From: Integration of rural and urban healthcare insurance schemes in China: an empirical research
Changshu | Foshan | Shenyang | Changchun | ||
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NRCMS | The minimum deduction line and the correspongding deduction rate | First-level and second-level designated hospitals: 100RMB; for ≦10000: 65% for (<10000)≦20000: 70% for (<20000)≦30000: 75% for >30000: 85% third-level designated hospitals: 300RMB, 60% for ≦10000: 55% for (<10000)≦20000: 60% for (<20000)≦30000: 70% for >30000: 80% outside-city designated hospitals: 500RMB, 45% | First-level designated hospitals: 300 RMB second-level designated hospitals: 500 RMB third-level designated hospitals: 700 RMB for male ≥60 years old or female ≥55 years old, the reimbursment rate is 95%; for the rest, the reimbursement rate is 90% | First-level designated hospitals: 50 RMB, 80% second-level designated hospitals: 200 RMB, 65% third-level designated hospitals: 600RMB, 40% | First-level designated hospitals: 300 RMB, 70% second-level designated hospitals: 400 RMB, 60% third-level designated hospitals: 500 RMB, 45% |
The maximum deduction line | 100000 RMB | 30000 RMB | 30000RMB | 30000RMB | |
URBMI | The minimum deduction line and the correspongding deduction rate | As Changshu has integrated NRCMS with URCMS, they share the same standards | First-level designated hospitals: 400 RMB, 85% second-level designated hospitals: 600 RMB, 75% third-level designated hospitals: 1200 RMB, 50% | First-level designated hospitals: for adults and aged residents:200RMB, 90% for students and juveniles: 100 RMB, 90% second-level designated hospitals: for adults and aged residents:400 RMB, 80% for students and juveniles: 200 RMB, 85% third-level designated hospitals: for adults and aged residents:600 RMB, 75% for students and juveniles: 300 RMB, 78% | First-level designated hospitals: 500 RMB second-level designated hospitals: 800 RMB third-level designated hospitals: 1200 RMB for adults and aged residents: ≦2000: 55% (>2000)≦5000: 60% (>5000)≦10000: 65% (>10000)≦30000: 70% for students and juveniles: ≦5000: 65% (>5000)≦10000: 70% (>10000)≦30000: 75% (>30000)≦50000: 80% |
The maximum deduction line | 160000 RMB | For adults and aged residents:80000 RMB; for students and juveniles: 125000 RMB | For adults and aged residents:30000 RMB; for students and juveniles: 50000RMB | ||
UEBMI | The minimum deduction line and the correspongding self-payment ratio | For in-service employees: first-level designated hospitals: 400 RMB second-level designated hospitals: 600 RMB third-level designated hospitals: 1000 RMB for retired employees: the minimum deduction line is half of the corresponding in-service employees minimum deduction line ≦10000: 12.8% (>10000)≦30000: 9.6% (<30000)≦50000: 6.4% | For in-service employees: first-level designated hospitals: 400RMB; 2% second-level designated hospitals: 600RMB; 10% third-level designated hospitals: 1200RMB; 15% for retired employees: irst-level designated hospitals: 300RMB; 0% second-level designated hospitals: 500RMB; 7% third-level designated hospitals: 1000RMB; 15% | For in-service employees: first-level designated hospitals: 300 RMB; 6% second-level designated hospitals: 500 RMB; 7% third-level designated hospitals: 800RMB; 12% for retired employees: irst-level designated hospitals: 300 RMB; 3% second-level designated hospitals: 500 RMB; 4% third-level designated hospitals: 800 RMB; 9% | The minimum deduction line is based on the average salary of Changchun last year first-level designated hospitals:9% second-level designated hospitals: 500RMB; 12% third-level designated hospitals: 800RMB; 15% |
The maximum deduction line | 50000 RMB | 200000 RMB (including supplemented insurance) | 100000 RMB | 4 times of the average salary of Changchun last year |