Basic medical insurance

Turn active enrolment into a usable hospital route

Separate the national insurance record from local provider, credential and settlement rules, then use the implementation guide for the city that holds or receives the claim.

9practical source-linked guides

Use this collection to prepare

Prove the active record
An employer deduction, work permit, social-security number or app login does not by itself prove that current medical-insurance entitlement is usable.

Follow the insured place
The pooling area controls important benefit and administration rules; the hospital and place of care control other operational steps.

Match every identity layer
After a passport change, update the responsible records in sequence instead of assuming one corrected card changes the insurer, hospital and employer systems.

Complete collection

9 focused guides

Each guide states its source scope, review date and next scheduled check. Local examples are not presented as nationwide promises.

All healthcare guides

Establish and use the national record

Confirm enrolment, active entitlement, the accepted credential and the exact status recorded at the hospital before relying on direct settlement.

Follow the city implementation

Use the current local route for designated providers, provider selection, credentials, settlement and reimbursement instead of importing another city's rules.

Keep identity and location changes traceable

Correct identity records after a passport change, transfer the relationship after a qualifying move, or file the separate cross-province route for temporary care.

Scope boundary

This collection explains administration for people whose basic-medical-insurance participation may already exist. It does not determine whether a person is eligible, promise that contributions or benefits are active, quote an individual reimbursement amount, choose a provider or treatment, or replace the responsible medical-insurance agency, hospital or emergency service. City rules are dated local implementations and must not be generalized across China.

Looking for a spouse or child's route?

Eligibility is separate
An employee's active record does not automatically enrol a dependant in resident medical insurance.

Newborn timing is local
Application windows, payment years, waiting periods and start-from-birth effects must be checked in the controlling city rule.

Open resident & child medical insurance

Managing recognised long-term outpatient treatment?

Diagnosis is only the clinical layer
The insured place separately controls the disease catalogue, recognition, validity, selected institution and benefit parameters.

Cross-province access is conditional
Recognition, filing and the exact provider's disease-specific connection must all be verified before relying on direct settlement.

Open outpatient chronic & special-disease benefits

Was the care connected to a work accident or occupational exposure?

Basic medical insurance is not the work-injury decision
Keep emergency payment, ordinary medical-insurance use, employer reporting and the work-injury recognition route separate.

Use the responsible work-injury channel
Participation, recognition, agreement institutions, rehabilitation, assessment and benefit payment each require their own current record.

Open work-injury insurance & occupational health

Need time away from work for a non-work-related illness?

Medical insurance is not sick-leave approval
Hospital settlement, a clinician's certificate, employer leave, sick pay and the statutory medical period are separate records.

Use the employment and city rules
Confirm the actual contract, lawful company process, local wage standard, service history and accumulated absence before relying on a calculation.

Open sick leave, medical period & return to work