
Navigating the healthcare system in China can be overwhelming, especially when it comes to understanding health insurance. The Chinese government has implemented a multi-layered healthcare system, which includes basic medical insurance, work-related injury insurance, and medical savings accounts.
Basic medical insurance is mandatory for urban residents, covering around 90% of medical expenses. This includes hospital stays, surgeries, and outpatient care.
In China, health insurance is categorized into two main types: urban and rural insurance. Urban residents are required to purchase basic medical insurance, while rural residents have a more limited coverage.
China's health insurance system is designed to provide financial protection for individuals and families.
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History and Structure
China's healthcare system is quite complex, but I'll break it down for you. The country has almost universal coverage through publicly funded basic medical insurance. Employed residents, including foreigners, must enroll in an employment-based program, which is funded primarily through their employers.
The system works on a personal account basis, where each employee pays social security contributions that allow them to finance their outpatient care and medication. Expenses below 10% of the employee's annual salary are fully covered.
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There's also a common hospitalisation fund that covers 50% to 80% of the expenses incurred, as long as they fall within a minimum threshold of 10% of the local annual average wage and a maximum cap of 6 times the local annual average wage.
Interestingly, the basic scheme often requires insured residents to pay out of pocket to supplement their medical expenses. This is where private health insurance comes in, helping to cover cost-sharing and coverage gaps.
In some areas, expats may not be required to support the local healthcare system by paying taxes, which means they won't be covered by public healthcare. However, in most cases, expats are covered by the public healthcare system.
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Medical System Perspectives
China's healthcare system is quite complex, but I'll break it down for you. There are two medical systems available, one using modern healthcare practices and the other adopting traditional Chinese medicinal practices.
The basic medical insurance in China is publicly funded and provides almost universal coverage. Employed residents must enroll in an employment-based program, which is funded primarily through their employers. This system works on the basis of personal accounts and a common hospitalisation fund.
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Here's a breakdown of how the system works:
The basic scheme often requires insured residents to pay out of pocket to supplement their medical expenses. This is where private health insurance comes in, helping to cover cost-sharing and coverage gaps.
Conclusions
China's medical insurance system has made significant progress over the past 20 years, despite its costs.
The integration of public health, clinical treatment, and sustainability of the system is a key consideration for the government.
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Healthcare in China
Healthcare in China is a complex system with different types of medical insurance for various groups of people.
In China, urban employee basic medical insurance is obligatory, meaning it's mandatory for employers to provide it for their employees.
The employer contributes 6% of the salary cost, while the employee contributes 2% of their salary.
The self-employed can also benefit from this insurance, but they must make all contributions themselves.
For non-enterprise residents, health insurance is paid for by themselves and the state, which means the government provides some financial support.
For the unemployed or those on social assistance, insurance is subsidized by the state, which means they receive some financial assistance to cover their healthcare costs.
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Expats and International
As an expat in China, you'll want to consider international health insurance to ensure you have access to quality medical care. Many Chinese employers provide supplementary health insurance, but the coverage can vary greatly between policies.
Some international health insurance policies, like MyHealth International COMFORT, offer flexible coverage that can be tailored to your specific needs and extend to several countries. This can be especially useful if you plan to travel extensively or have family members living abroad.
Having a strong health insurance package is essential when living and working in rural areas, where many medical facilities only accept cash payments. Consider choosing a policy that guarantees access to top-tier hospitals, like Cigna Healthcare, which offers a broad network of 1.65 million hospitals, doctors, and clinics worldwide.
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Choosing Local or International
Choosing local or international health insurance in China can be a daunting task, especially for expats.
Residents in China get a considerably low level of reimbursement for healthcare expenses from their basic cover. This is even more so when they use the private sector, whose fees are often very high.
Many local insurers' health insurance policies have high deductibles, coverage limits, and waiting periods, which can leave you with unexpected medical expenses. Some drugs or tests may not be included, and some medical treatments might not be covered.
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International Help

Living in a foreign country can be daunting, especially when it comes to accessing healthcare. Hospitals in China are ranked by a set of criteria, with Tier One being the top-tier offering the best all-round care.
Having a strong health insurance package is essential, especially when living in rural areas where many medical facilities only accept cash payments. This can be a major concern for expats who may not have a steady income or access to local banks.
You'll want to look for a health insurance package that guarantees access to the nearest top-tier hospital, which is typically the best option for comprehensive medical coverage. This will give you peace of mind, knowing you and your loved ones have access to quality care.
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Choosing a Plan
Residents in China get a low level of reimbursement for healthcare expenses from their basic cover, making supplementary health insurance highly recommended.
Local insurers' health insurance policies can have varying coverage, with some drugs or tests not included and high deductibles, coverage limits, and waiting periods.
Given these limitations, many people consider taking out international health insurance, which can be tailored to their needs and offer a higher level of coverage, possibly extending to several countries.
Why Choose Cigna?
Choosing Cigna for your health insurance needs in China can be a smart decision. With a range of healthcare insurance packages available, you can find a package that suits your needs.
You'll get access to a broad, global network of 1.65 million hospitals, doctors, and clinics. This means you'll have plenty of options for medical care, no matter where you are in China.
Cigna's customer care team is available 24/7, so you can get help whenever you need it. Whether you have a question or need to make a claim, their team is there to support you.
In addition, Cigna's network includes a range of medical treatments that may be limited in more remote areas. This means you can access the care you need, even in areas with limited medical resources.
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Private Plans
Private plans can be a good option for those who want more comprehensive coverage, but be aware that local companies may only provide services in Mandarin, making it difficult for expats to navigate the process.
Local companies provide a more comprehensive package, offering a wider variety of options when choosing a doctor or hospital.
However, local insurance policies can have varying levels of coverage, and some may not include certain drugs or tests, or have high deductibles and coverage limits.
International health insurance can be a better option for expats, as it can be tailored to individual needs and offers a higher level of coverage.
Some international healthcare providers, such as Cigna, Aetna, MSH, and Bupa, cater specifically to the needs of expats and offer policies that can be extended to several countries.
However, public hospitals may not accept or recognize international health insurance, so it's essential to understand what is covered by your plan and to be prepared to pay in cash first.
If you're considering taking out international health insurance, make sure to research the provider thoroughly and understand the specifics of your policy.
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Healthcare Services
In China, healthcare services are widely available and affordable, thanks to the country's universal healthcare system.
The government has invested heavily in building a vast network of hospitals, clinics, and medical facilities, ensuring that residents have access to quality care.
Most hospitals in China offer a range of services, including emergency care, surgery, and specialized treatments like cancer and cardiology.
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Find a Dentist in China
Finding a dentist in China can be a bit overwhelming, but don't worry, I've got you covered. You have a few options to choose from, including public, private, and expat-oriented hospitals, with prices increasing accordingly.
Standard health insurance rarely covers dental procedures, so make sure to budget enough funds for your dental appointments and possible treatments. This can be a significant expense, especially if you're not used to paying out-of-pocket for healthcare.
Contacting or attending the clinic of your preference is a common way to find a dentist in China. You can choose from one of the specialists there, or use online platforms to find a good local dentist.
Asking around for recommendations is a great way to find a reputable dentist. Your family doctor, colleagues, and friends may know a few good specialists or have valuable tips to share based on their own experiences.
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Giving Birth
Giving birth in China is relatively straightforward, especially if you're using public healthcare insurance, which covers most maternity expenses.
The cost of giving birth in China varies greatly, depending on the care you choose and the delivery type, with natural deliveries being generally less expensive than C-Sections.
Public hospitals in China typically charge between 2,000 to 10,000 CNY for giving birth, although prices can vary depending on the region and hospital.
Private clinics, on the other hand, can be much more expensive, with average costs ranging from 50,000 to 100,000 CNY or more.
If you're using private insurance, make sure your plan includes maternity care to avoid unexpected expenses.
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Plan Details
Health insurance plans in China offer varying levels of coverage, with different annual benefit limits. The core hospitalisation cover has an annual benefit limit of $1,000,000, which covers inpatient and daypatient treatment, as well as private room accommodation.
Inpatient maternity care is also included in this plan, providing comprehensive coverage for expectant mothers. Private room accommodation is a standard feature of this plan, ensuring a comfortable and peaceful stay during hospitalisation.
The paid in full plan takes it to the next level, offering an unlimited annual benefit limit. This means that most benefits, including inpatient and daypatient treatment, private room accommodation, and full cancer care, are paid in full, providing maximum protection for policyholders.
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Core Hospitalisation Cover
The core hospitalisation cover is a comprehensive plan that provides significant benefits. It has an annual benefit limit of $1,000,000.
This plan covers inpatient and daypatient treatment, giving you peace of mind in case of a medical emergency. You'll also have the option to stay in a private room.
Here's a quick summary of the core hospitalisation cover benefits:
- Annual benefit limit: $1,000,000
- Inpatient and daypatient treatment
- Private room
Paid in Full
Our highest level of coverage offers an unlimited overall annual limit, with most benefits being paid in full.
This level of coverage provides comprehensive protection for a wide range of medical expenses.
With an annual benefit limit of paid in full, you can rest assured that you're covered for the unexpected.
Some of the benefits included in this plan are inpatient and daypatient treatment, private room, and full cancer care.
Here are some of the key benefits you can expect:
- Annual benefit limit: Paid in full
- Inpatient and daypatient treatment
- Private room
- Full cancer care
Frequently Asked Questions
Is health insurance free in China?
In China, public healthcare is generally free for the majority of the native population and expats, but the availability of free healthcare can vary depending on the region you reside in.
Does China have a good healthcare system?
China's healthcare system has achieved international recognition for its management of medical services and public health, but faces new challenges with an aging population's increasing demand for care. Despite these challenges, China's healthcare system has made significant strides in improving public health.
How much does healthcare cost per person in China?
As of 2023, healthcare costs per person in China are approximately 6,425 yuan. This represents a slight increase from the previous year's expenditure of around 6,044 yuan.
Sources
- https://bmcglobalpublichealth.biomedcentral.com/articles/10.1186/s44263-024-00096-9
- https://pmc.ncbi.nlm.nih.gov/articles/PMC3761005/
- https://www.april-international.com/en/destinations/asia-pacific/health-insurance-in-china
- https://www.internations.org/china-expats/guide/healthcare
- https://www.cignaglobal.com/where-we-cover/china
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