Needs, concerns, and barriers
Insights from the 2025 Retirement Readiness in Asia survey by the Society of Actuaries and RGA highlight growing anxiety among pre-retirees and retirees in Japan and Taiwan. More than 90% expressed concern that rapidly aging societies are constraining governments’ ability to provide adequate support.
Reduced public medical coverage and pensions — combined with rising medical and general inflation — are placing increasing pressure on individual retirement preparedness.
Nearly 90% of respondents identified insufficient savings for medical treatment, critical illness, disability, and cognitive decline as their top concern. Demand for long-term care and dementia coverage is rising sharply: More than 50% of respondents in Japan indicated interest in purchasing long-term care protection and dementia coverage.
In Taiwan, where guaranteed lifetime annuities are increasingly viewed as essential protection against longevity risk, close to 90% of respondents expressed interest in added protection.
Despite this demand, seniors face persistent barriers to insurance access. Studies across eight aging Asian markets show that affordability, limited coverage due to pre-existing conditions, and complex policy terms remain significant obstacles for consumers aged 55 to 80.
Sustainability challenges
The sustainability of healthcare funding is emerging as a critical challenge for both public systems and private insurers. Rising demand for private healthcare, coupled with medical inflation, ultimately results in higher insurance premiums.
Insurers, as major payors within the healthcare ecosystem, play a pivotal role in managing cost, quality, and access to care. Many have established internal healthcare management teams or partnered with specialists to better manage provider networks — an essential step in preserving long-term affordability and value.
Designing protection for seniors
To serve the aging population effectively, insurance products must be aligned with seniors’ real and evolving needs, both immediate and long-term, while remaining adaptable to future medical and societal change.
As highlighted in the RGA and SOA seniors’ research, opportunities exist across four broad areas of product design and benefit structuring:
- Chronic disease management
- Tools and resources to better understand current health status
- Access to wellness interventions
- Opportunities to engage in tailored social and physical activities
Central to success is ensuring that coverage is accessible and affordable through more inclusive underwriting and pricing frameworks.
A more effective approach to senior risk assessment focuses on granularity rather than exclusion. Key considerations include evaluating disease severity rather than diagnoses alone and incorporating senior-specific risk factors such as frailty, mobility, functional ability, and cognitive state.
Technology can play a transformative role. Tools such as facial scans, gait analysis, digital cognitive assessments, and wearable data offer objective insights that can streamline underwriting, reduce the need for invasive testing, and enable faster, simpler onboarding while supporting more accurate risk stratification.
Education, trust, and market development
Beyond product and risk design, insurers have an important role in educating consumers about retirement preparedness and protection planning.
An example from Taiwan illustrates how progress can be achieved. Senior insurance products were historically expensive and tightly underwritten. In partnership with RGA, several insurers gradually redesigned offerings with simpler benefits, leaner processes, and more inclusive underwriting.
These changes improved transparency, empowered distribution, and built trust. Over time, insurers were able to expand product scope, activate bancassurance channels, and engage adult children – who increasingly participate in purchase decisions for their elderly parents – now accounting for more than 20% of sales.
While demographic, cultural, and public system differences shape each market’s path, the challenges of aging are broadly shared across Asia. The Taiwan experience demonstrates practical approaches for strengthening protection and healthcare security across the region.
Conclusion
Asia’s rapid demographic shift toward longevity is reshaping how protection, healthcare, and retirement security must be designed and delivered.
By combining inclusive product design, data-driven risk assessment, technology-enabled underwriting, and sustained consumer education, insurers have a pivotal opportunity to strengthen trust and build lasting protection solutions for aging populations across Asia.
To learn how these insights can help you design more effective, inclusive protection solutions for Asia’s aging population, contact us to continue the conversation.