Commercial health insurance is an insurance that takes the insured's body as the insurance object and ensures that the insured can get compensation for direct expenses or indirect losses caused by diseases or accidents, including disease insurance, medical insurance, income protection insurance and long-term care insurance.
1. Sickness insurance refers to insurance with the occurrence of diseases as the payment condition;
2. Medical insurance refers to insurance with the occurrence of agreed medical treatment as the payment condition;
3. Income security insurance refers to insurance in which income is interrupted or reduced due to accidental injury or illness as a condition for paying insurance benefits;
4. Long-term care insurance refers to insurance that requires care due to accidental injury or illness.
At present, the more popular commercial health insurance in China is critical illness insurance and medical insurance. The function of critical illness and critical illness insurance is that the insurance company directly pays the beneficiary a sum of money as insurance money when the payment conditions of the critical illness and critical illness insurance contract are met. The insurance company will not restrict the beneficiary's use of insurance money, so this insurance money can be used to compensate medical expenses, recuperation expenses, children's education or parents' pension. Medical insurance is mainly used for reimbursement of medical expenses, usually limited to reimbursement of medical expenses. Which insurance company is stronger? I just sorted out the relevant content, hoping to help you: the latest list! Top Ten Insurance Companies in China
Second, what is commercial medical insurance?
Commercial medical insurance is an integral part of the medical security system, and units and individuals voluntarily participate. The state encourages employers and individuals to participate in commercial medical insurance. Refers to the profitable medical insurance operated by insurance companies. Consumers pay a certain amount of insurance money, and they can get a certain amount of medical expenses from insurance companies when they encounter major diseases.
Third, the difference between commercial health insurance and commercial medical insurance
1. Commercial health insurance includes commercial medical insurance, so the scope of commercial health insurance is wider.
2. Commercial medical insurance usually limits its scope of use and is only used for reimbursement of medical expenses.
3. Different factors affect the insurance premium.
Generally, the rate of commercial medical insurance is only calculated by using two main factors: age and gender. At the same time, it is also affected by hospitalization rate, average hospitalization cost, hospitalization days, age reserve and other factors. In addition, the common risk control measures of medical insurance, such as waiting period, deductible, payment limit, etc., will also affect the incidence of claims and the estimated amount of claims each time.
The main factors affecting the cost of commercial health insurance are disease incidence, disability incidence, disease duration, interest rate, expense rate, failure rate and mortality rate. Other factors, such as exhibition mode, underwriting habits, claims principle, and the company's main objectives, will also affect the health insurance rate. Changes in hospital management and medical treatment, economic development, geographical environment and other conditions also have an impact on our prediction of future compensation.
Generally speaking, when buying insurance, you should consider the family economic situation, the insured's physical condition and the purpose of insurance, carefully compare the focus of the two insurances, and choose the one that suits you best!