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To implement the State Council guidance on improving the employee basic medical insurance outpatient mutual-aid mechanism, regions across China have issued policies to establish outpatient pooled coverage, standardize chronic and special disease outpatient benefits, and adjust personal account allocations.
New changes to Guangzhou medical insurance benefits.
New changes in Guangzhou medical insurance personal account reform.
Q&A on individual accounts under Guangzhou Employee Basic Medical Insurance.
Newborns enrolled in Guangzhou Urban and Rural Residents’ Medical Insurance within six months of birth and with the annual premium paid may receive benefits from the date of birth. If enrollment spans two insurance years, premiums for both years must be paid. This guide covers fees, application methods, payment, and contact details.
Employees who suffer an accident injury at work or contract an occupational disease and whose case is recognized as a work-related injury are entitled to work-related injury insurance benefits. Those assessed as having lost working capacity are entitled to disability benefits.
Under work-related injury insurance policies, eligible insured persons may have medical expenses for approved work-related injuries or occupational diseases paid by the work-related injury insurance fund when the expenses meet national catalogues or standards. Outpatient and inpatient costs at our hospital may be settled by direct billing for eligible patients in Guangzhou and within Guangdong Province.
Guangzhou Huaxin Orthopedic Hospital provides real-time medical insurance settlement within Guangdong Province and across provinces through designated cross-region platforms. If immediate settlement cannot be completed at the hospital, patients should pay first and apply for reimbursement through the medical insurance agency at their insured place.
![[Patient Guide] Inpatient Care Guide for Medical Insurance Patients at Guangzhou Huaxin Orthopedic Hospital](/uploads/articles/insurance-283-cover-c823b27c8b.png)
For admission, bring your admission card, medical insurance card, and valid ID to the Admissions and Discharge Office, pay the inpatient deposit, complete identity verification and information entry, then receive inpatient care. For discharge, bring the required documents for verification, settlement, signature, payment, and discharge.
Reminder for insured patients: before your consultation, please register, pay the registration fee, present your medical insurance card and medical record, provide accurate information, and do not use another person’s card. During the visit, physicians will verify your ID and insurance card in accordance with regulations.
![[Medical Insurance Policy] Regulations on Work-Related Injury Insurance](/uploads/articles/insurance-281-cover-243d30fe1c.png)
Regulations on Work-Related Injury Insurance, promulgated by State Council Order No. 375 on April 27, 2003 and revised in accordance with the State Council decision of December 20, 2010, set out rules on coverage, funds, injury recognition, work capacity assessment, benefits, supervision, and legal liability.
These Measures regulate the administration of designated medical institutions under Guangzhou’s medical, work-related injury, and maternity insurance programs, setting out qualification criteria, application and approval procedures, service-agreement requirements, assessments, violations, and related responsibilities.
Guangzhou now supports direct settlement for eligible cross-region hospitalization, general outpatient care, and specified outpatient diseases in Guangdong Province, as well as inter-provincial hospitalization and general outpatient expenses. Insured persons who have completed cross-region medical treatment filing may settle eligible expenses directly after care.
Online guide for filing medical insurance registration for treatment outside your insured location: use the National Healthcare Security Service Platform app or the National Cross-Region Medical Treatment Registration WeChat mini program for interprovincial filing; Guangdong Government Service Network supports both interprovincial and intra-provincial filing.
Good news: Huaxin Orthopedic Hospital now supports direct online outpatient settlement for out-of-area medical treatment. Insured patients who have completed the required registration can settle directly at the hospital. Guangzhou now allows all types of out-of-area treatment registration to be completed fully online.
Enrollment and premium payment for Guangzhou’s 2022 Urban and Rural Residents Medical Insurance have officially begun and will continue until December 20, 2021. Parents are reminded that enrollment procedures for primary and secondary school students have changed this year. Individual premiums are RMB 363 for enrolled students and RMB 483 for other participants.
Enrollment and premium payment for Guangzhou Urban and Rural Residents’ Social Medical Insurance for 2022 have officially begun. This notice outlines eligible participants, payment standards, processing deadlines, registration and payment channels, and important reminders.
Guangzhou will launch the National Healthcare Security Information Platform at 8:00 on July 12, 2021. From 22:00 on July 9 to 8:00 on July 12, Guangzhou medical insurance, intra-provincial non-local medical insurance, and inter-provincial non-local medical insurance services will be suspended.
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