Summary: How to buy insurance is the most reasonable? Since I started writing on the Internet to acquire clients, more than 200 clients have approached me for insurance. This question is asked by almost 80% of people. Let’s talk about it in detail today:



1. The correct order of insurance

2. How to buy insurance at different ages?

3. How should we choose different types of insurance, and how much insurance coverage should we buy for each type of insurance?

4. What should I do to buy insurance underwriting? How to tell the truth?

5. How to deal with insurance claims?

6. What matters should be paid attention to when buying insurance reasonably?


1. The correct order of insurance


1) Determine what to buy:


Generally speaking, due to differences in age, economic status, protection needs, etc., each of us configures insurance differently, but we all need to follow the following basic principles:

5 principles of insurance:


1. Do basic protection first, and then do savings and financial management


There are seven insurance policies in life, which are: accident insurance, critical illness insurance, medical insurance, life insurance, education funds, pensions, and wealth inheritance. The wrong order of protection and the insured object cannot solve the actual needs. If you buy the wrong one, you will spend money and not solve the actual problem.


As a doctor, you must first diagnose the client, and then treat it. It is irresponsible to give the patient any medicine that is not needed. So buying insurance is the same, first do basic protection: accident insurance, critical illness insurance, medical insurance, life insurance, and then do savings and financial management: education funds, pensions, wealth inheritance.


2. Protect adults first, then children and the elderly


What is the essence of insurance? It is a guaranteed source of income.


Only when the risk comes, will you know whether the insurance you bought is right. If you buy it for the child first, and the adult does not buy it, when the risk occurs, not only the source of income for the adult will be cut off, but also the child’s premium will not be paid. Therefore, insurance should protect adults first, and then children and the elderly.


3. Protect big risks first, then small risks


Because once a big risk occurs, the whole family cannot bear it, so it is necessary to transfer the risk. For small risks, such as outpatient expenses, it is also possible to choose risk retention. Generally, cars are insured, but I have never heard of buying insurance for bicycles. This is the reason.


4. First protect the first economic pillar of the family, and then protect the second economic pillar of the family


This is easy to understand. If two adults earn money at the same time, the one who earns more money should be insured first, or the insured amount should be higher.


5. Look at the terms of the contract first, then the company


This is very important. Many people take out insurance because they only look at the company, not the terms. This is why China's insurance industry is still full of chaos and complaints.


Because I didn't read the clauses, the clauses were written clearly and plainly, buying insurance is buying clauses, not buying a company. The clause says how to pay for it. Even if the insurance company is reorganized or acquired decades later, it will still not affect the claim settlement because there is a contract in hand.


If you buy insurance, the company is very large, but it does lack several high-incidence diseases. After many years, if these several high-incidence diseases unfortunately occur, and the clauses are not included, will the insurance company pay the claim because of the large number?


As for the 5 major insurance order principles, I will introduce them here. Speaking of which, let’s also talk about the S&P chart, which will help everyone to make their own family insurance plans more clearly and clearly.

2) Compare insurance products:


When we buy something, we will inevitably compare it with other similar products, and the same is true when buying insurance. However, the terms of insurance contracts are generally obscure and difficult to understand. We might as well learn the following tips to quickly shop around.


1. The principle of equal conditions


For the same type of insurance products, we can compare the insured amount under the same premium, and then compare who pays less under the same insured amount.


2. The principle of key priority


If they are insurance products of the same type, they cannot be effectively compared functionally. Then, we choose the most needed insurance function as the priority.


3. Comparison of key indicators of insurance types


For medical insurance, we can compare indicators from insurance coverage, waiting period, renewal, insurance amount, hospital visit restrictions, whether to reimburse medical expenses outside social insurance, reimbursement ratio, deductible, and green channels for medical treatment.


For accident insurance, we can compare insurance coverage, compensation ratio, deductible, disability and death protection and other indicators.


3) Read the insurance contract


As we all know, insurance contracts are generally more professional and difficult to understand. For example, what should I do if the insurance contract is lost, and can I still settle claims normally? In addition, there are some key clauses that cannot be ignored. Specifically we do:


1. Verify routine information


Including personal information, name of the insured, beneficiary, contact information, etc.


2. Clarify insurance liability


Regarding the scope of insurance coverage and claims settlement, we should not only focus on it, but also pay special attention to the exclusions, that is, several situations in which the insurance company does not settle claims.


3. Pay attention to several key points


The waiting period of insurance products, renewal rules, surrender mechanism, claim settlement process, etc., are all things we need to understand clearly before applying for insurance.


4) Check the policy after purchasing the policy


After we have successfully purchased the insurance, not everything will be fine. We also need to verify the authenticity of the insurance policy through the insurance company's hotline or official website. Generally, we can check by dialing the customer service hotline of the insurance company, following the official WeChat account of the "insurance company", logging into the official website of the insurance company, and downloading the official app of the insurance company to log in.


5) About renewal


For short-term insurance, it is usually guaranteed once a year. If we unfortunately have an accident within the insurance period, it is unknown whether the insurance company can renew the insurance after paying the compensation. Insurance companies have different conditions for renewal. Similarly, you need to pay special attention to the relevant regulations.


To sum up, if you want to apply for insurance correctly, you must know the above five steps, so as to help us choose a truly suitable insurance product.









2. How to buy insurance at different ages?




1) Childhood period: 0-18 years old


Many families consider buying insurance after the birth of their children, but in fact, since the children have no job and cannot generate income, it is not a wise choice to spend a large amount of budget on purchasing insurance for their children at this stage.


What are the characteristics of children?


no family financial responsibility


Curious and lively


High incidence of some major diseases (such as leukemia)


Insurance Configuration Suggestions


1. Accident insurance


Children are active by nature and are prone to bumps, scratches, and burns. Therefore, medical expenses caused by accidents are the focus of our attention.


2. Critical illness insurance


Due to the high incidence of critical illnesses in children, it is also necessary to have critical illness insurance for children. In the case of a reasonable policy configuration for adults, priority should be given to purchasing long-term or life-long multiple claims critical illness insurance, after all, it is relatively cheaper to buy at this time.


3. Medical insurance


Minors must buy children's medical insurance and add appropriate commercial medical insurance.


4. Financial insurance


If family members are fully protected and economic conditions permit, you may consider purchasing financial insurance for your children.






2) Entering the society for the first time: 18~30 years old


This age belongs to the stage of entering society, which has the following characteristics:


unstable income


Family stress is generally low


Generally good physical fitness


Due to the good physical condition at this stage, according to statistics, the incidence rate is the lowest stage in a lifetime, so this stage is a very important transition period.


Insurance Configuration Suggestions


1. Accident insurance


The probability of accidents is generally only related to the type of occupation, and has little to do with age and gender. The probability of an accident at the age of 18 is roughly the same as that of a person at the age of 60, so accident insurance is necessary regardless of age.


2. Critical illness insurance


Although people in this age group have relatively limited disposable income, it is still recommended to choose lifelong critical illness insurance as much as possible, and don’t regret not buying it after you are 30 years old.


3. Medical insurance


At the stage of limited income, you are more worried about not being able to see a doctor. It is recommended to choose the combination of "social security + million medical care".


Social security is a national welfare, which must be bought! And the million-dollar medical insurance is not limited to social insurance, 100% reimbursement beyond the deductible, and the most important point is that it is cost-effective, with a few hundred yuan a year and an insurance coverage of several million.






3) Start a family and start a business: 30~50 years old


At this stage, people generally form their own families. Although income has increased significantly, family consumption has also gradually increased.


Family pressures such as mortgages, car loans, children going to school, parents providing for the elderly, etc.


The body begins to have minor problems


planning for retirement


Therefore, at this stage, the insurance plan should be configured from the perspective of the family, in which the protection of the family's economic pillar must be sufficient to ensure the ability of the entire family to resist risks.


Insurance Configuration Suggestions


1. Accident insurance


Accident insurance is a must, and it is recommended to configure accident insurance with an insured amount of about 1 million.


2. Critical illness insurance


It is recommended to purchase long-term or lifetime critical illness insurance. Because at this time, the body has already entered a period of high incidence of diseases, and insurance premiums have increased year by year. Once you miss this age, it is really uneconomical to buy critical illness insurance!


3. Life insurance


It is strongly recommended to buy term life insurance, because term life insurance is the most return to the essence of insurance among all products. At this stage, family responsibilities are very heavy, with seniors and juniors, as well as mortgages and car loans. If there is a risk of death, then through insurance claims, a sum of money can be left for the family. The life insurance coverage is recommended to cover the mortgage and car loan + 3-5 years of family living expenses + the money needed by parents for retirement.


4. Medical insurance


The allocation plan of "social security + million medical insurance" is suitable for most people. First of all, social security is a national welfare. There is already a basic guarantee, plus millions of medical insurance as a supplement, which basically covers the cost of treating serious diseases for ordinary people.






4) Enjoy your old age: over 50 years old


This age begins to gradually enter old age, with the following characteristics:


Family responsibilities and financial pressures begin to decrease


All the big and small problems of the body came


The risk of disease increases year by year


There is less and less insurance to buy, and the premiums are getting higher


Insurance Configuration Suggestions


1. Accident insurance


The physical condition of the elderly is not as good as before, and the risk of falls and injuries increases. At this stage, it is recommended to configure an accident insurance that includes accidental medical treatment.


2. Cancer prevention


At this time, it is not cost-effective to buy critical illness insurance, and you can choose to buy anti-cancer insurance. According to data released by the China Insurance Regulatory Commission, claims for cancer (malignant tumor) account for 60% of all critical illnesses. And anti-cancer insurance is a kind of health insurance with looser underwriting, and people with diabetes and three highs can also buy it.


3. Cancer prevention medical insurance


The underwriting of million-dollar medical insurance is stricter than that of critical illness insurance. If you exceed the age of insurance, or your health condition is not good enough, you will basically bid farewell to million-dollar medical insurance. At this stage, cancer prevention medical insurance can be considered.


4. Life insurance


If you have a longer-term plan to inherit assets, you can consider purchasing whole life insurance. Through whole life insurance, there is no need to pay inheritance tax, leaving assets to the next generation. Good steel spends wisely, and buying insurance should not only vary from person to person, but also from time to time.


If you are young and healthy, it is easy to meet the conditions for insurance coverage. When you are older, you may be rejected by the insurance company or have to add money to the standard premium. Therefore, you must apply for insurance as early as possible!











3. How should we choose different types of insurance, and how much insurance should we buy for each type of insurance?




Next, let's analyze in detail which insurances to buy to deal with risks, and then how to buy them is the most practical, and how much insurance coverage is most appropriate for each type of insurance:


Insurance cannot prevent risks from happening , but insurance can transfer family economic risks . Family economic risks are divided into two aspects: the risk of income interruption and the risk of large expenditures. Next, we will talk about them separately:


1. Risk of income interruption, under what circumstances will our income be interrupted? Let's take a look at each:


a. In the case of a serious illness, such as a malignant tumor, there will generally be a treatment period of 3-5 years, and during the treatment period of 3-5 years, we will not be able to work, resulting in a loss of our income , needs to be compensated, critical illness insurance is to deal with this risk, so the insurance amount of critical illness insurance is recommended to be at least 3-5 times the annual income. As shown below:



After talking about the insured amount of critical illness insurance, let's take a look at how to choose the type of critical illness? We are confirming the details. There are 3 generations of critical illness insurance products:


The first generation, a single claim for serious illness, such as: a certain Anfu, etc.,


The second generation, multiple compensation for serious illness, divided into groups


In the third generation, multiple compensations for serious illnesses, no grouping.




I suggest choosing the third generation, it will be better.


As the average life expectancy of our generation increases year by year, and the level of medical care continues to improve. The probability of multiple claims for critical illnesses is increasing. Therefore, for the first guarantee, it is recommended to choose multiple claims for critical illness without grouping. Later, according to the continuous increase of income, you can increase the insurance to increase the insurance amount. (The analysis of the types of critical illness insurance is shown in the figure below)



Finally, there is the question of how to choose an insurance company:


Every family has different income and expenditure, experience, personality, etc. It is very important to make choices according to your own ideas. Some people like the well-known "big companies", while some people think that cost performance is very important, so they can choose according to their own choice. Our brokerage company can meet the needs.


In the end, which critical illness insurance is most suitable for you, first determine the insured amount and product type, and then decide which critical illness product to choose according to your affordable budget. As shown in the figure below, the focus is on brand and protection Responsibility, or cost performance. Try to think about it as much as possible, and don’t put yourself under pressure because of the premium payment. After all, we have many other expenses besides buying insurance.



b. In the event of a death risk, life insurance (as shown in the figure below) is to deal with this risk. Now the two members of the family are jointly creating income, maintaining housing loans, car loans, elderly support, children’s education expenses, living expenses, etc., if any The death of one party will deal a great blow to the remaining people, and it usually takes about 10 years to climb out of this pit;


Even if you are single, if there is a risk of death, there is no one to take care of your parents. In addition to mental shock, there is no financial support. Therefore, it is still necessary to buy life insurance to deal with the risk of death. The recommended amount of life insurance is to more than 10 times the annual income.


Because before retiring at the age of 60, we are in a period of responsibility for the elderly and the younger. After the age of 60, the children are older and do not need us to take care of them. The responsibility on our shoulders is gone, and the risk of death is small for the family. Therefore, you can consider term life insurance to deal with the risk of death during the liability period. The premiums of term life insurance are relatively low, and many people choose term life insurance. For example: 30 years old, female, 1 million insured amount, insurance until 60 years old , Pay the premium until the age of 60, and the annual premium is about 600.


Of course, some people also choose to buy whole life insurance. The premium of whole life insurance is relatively high, and it is generally used for inheritance. For example: 30 years old, female, 1 million insured amount, lifelong protection, payment period of 30 years, annual premium of 12,000 about.


Whether you want to buy a lifetime life or a term life, you can decide according to your own needs. Although a term life is cheap, it is a consumption type. Although a lifetime life is more expensive, many Chinese still like the idea of ​​getting money back. Therefore, what is suitable is the best.



c. In the case of disability risks, general earthquakes, car accidents, etc. will not lead to direct death, but may cause disability or even painful disability. It leads to interruption of income, so the risk of disability is higher than that of death. Accident insurance (as shown in the figure below) is to deal with this risk. Therefore, it is more reasonable to suggest that the amount of accident insurance should be 1-1.5 times the death rate.




However, the accident insurance with high cost performance is also relatively cheap, about 300 yuan/year, which can guarantee the insurance amount of 1 million. If you want more comprehensive protection, you can also purchase accident insurance with more comprehensive insurance responsibilities, which can reimburse social insurance for external use, with an insured amount of 1 million, about 1,450 yuan a year. Generally speaking, the premium expenditure of accident insurance is not much. How to choose depends on your budget.





2. The risk of large expenditures, medical insurance is to deal with this risk (as shown in the figure below), medical insurance can be divided into similar products: small medical care, million medical care, mid-end medical care, high-end medical care, and what we buy What are the differences between health insurance?




How should we choose? Why buy medical insurance and buy commercial medical insurance?


First of all, the protection of medical insurance is insufficient, there will be two problems,


One is that there is an upper limit for reimbursement, and the upper limit is generally 200,000. For example, if I spend 600,000 a year on treatment, then 400,000 will be borne by myself;


There are restrictions on the reimbursement of the two drugs. Medical insurance can only reimburse Class A drugs and a small part of Class B drugs, while Class C drugs and a very large part of Class C drugs cannot be reimbursed. Therefore, in addition to medical insurance, it is necessary for us to add a commercial medical insurance.


Then, small medical insurance, the general insurance amount is about 10,000 or 20,000, and some small hospitalization medical expenses are reimbursed;


The insured amount of a million-dollar medical treatment is generally 2 million, but there will be a deductible of 10,000, that is, the less than 10,000 is borne by the insurance company, and the insurance company is responsible for more than 10,000, so the experience of reimbursement is not particularly good;


Then there is the middle-end medical care, you can choose 0 deductible, and go to the special needs department of the public hospital to see a doctor, and choose product liability according to the premium budget;


Finally, there is high-end medical care, which can not only go to public hospitals for special needs, but also directly pay the expenses of private hospitals, and the scope of protection can be extended to global responsibility. But insurance premiums are also relatively high.




Sun Yajie: How to buy high-end medical care? How much is high-end medical insurance a year?




How we choose the medical insurance that suits us depends on our usual medical habits. If we go to a private hospital, or consider the medical resources in countries such as Japan and the United States, we can choose high-end medical care;


If you go to the international department and special needs department of a public hospital, you can choose mid-range medical treatment;


If you just go to the general department of a public hospital, then million-dollar medical treatment or mid-range medical treatment with 0 deductible will do;


As for the small amount of medical treatment, many people buy it with a million-dollar medical treatment to make up for the 10,000 deductible.




Take a 30-year-old person as an example, choose a million-dollar medical insurance with a coverage of 2 million, and the annual premium is about 300; mid-range medical insurance with 0 deductible, the premium is more than 700; For high-end medical care, the premium starts at 8,000 depending on the insurance liability.





To sum up, four basic guarantees: critical illness insurance, medical insurance, accident insurance, and life insurance. Each person calculates the appropriate amount of insurance according to his or her own situation, and then makes specific allocations and choices based on the budget. For more insurance and selection issues, I will help with insurance policy sorting, demand analysis, design plans, and assistance with insurance and later claims.

Next, after the protection type insurance is completed, you can use the insurance to make education funds, pensions, and wealth inheritance:

Sun Yajie: Which type of annuity insurance is right for me? In-depth analysis of various annuity insurance.


Attachment: Comprehensive evaluation of critical illness insurance products:

Share an actual insurance case:


The child was born on April 7, 2016. At that time, the parents found me, and the demand was to provide serious illness insurance and education funds for the child. After demand analysis, the final insurance plan was: 500,000 critical illness insurance, 2 million insurance coverage for millions of medical treatments, Accident insurance 200,000, education fund 10,000/year.


The insurance plan shown above is for your reference. Every family is different, just choose the one that suits you.


This complete article should be the most sincere advice on buying insurance in history. It can solve 99% of the problems of buying insurance. Thank you for sharing it with your friends. I hope that my research experience can help more people who are troubled by insurance people. We can perfectly transfer our own risks through insurance, a financial product. As long as you are willing to take the initiative to contact and learn, you will find that insurance is not that difficult. A reasonable insurance plan is definitely the cornerstone of family financial security. I hope everyone is well.

4. What should I do to buy insurance underwriting? How to tell the truth?


This is a very, very, very important link in our insurance application process. Many people's claim disputes occur in this link.


Do I have to have a medical examination to buy insurance?


I had a small problem before, can you not tell me?


Isn't there a 2-year incontestable clause? Can I survive for 2 years?

Next, we will truthfully inform the insurance clearly and clearly:


1. First of all, let’s talk about the issue of underwriting. There is basically no escape from health insurance: there have been problems with abnormal physical examinations and hospitalization records before. There are 5 conclusions in nuclear protection, namely:


Standard underwriting: Although there are certain physical conditions, such as mild fatty liver, single kidney stones, etc., the insurance company believes that this is not a big problem, and it can be underwritten like a normal person. When the time comes due to liver problems, the claim will be settled normally;


Excluded coverage: If the body condition is serious, such as grade 3 thyroid nodules, the insurance company believes that the future risk is very high, but it can be covered, that is, no compensation will be paid for thyroid problems in the future, and all other claims will be settled as usual;


Increased premium coverage: This is easier to understand. Increased premiums are better than excluded coverage. Although the premiums will increase a little, they can all be covered;


Rejection of insurance: the body condition is serious, and insurance cannot be purchased;


Postponement: The physical condition is serious, but there is still a chance in the future.


A little explanation: Generally, if you don’t have any abnormal medical examinations or hospitalization records before buying insurance, then congratulations, you are a pure standard body, and you can choose various insurance types and different products from various insurance companies.


But the actual situation is that I have been engaged in insurance for nearly 6 years, and the pure standard bodies I have seen are clearly countable. From 0 years old to 70 years old, as long as they have undergone a physical examination, they will basically have various physical conditions. .


Don’t worry too much if you have a physical condition. You must tell the truth. Don’t believe that some unprofessional practitioners use the 2-year incontestable clause to make things happen, and they are induced to conceal the insurance. You must know that insurance has the principle of the greatest good faith, and it is not true on purpose. Notification can be refused.


As a professional insurance broker, what I can do is to help you do the underwriting of multiple companies, to get the best underwriting results, and finally, to buy insurance according to the most beneficial results for us.


To sum up, if you still don’t know how to choose the most suitable product for you, what to do when you apply for insurance, and then the claim will be settled more smoothly later, or you need to do a demand analysis to know your needs more clearly, you can private message me at any time . More insurance and related issues can be exchanged, thank you!

In short, the main factors affecting underwriting are the following:


1. Professional underwriting. People engaged in different occupations face different risks, and the impact on the compensation rate when purchasing insurance is also different. A freight driver who often travels long distances has a much higher risk probability than a white-collar worker in an ordinary company; a skilled worker who often works on the construction site also has a higher probability of risk than a restaurant service worker. Therefore, the occupation type It plays an important role in the purchase of insurance.


2. Financial underwriting. The design of many insurances will link the amount of insurance with the income of the insured to evaluate whether the amount of insurance purchased is reasonable and whether the insured is able to pay all the premiums. For example, the amount of critical illness insurance should not exceed 10 times, 8 times or 5 times the annual income. In other words, assuming you buy 500,000 insured amount, then your annual income must be at least 50,000 yuan.


3. Medical underwriting. Medical underwriting can be said to be the most stringent and most valuable part of risk control in underwriting, because this process usually requires people with some medical background or professional doctors to complete. It mainly focuses on the health status of the insured, and there are many factors that affect a person's health status, including age, gender, physique, personal habits, past medical history, existing medical history, family inheritance, etc.


When underwriting, the insurance company will superimpose the factors that affect the underwriting, and the superimposed tool is the extra mortality rate. When the excess mortality rate reaches a certain value or is higher than this value, a conclusion of fee increase will be given, and if it exceeds too much, a conclusion of refusal of insurance may be given.


For example, when we apply for insurance, the insurance company will set the underwriting rules in the system. If the customer system passes it, it will enter the charging link. This process is called automatic underwriting; if the automatic underwriting fails, it will enter the Manual underwriting. The underwriter will finally make an underwriting conclusion based on the specific situation of the insured after entering the manual underwriting, the content of the notification, and the medical examination or medical records provided.

How to choose the most favorable underwriting conclusion?


Although major insurance companies have their own underwriting manuals and standards, in fact, the points that each insurance company cares about may be more or less different. Therefore, even if there is the same situation, different insurance companies will have different underwriting conclusions.


If you are not confident about your health status, you may wish to choose multiple insurance companies to apply for insurance at the same time, and finally compare the underwriting conclusions of several insurance companies, and choose the one that is most beneficial to you.


Of course, if the results are very unsatisfactory, you can also try some methods such as smart underwriting and pre-underwriting.


Here is another problem that needs to be shared with you. It is the same problem, but there are also big differences in clinical medicine and insurance underwriting. For example, I went to the hospital for a physical examination and found abnormalities in my body. The doctor said that this abnormality has little effect and is a relatively common symptom. You don’t need to take medicine or drink water, just pay attention to maintenance. However, in insurance underwriting, there may be a big difference in treatment, and underwriters will be particularly cautious about this. A typical example of such symptoms is thyroid nodules.


Therefore, if the underwriting conclusion is not ideal, it is recommended that you can use other methods to try more. However, it is best to prepare insurance protection for yourself in advance when you are in good health.

5. How to buy insurance claims?


Let’s talk about what a normal claim is like:


1. Report the crime;


To put it simply, anyone can report the case, just call the insurance company's customer service number and tell the insured person's ID number, and the customer service staff will guide you into the follow-up link. Pay attention to the time requirements for reporting the case. The time limit for life insurance claims is generally 5 years, and personal insurance other than life insurance is generally 2 years .




2. Receipt;


This is a bit more complicated. In addition to the claim application form, different types of insurance have different material requirements. The claim staff will explain it in detail and divide it into two parts:


Applicant's certification information: It involves the identity and relationship certification documents of the insured and beneficiaries.

Proof of claim settlement: death certificate (death/account cancellation/cremation) involved in life insurance and accident insurance, medical appraisal of disability degree; pathology report and medical report of critical illness insurance; bill of expenses, invoices, operation records of medical insurance, etc.

3. Primary nucleus;


The acquirer will transfer the application materials to the review, and the reviewer will conduct preliminary verification. There are two possibilities:


If the materials are complete and the facts are clear and meet the requirements for claim settlement, the payment will be notified within 2-3 working days. If it exceeds this time, it means that the preliminary verification has not passed.

If there are obvious liability exemptions or suspected liability exemptions, enter into consultation or investigation (the amount or follow-up risk is small, and the liability exemptions are clearly transferred to the negotiation; otherwise, transferred to the investigation).


4. Consultation;


The coordinators will communicate with the insured (applicant). After verifying the situation, if the insured has no objection, it will be forwarded to review, and the compensation will be notified and how much it will be compensated. If the insured has any objection, the coordinator will transfer it to the investigation for further understanding of the situation.




5. Investigation;


Investigators will carry out detailed evidence collection, and we will discuss the details of the investigation later. The investigators will feed back the results of the investigation to the consultation, and the consultation will further communicate with the applicant.


The consultation and communication after the investigation is completed will form the final conclusion, and the applicant accepts or appeals through legal channels.


Looking at this process, there is no malicious insurance rejection department as shown in the movie. The operators follow the system and procedures. The insurance company pays the money not by the staff themselves. They don't need to deliberately reject the claim or make things difficult for the applicant. The probability and amount of these payments are also fully considered by the actuary before the product goes live.


In the entire claim processing process, the investigation is very important. Knowing what the insurance company investigates will help us understand health notifications more accurately when applying for insurance and avoid problems in claim settlement.




6. Summary


After you know the content and detail of the investigation when you settle the claim, you must not take chances when you apply for insurance. When filling out the health notice, ask about the medical history and answer it truthfully to avoid problems during the claim.


Well, the above is an introduction to the insurance company’s claim settlement process. In my opinion, understanding the claim settlement process and clear health notices can avoid most of the claim settlement disputes. After reading the product and knowing which product is suitable for you, you can buy it with confidence. insurance.




Next, let's talk about what everyone cares about, under what circumstances will the insurance not pay?


1. Not within the scope of guarantee


There are many types of insurance products, the most common ones are critical illness insurance, medical insurance, accident insurance, life insurance, cancer prevention insurance, wealth management insurance, etc. Different insurance products provide different protection contents. If you buy a life insurance, you will naturally not be able to pay for the diagnosis of a serious illness, unless the insured dies. Therefore, it is important to understand the scope of coverage of the insurance product before purchasing the insurance.


2. Failing to fulfill the obligation of health disclosure


Health notification is a very important link in the insurance application process, and it is a way for insurance companies to confirm whether customers are eligible for underwriting adjustments. If you deliberately conceal your health status, occupational category, income, etc. when applying for insurance, you may be rejected by the insurance company if you get out of danger later.


3. Out of danger during the waiting period


The waiting period is also called the insurance exemption period. If the insured is out of danger due to non-accidental circumstances, the insurance company will usually not bear the insurance liability. If the waiting period is strictly defined, the premium will be refunded directly and the coverage will be terminated.


4. Failure to meet claim settlement requirements


This is a very common reason for insurance companies to deny claims, especially in critical illness insurance. Many friends may think that critical illness insurance pays only when diagnosed, but in fact, the conditions for claim settlement are stipulated in the insurance clauses. Some diseases may require certain conditions to be paid, and some diseases may require certain types of surgery. Compensation, only a few diseases can be compensated immediately after diagnosis.


6. What should be paid attention to when buying insurance reasonably?

1. The risks that insurance prevents are divided into basic risks (serious illness, medical treatment, accidents, death), mid-range risks (children's education, pension, periodic large expenditures), high-end risks (marriage change, tax avoidance, wealth inheritance), according to Reasonably configure your own insurance needs.


2. Don't just look at the size of the company's brand, but focus on the insurance liability; understand the insurance terms clearly, and don't wait until the claim is settled to look at the insurance liability. Find a professional insurance broker to help you shop around and choose the most cost-effective product while paying attention to service quality.


3. When buying insurance, you must tell the truth, and don’t hide your physical health. Even if you barely succeed in buying the insurance now, it will be very difficult to settle claims in the future.


Things to pay attention to when buying insurance, except for your own social security and medical insurance, how much the insurance can pay. Commercial insurance, personal aspects are mainly critical illness insurance, and accidents. Many insurance companies have launched one-year insurance, with relatively low premiums and a period of only one year. Consider the ages of family members, and the primary source of household income. Premiums as a percentage of total household income. For the description of the insurance terms, various supporting materials, original and photocopies, are required at the time of claim settlement. To see clearly.


Financial insurance generally promises higher interest rates. But not many actually got it. Carefully consider financial insurance and check the redemption period. Before buying insurance, check online for the type of insurance you plan to buy. Go to the insurance company's website to check the detailed instructions, and ask people who have already bought insurance.


Always remember to review the insurance contract carefully. Once you get the contract, don't rush to sign it. Every clause must be read clearly and asked clearly. Don't bother. Pay attention to the options for deductibles and insurance responsibilities. Don't blindly believe the salesman of the insurance salesman. After the general contract is signed, there is a 15-day hesitation period.


Purchasing insurance brings us many benefits. It can bring protection and transfer risks. There are so many types of insurance now. It is best to choose according to your own financial ability and personal needs. What reminds everyone is the scope of insurance. You have to figure it out yourself, and you can't sign carelessly. The matters to be paid attention to are clearly listed above, and everyone must remember to pay attention to them.