of insurance is needed?
Therefore, buying personal insurance is essentially to find cost-effective products among the four types of insurance: critical illness insurance, accident insurance, medical insurance, and life insurance, and then match them together.
What do different insurances cover?
What do these four types of insurance cover?
1. Critical illness insurance
Critical illness insurance is critical illness insurance. , to put it simply, if you are diagnosed with a critical illness within the scope of the policy after purchasing critical illness insurance, the insurance company will pay a one-time payment.
The so-called "critical illness category" was announced by the China Insurance Regulatory Commission. The "Regulations on the Use of Disease Definitions for Critical Illness Insurance" stipulates 25 types of diseases, 6 of which are compulsory diseases, and the other 19 are optional diseases.
6 types of compulsory diseases: Malignant tumors (excluding some early malignant tumors), acute myocardial infarction, stroke sequelae, major organ transplantation or hematopoietic stem cell transplantation, coronary artery bypass grafting, end-stage renal disease
? 19 options. Diseases: Multiple limb loss, acute or subacute severe hepatitis, benign brain tumors, decompensated chronic liver failure, sequelae of encephalitis or meningitis, deep coma, deafness in both ears, blindness in both eyes, paralysis, heart valves Surgery, acute or subacute severe hepatitis, severe Alzheimer's disease, severe brain injury, severe Parkinson's disease, severe third-degree burns, severe primary pulmonary hypertension, severe motor neuron disease, loss of speech ability, severe aplastic anemia , aortic surgery
If the insurance company wants to add more diseases besides these 25, it can decide at its own discretion, so the current critical illness insurance covers far more than 25 diseases, and even There are hundreds of diseases.
But how many diseases are covered by critical illness insurance is not the focus we need to pay attention to, because the most common serious diseases are only concentrated in the 6 types of diseases that must be insured - data It shows that the three types of diseases with the highest claim settlement rate: malignant tumors, cardiovascular diseases and stroke sequelae, account for more than 90% of the claims.
So if a general critical illness insurance covers 25 diseases. It is basically enough; if there are more diseases covered, but the premium does not increase significantly, it is of course a better choice.
Let’s talk about the compensation principle of critical illness insurance: the insured amount will be paid when the critical illness insurance is diagnosed. . This is very consistent with reality: once you encounter a major illness, you will immediately face huge expenses. Therefore, when purchasing critical illness insurance, you must be optimistic about the compensation amount.
The reason is that critical illness insurance is not just for use. To compensate for medical expenses, it also has the function of compensating for family financial losses after illness. In real life, many seriously ill patients find it difficult to continue working, and financial resources become a big problem, and the insurance money paid by critical illness insurance can solve this problem. This question. For example, if the insured amount of critical illness insurance is 800,000, and the actual treatment cost is 500,000, the remaining 300,000 can be used for living expenses and health expenses.
In addition, critical illness insurance can be repeated. Purchased. If you buy a critical illness insurance with a coverage of 500,000 yuan from Company A, it will not affect your purchase of another one with a coverage of 500,000 yuan or even 1 million from Company B. Once diagnosed, both companies will pay compensation, Family A 500,000 and Family B 1 million, for a total of 1.5 million.
? The insurance company will not interfere with how you use the 1.5 million. You can use it to see a doctor, subsidize your family, or even travel, buy a house, or a car.
? However, critical illness insurance usually has higher health requirements, and it is not easy to buy if you are unable to pass health notification or if you are older.
2. Medical insurance
Medical insurance, as the name suggests, can reimburse various medical expenses, including outpatient, emergency, hospitalization, surgery and other expenses.
There are usually three types: low insurance coverage and low deductibles; high insurance coverage and high deductibles; and high-end medical insurance.
? Medical insurance with low insurance coverage and low deductible: There is no deductible, and you can be reimbursed as long as you are hospitalized. But the insured amount is low, generally between 10,000 and 50,000 yuan. It can be used as a supplement to medical insurance to solve some minor hospitalization medical expenses.
? Medical insurance with high insurance coverage and high deductibles: There is a deductible of 10,000 yuan, but the insurance coverage is high, usually starting at several million. It is commonly known as "million-dollar medical insurance" and is currently the most popular on the market.
? High-end medical insurance: It can pay directly to special needs departments of public hospitals, international departments of public hospitals, private hospitals, expensive private hospitals, and non-mainland regional hospitals. The insured amount is very high and is usually used to protect huge medical expenses. The service you enjoy is also top-notch.
? The so-called "deductible" means that if the amount is lower than the agreed figure, the insurance company does not have to pay, and this deductible cannot be deducted from the social security pooling account, so the actual medical expenses are between 2- It can only be used if it costs more than 30,000.
For example: Ms. Zhang’s total hospitalization cost was more than 23,000 yuan, and social security reimbursed more than 16,000 yuan. If she bought medical insurance with a deductible of 10,000 yuan, the insurance company would not pay because Zhang The woman’s actual out-of-pocket expense is less than 10,000 yuan.
? The above classification is from the perspective of insurance amount. Let’s talk about the reimbursement perspective. Medical insurance can be subdivided into reimbursement type and subsidy type.