Three dimensions of coverage on basic social health insurance programmes in China
Who is covered? | What is covered? | How much is covered? | ||||
Eligible population83 | Population covered (millions)13 | Service package covered84 | Drugs covered (n)85–87 | Per capita premium (¥)13 88 | Government subsidy per capita (¥)13 89 | |
UEBMI | Urban, employed. | 219.4 (2009)* 316.8 (2018) | Inpatient services, catastrophic outpatient services, some prevention care services. | 2151 (2009) 2643 (2019) | 1559.2 (2009)* 4273.2 (2018) | 0 |
URBMI | Urban, non-employed. | 182.1 (2009)* | Mainly cover inpatient services and catastrophic outpatient services. | 2151 (2009) | 130 (2009) | 80 (2009) |
NRCMS | Rural, employed and non-employed. | 833.1 (2009)* 130.4 (2018)† | Inpatient services, catastrophic outpatient services, some prevention care services. | County 800–1200, town 300–500 (2008) | 113.4 (2009) | 80 (2009) |
URRMI | Unemployed urban residents and rural residents. | 897.4 (2018) | Inpatient services (up to 75%) and outpatient services. | 2643 (2019) | 693 (2018) | 497 (2018) |
¥7=US$1.
*Data are from China Statistical Yearbook 2010.
†To integrate the fragmented health insurance, the Chinese government merged URBMI and NRCMS into URRMI in 2016. There are still seven provinces implementing the NRCMS in 2018, including Liaoning, Jilin, Anhui, Hainan, Guizhou, Shanxi and Tibet.
NRCMS, New Rural Cooperative Medical Scheme; UEBMI, Urban Employee Basic Medical Insurance; URBMI, Urban Resident Basic Medical Insurance; URRMI, Urban and Rural Resident Medical Insurance.