Policy Information

In order to attract more foreign talents to stay and develop in Guangzhou, Guangzhou has comprehensively deepened the implementation of nine convenient measures for medical insurance, allowing insured persons in Guangzhou (including foreign nationals living in Guangzhou) to fully enjoy these favorable measures.

01 Foreign nationals eligible for medical insurance

● Foreigners who hold work permit and work residence permit for foreigners and are legally working in China.

● Foreigners who hold a Chinese permanent residency ID card and are legally working in China.

● Foreigners who hold a Chinese permanent residency ID card and are unemployed.

02 Guangzhou medical insurance promotes Internet medical insurance+one-stop service in pharmacies

● Increase the selection of traditional Chinese medicine points

The insured can go through the site selection procedures through the WeChat official account of "Guangzhou Medical Insurance" or at the TCM medical institution. After the site selection, the insured can enjoy medical insurance reimbursement when they go to the TCM medical institution for medical treatment.

● Expand the scope of medical insurance Internet diagnosis and treatment services

The insured can return to the selected Internet designated medical institutions for common diseases, chronic diseases and specific outpatient diseases (except for emergency hospital observation and family beds). At present, 43 designated medical institutions in the city have signed the agreement of Internet medical insurance designated medical institutions.

● Internet medical insurance+one-stop pharmacy service

Organize designated retail pharmacies to provide guidance and consultation services for the insured, assist the insured patients to select medical insurance Internet hospitals for medical treatment settlement through the Internet. At present, there are 265 designated retail pharmacies in the city offering this service, covering 11 districts.

● Implement the "dual channel" mechanism for drugs

At present, Guangzhou has included 291 types of drugs in the "dual channel" scope, allowing insured persons to effectively enjoy the medical insurance reimbursement benefits of national negotiated drugs. When the insured person seeks medical treatment at a designated "dual channel" medical institution in this city, if the designated medical institution does not currently have the necessary "dual channel" drugs for treatment, the insured person can purchase drugs at a designated "dual channel" retail pharmacy in this city within 72 hours from the time of prescription issuance by a medical insurance physician, and enjoy medical insurance reimbursement benefits. As of the end of January, there were a total of 16 "dual channel" hospitals and 30 "dual channel" pharmacies in the city providing this service to insured persons.

● Promote mobile payment and solve the problem of "difficult payment" for medical treatment

Continuously promote mobile payment for medical insurance and solve the problems of long waiting times and difficult payment for insured persons in various medical institutions. At present, there are 231 designated medical institutions in the city that can provide medical insurance Internet mobile payment services. When the insured goes to the designated medical institution that carries out medical insurance mobile payment business for medical treatment, he/she can handle outpatient registration through the hospital's WeChat official account/applet; After the doctor issues a prescription, you can enter the hospital's WeChat official account/applet to handle medical insurance settlement, which eliminates the trouble of waiting in line at the toll booth.

● Promote the "contactless payment" of medical credit and enhance the medical experience of insured persons

Jointly with relevant departments, we have launched a medical credit payment service that supports "see a doctor first, pay later" and eliminates all queuing and payment processes at the window during the medical treatment period. Guangzhou medical insurance participants can activate medical credit payment services through the "UnionPay Cloud QuickPass" app. They can confirm the activation of this service with designated medical institutions during registration or before seeking medical treatment. Expenses that should be reimbursed by the medical insurance fund will be recorded and settled in real time in the medical insurance account. Expenses that should be borne by individuals will be deducted in real time from their medical insurance personal account or credit medical account, similar to the experience of using credit cards for consumption. The usage scenarios cover general outpatient clinics, outpatient specific diseases, and hospitalization. The insured person can repay the bill before the repayment date. This service has been launched in some designated medical institutions.

● Further expand the scope of outpatient payment

The reimbursement catalog for general outpatient services has been expanded to be consistent with hospitalization, and drugs, diagnosis and treatment services, and medical consumables that comply with national and provincial regulations can be included in the reimbursement scope of general outpatient services. For example, most of the diagnostic and treatment services that cannot be reimbursed by the original outpatient department, such as color ultrasound, hand trauma debridement, extracorporeal shock wave lithotripsy, CT, MRI, etc., can be reimbursed by the general outpatient department according to regulations.

● Continuously increasing the number of designated institutions

At present, there are 2661 designated medical institutions and 6025 designated pharmacies in the city, and they will continue to increase to fully meet the needs of insured persons for nearby medical treatment and drug purchase.

● Strengthen the supervision of undercover visits to medical institutions

In order to comprehensively guarantee the outpatient treatment of insured patients and prevent designated medical institutions from implementing the new medical insurance policies improperly, which may damage the rights and interests of insured personnel, the Guangzhou medical insurance department has organized a working group to conduct undercover inspections and supervision of designated medical institutions. It is recommended that insured individuals strengthen communication with doctors when seeking medical treatment, and try to use drugs, diagnosis and treatment items, medical consumables, and selected drugs purchased in bulk from the medical insurance catalog.