Ping An Healthcare Management

What Ping An Healthcare Management does

Ping An Healthcare Management (平安健康保险股份有限公司) is a specialized health insurance company established in 2005 and headquartered in Shanghai, operating as a wholly-owned member company of China Ping An Insurance (Group) Company of China, Ltd. (601318.SH / 2318.HK). It is one of China's first dedicated professional health insurers and carries a consecutive AAA integrated risk rating from the Insurance Regulatory Authority. The core product franchise is the Ping An e Sheng Bao (平安e生保) million-yuan medical insurance family launched in May 2016, which pioneered the high-coverage short-term medical insurance category in China and has since expanded into over 100 products spanning standard, long-term guaranteed-renewal, family, children's, maternity, sub-healthy, and senior variants; critical illness; and accident insurance. Underlying technology combines AI-powered smart underwriting, precision risk control, health management, and a rapid "3S" claim settlement platform, with 499 patent applications, 43 software copyrights, and DNV information-security and privacy dual certification.

The business has shifted from a pure insurer to a "Health Insurance + Medical Care Services" dual-wheel model. The Ping An Le Health (平安乐健康) lifestyle digital platform, the Vitality GO (活力GO) behavior-incentive service, the Huo Li Bai Sui (活力百岁) full-lifecycle health solution, and managed-disease products such as Tai Xiang Xin An (泰享心安) for cardiovascular patients integrate insurance with health tracking, hospital accompaniment, home care, rehabilitation, and critical-illness case management. Distribution combines Ping An Group's 1.4 million+ agents and bancassurance channels, an enterprise field-sales team serving 85,000+ corporate clients covering 16 million person-times, direct digital self-service on app/WeChat/website, the 95511 hotline, and 25-city government-partnered urban-customized products (市民保/惠民保/沪儿保/苏儿保) covering 18+ million users.

Customer scale and medical network depth are central to the unit economics: as of June 2025 the company had 77+ million cumulative insured customers, paid 500+ billion yuan in cumulative claims (single largest claim 4.98 million yuan), processed 495.4 million claim cases and 69.3 billion yuan in payments in 2024, and operates a medical network of 15,000+ secondary-and-above hospitals across 334 Chinese cities plus 7,000+ direct-settlement providers across 200+ countries/regions. The firm employs 1,001-5,000 staff and reported 98.9% customer satisfaction on direct-settlement services.

Name

Ping An Healthcare Management

Legal name

平安健康保险股份有限公司

Website

https://health.pingan.com

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Ping An Healthcare Management (平安健康保险) is a Shanghai-based professional health insurance company founded in 2005 and wholly owned by Ping An Group, serving 77+ million cumulative customers with medical, critical illness, accident, and managed-disease insurance integrated with health management services across 15,000+ hospitals in China and 200+ countries.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)

SIC

Accident & Health Insurance (6321)

akta.pro primary industry

Healthcare Billing & Patient Payments Presentment (FSAMAJAH)

akta.pro secondary industries

Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ), Medication Pricing, Copay Assistance & Patient Financial Support Tools (HLACAKAN)

Keywords

• Health insurance
• Medical insurance
• Critical illness insurance
• Accident insurance
• Health management services

Headquarters

HQ city

Shanghai

HQ country

China

HQ region

Asia

Offices3 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure, Others

Revenue model

1. Health Insurance Premiums: Core revenue stream from medical insurance products including million-yuan medical insurance (e生保 series), family insurance, and chronic disease coverage. Products are offered on annual subscription basis with tiered pricing based on coverage scope and policyholder age.
2. Critical Illness Insurance: Revenue from one-year and long-term critical illness insurance products providing lump-sum diagnosis compensation. Includes specialized products for children, adults, and sub-healthy populations.
3. Accident Insurance: Premiums from accident insurance products covering accidental death, disability, and medical expenses. Includes specialized versions for children, flagship, and elderly segments.
4. Medical Services and Management: Revenue from integrated medical and health management services including hospital accompaniment, home care, emergency rescue, and critical illness case management, bundled with insurance products or offered as standalone services.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core offering

Ping An Healthcare Management underwrites and distributes health, critical illness, and accident insurance products to individual, family, and corporate customers in China, anchored on its flagship million-yuan medical insurance family "Ping An e-Sheng Bao." It wraps these policies with an integrated Ping An Le Health service platform that provides AI-driven health monitoring, hospital companion services, home care, direct billing at 15,000+ hospitals across 334 Chinese cities and 200+ countries, and post-illness rehabilitation.

Product overview

Ping An Healthcare Management (平安健康保险) operates as a professional health insurance company established in 2005 and headquartered in Shanghai, serving as a member of China Ping An Group. The company's product portfolio centers on the 'Ping An e Sheng Bao' (平安e生保) medical insurance family, which includes over 100 insurance products covering the full lifecycle of health, critical illness, and accident protection. The e Sheng Bao series spans flagship products like the standard million-yuan medical insurance (launched May 2016 pioneering the domestic market), long-term guaranteed renewal plans, family-oriented plans (Quan Jia Bao), children's plans (Shao Er Bao Bei 0 Mian Pei, Shao Er Bai Wan Quan Bao Xian), chronic disease plans (Yi Bao Ban for sub-healthy populations), and senior-focused plans. Beyond medical insurance, the portfolio includes critical illness insurance (Ping An e Sheng Fu), accident insurance (Ping An Bai Wan Yi Wai Xian), sports accident insurance, and maternity coverage (Hao Yun Xiang Ban). The company has evolved into a 'Health Insurance + Medical Care Services' dual-wheel drive model, supported by service brands including 'Ping An Le Health' (平安乐健康) for comprehensive health management, 'Huo Li GO' (活力GO) for health behavior incentives, and the 'Yi Qi Ai' (壹起爱) charity trust for social responsibility. The May 2026 launch of 'Tai Xiang Xin An' (泰享心安) extended coverage to managed cardiovascular disease insurance. A comprehensive medical network covers 334 cities, 15,000+ hospitals, and 200+ countries/regions for direct settlement services.

Differentiator

Problem solved

Functional benefit

Brands

• 平安e生保: 百万医疗险产品品牌，于2016年5月推出，引领国内百万医疗险行业创新
• 平安乐健康
• 活力GO
• 活力百岁
• 平安乐健康®
• 医院百事通
• 贴心儿女
• 泰享心安

Products and services

• Ping An e Sheng Bao Series (平安e生保系列) Flagship million-yuan medical insurance family covering hospitalization, outpatient, special treatment and drug expenses across standard, long-term, family, children's, chronic-disease and senior variants, marketed to individual and family buyers across China.
• Tai Xiang Xin An (泰享心安) Managed Cardiovascular Disease Insurance Management-style cardiovascular insurance for chronic-disease patients (hypertension, coronary heart disease) combining insurance protection with active health management, AI-driven health warnings and a Three-Doctor Co-management service model.
• e Sheng Bao Quan Jia Bao 2026 (平安e生保·全家保2026) Family Medical Insurance Family medical insurance with shared deductible and shared premium discounts covering the entire household under one policy.
• e Sheng Bao Chang Qi Yi Liao (e生保·长期医疗) 20-Year Guaranteed Renewal Medical Long-term medical insurance with 20-year guaranteed renewal, locking in coverage and price even after illness and claims.
• Shao Er Bao Bei 0 Mian Pei (少儿宝贝0免赔2026) Pediatric Zero-Deductible Medical Children's medical insurance providing zero-deductible outpatient, disease hospitalization and accident medical coverage for minors.
• e Sheng Bao Yi Bao Ban (平安e生保·易保版) Sub-healthy Medical Entry medical insurance priced and underwritten for sub-healthy buyers, including those with hypertension, hyperglycemia, nodules and other chronic conditions.
• Ping An e Sheng An Xin Zhong Duan Yi Liao (平安e生安心·中端医疗) Mid-Tier Medical Insurance Mid-tier medical insurance offering broad hospital coverage including special-needs wards for policyholders seeking higher service levels.
• Shao Er Bai Wan Quan Bao Xian (平安e生保·少儿百万全保险) Comprehensive Children's Coverage Comprehensive children's insurance bundling hospitalization, critical illness, outpatient, and accident protection in one pediatric policy.
• Shuang Zi Xing 2026 Yi Liao (双子星2026医疗) Dual-Protection Medical Dual-protection medical insurance allowing the policyholder to choose between zero-deductible minor-illness coverage and quality care for serious conditions.
• Ping An Hao Yun Xiang Ban (平安好孕相伴·孕产医疗) Maternity Medical Insurance Maternity medical insurance covering 45 pregnancy complication types and 30 newborn congenital disease types with up to 2M yuan in coverage.
• Ping An e Sheng Fu Yi Nian Qi Zhong Ji (平安e生福·一年期重疾) One-Year Critical Illness One-year critical illness insurance offering lump-sum diagnosis compensation for sub-healthy populations with pre-existing conditions.
• Ping An Bai Wan Yi Wai Xian Qi Jian Ban (平安百万意外险旗舰版) Million-Yuan Accident Insurance Million-yuan accident insurance covering accidental hospitalization, outpatient care, accidental death and disability for individual and family buyers.
• Ping An Yun Dong Yi Wai Xian (平安运动意外险) Sports Accident Insurance Sports-specific accident insurance offering up to 1M yuan in coverage with flexible, pay-as-you-go duration options.
• Ping An Le Health (平安乐健康) Service Platform Comprehensive health management service platform delivering the Five Good Healthy Life services (good checkups, exercise, eating, relaxation, sleep), hospital companion services, home care and critical illness case management to individual policyholders.
• Vitality 100 (活力百岁) Comprehensive Health Service Solution Full-period health management solution providing full health journey, full medical treatment process, and full disease course management across health, medical, and critical illness scenarios.
• Early Cancer Screening Service (NGS Methylation Liquid Biopsy) NGS methylation liquid biopsy blood-testing early cancer screening covering 8 high-incidence cancer types through structured biomarker data analyzed by predictive models to surface early risk signals up to 323 days ahead of conventional methods.
• Online Claims and Direct Settlement Service Digital claims processing and direct-settlement service combining online claims submission/tracking with the Discharge-3-Day Claim rapid settlement and direct billing at 15,000+ hospitals across China and 200+ countries.

Quantifiable outcome

• 77+ million cumulative insured customers as of June 2025
• +4 more outcomes

Named customers5 records

Segments6 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration10 records

AI capability10 records

Feature4 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• 北大医疗集团 (运动康复合作)coreStrategic or Co-development Partner · 14 June 2026Cooperation with Beijing University Medical Group for sports rehabilitation, posture correction, and weight management expertise, providing scientific exercise guidance to fitness enthusiasts at events.
• 乐刻运动 (Ledo Fitness)coreStrategic or Co-development Partner · 13 June 2026Strategic partnership for sports behavior incentives and active health management.双方共同推出'运动健康权益联名会员卡'等产品形态，依托乐刻运动覆盖一二线城市的逾2000家线下门店网络，构建'你运动、我奖励'的全民健康新模式，助力'健康中国2030'战略实施。
• 江泰保险经纪coreStrategic or Co-development Partner · 21 May 2026Jointly launched management-style cardiovascular disease insurance product '泰享心安', integrating主动健康管理理念 into product design for cardiovascular disease patients (hypertension, coronary heart disease), featuring '大救星' intelligent health monitoring service.
• 中国营养学会 (Chinese Nutrition Society)coreStrategic or Co-development Partner · 21 May 2026Partnership to establish '中国家庭健康厨房营养标准' (Chinese Family Health Kitchen Nutrition Standard), providing scientific dietary guidance and nutrition strategies for different population groups.
• 重庆医科大学附属第一医院coreStrategic or Co-development Partner · 15 April 2025Strategic cooperation for medical-insurance integration implementing commercial insurance direct settlement, proactive health management, and chronic disease full-cycle closed-loop management services in three major scenarios.
• 北大医疗集团coreStrategic or Co-development Partner · 1 October 2023Medical insurance collaboration providing comprehensive medical resources including Peking University International Hospital, experts network (41 national oncology experts, 469 provincial-level specialists), and charity trust '壹起爱' for poverty-stricken patients.
• 中华社会救助基金会minorStrategic or Co-development Partner · 1 October 2023Charitable partnership overseeing '壹起爱' charity trust, providing medical treatment and rehabilitation funding for impoverished children and elderly, with full-process supervision of beneficiary selection.
• 屈正爱心基金会minorStrategic or Co-development Partner · 1 October 2023Charity foundation partnership for congenital heart disease (CHD) children救助项目, with renowned cardiovascular surgeon Professor Qu Zheng leading expert team that has assisted over 600 CHD children.

Scale indicators12 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Bupa: International health insurance specialist offering individual and group health cover across multiple geographies; comparable in integrated health insurance + health services delivery model and cross-border direct settlement infrastructure.
• AIA Group (China Operations): Pan-Asian life and health insurance leader with significant China operations; offers overlapping medical and critical illness insurance products with broader geographic footprint, but not specializing solely in health insurance.

Direct peers

• Discovery Limited: South African-based global insurer pioneering the Vitality health-incentive model linking insurance premiums with health behaviors — directly comparable to Ping An Healthcare Management's Vitality GO and Five Good Healthy Life engagement platform.
• Sunshine Life Insurance: Private-sector Chinese life and health insurer with growing medical insurance portfolio targeting families and sub-health populations, comparable in product positioning to Ping An Healthcare Management's e-Sheng-Bao family.
• China Pacific Life Insurance (CPIC Life): One of China's largest life and health insurers, offering medical, critical illness, and accident insurance products alongside group employee benefits — directly comparable business model, product mix, and distribution channels to Ping An Healthcare Management.
• PICC Life Insurance: State-backed life/health insurance carrier in China serving individual, family, and group customers with medical and critical illness coverage; competes with Ping An Healthcare in the same product categories and bancassurance distribution.

Regional players

• Manulife-Sinochem Life Insurance: Chinese-foreign joint venture life and health insurer offering medical insurance, critical illness, and group benefits; comparable in regulatory positioning and target segments, though with smaller scale than Ping An Healthcare Management.

Emerging players

• Alibaba Health (00241.HK): Operates a flagship healthcare e-commerce and services platform in China (pharmacy, diagnostics, online consultations); overlapping with Ping An's Ping An Le Health ecosystem but positioned as a platform rather than an insurer.
• JD Health (06618.HK): Major integrated healthcare platform in China combining pharmacy retail, online consultation, and consumer health services; comparable on the health-services side of Ping An's dual-wheel model but lacks the insurance underwriting arm.
• Ping An Healthcare and Technology (01833.HK): Sister company under Ping An Group operating digital health services, online consultations, and pharmaceutical retail; addresses the same health-services ecosystem but through a platform rather than insurance underwriting model.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat7 records

Key risks5 records

Key highlights7 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds1 record

Investors4 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Ping An Healthcare Management