Advanced Search

Shenzhen Academy Of Social Medical Insurance

Original Language Title: 深圳市社会医疗保险办法

Subscribe to a Global-Regulation Premium Membership Today!

Key Benefits:

Subscribe Now for only USD$40 per month.

Social health insurance scheme in Shenzhen

(Summit No. 256 of 29 September 2013, No. 256 of the Royal Decree No. 256 of 29 September 2013 issued effective 1 January 2014)

Chapter I General

Article 1 provides for the establishment of a social health insurance system in Shenzhen and guarantees the basic medical needs of the insured person, and, in accordance with the Social Insurance Act of the People's Republic of China and the relevant provisions, develops this approach in conjunction with the current city.

Article 2

The Government has established basic health insurance and local supplementary health insurance.

The basic health insurance consists of one file, two files and three forms based on contributions and corresponding treatment.

Article 3. All units, workers and others in this city shall participate in social health insurance in accordance with the provisions of this scheme.

Article 4

Article 5 Social Insurance, which is headed by the Social Insurance Administration of the city, is covered by the Social Insurance Agency (hereinafter referred to as the Social Insurance Agency).

The relevant sectors of the city are responsible for the social health insurance work within their respective responsibilities.

Article 6. Municipal Governments may adapt to the payment standards, the proportion of funds and individual accounts, and the criteria for the payment of treatment, in accordance with the income and expenditure of the Social Health Insurance Fund.

Chapter II

Article 7. The user units should be able to take part in the first file of the basic health insurance for their current occupants and select a form of participation for their non-resident employees in the basic health insurance first, second and third files.

Article 8 Non-in-services participate in basic health insurance according to the following provisions:

(i) The full-time students who have received general higher education in all types of day-to-day higher schools in the city, small schools in the city and childcare institutions who are participating in the social insurance in the city and who have reached more than one year of age are present in the basic health insurance file;

(ii) A non-commercial resident of the current city before the mandatory retirement age and who has attained the age of 18 years may participate in the first or second of the basic health insurance;

(iii) Persons who have moved to the home after the mandatory retirement age and who do not receive the old-age insurance treatment or retirement pension for the worker in the month may apply for participation in the first file of the basic health insurance;

(iv) The home of the city who enjoys the minimum standard of living is not allowed to take part in the basic health insurance file;

(v) Partners of first to fourth levels of disability in the city participate in the basic health insurance file;

(vi) The number of unemployed persons during the period of unemployment insurance benefits is in the second file of the basic health insurance;

(vii) In the city, persons who receive old-age insurance treatment or retirement benefits for their workers, in accordance with the provisions of article 14, article 15, of the scheme, participate in the first or second of the basic medical insurance;

(viii) Persons who have attained the mandatory retirement age and continue to pay their old-age contributions in this city may choose to participate in the first or second of the basic medical insurance.

Article 9. Employers participate in the first file of the basic health insurance, which is paid at a monthly rate of 8 per cent of their monthly salary, of which 6 per cent are paid by the person's unit and 2 per cent by the individual. The total monthly salary exceeds 3.0 per cent of the average monthly salary of the insured employee in the current city, 30 per cent of the average monthly salary of the employee in the current city, and 60 per cent of the average monthly salary of the employee in the current city at the previous year.

Employers participated in the second file of the basic health insurance, 0.7% of the average monthly salary of the insured employee in the current city was paid at the monthly rate of 0.5 per cent, with 0.2 per cent paid by the person's unit.

Employers participate in three basic health insurance files, with 0.5 per cent of the average monthly salary paid in the current city at the monthly rate of the employee, of which 0.4 per cent is paid by the unit of the person and 0.1 per cent by the individual.

The personal contributions of the employee were made by the user unit.

Article 10 Students, young children are covered by schools, scientific boards or childcare institutions in September each year, in coordination with municipal social insurance agencies, paying a one-time payment of basic health insurance fees from September to August. The occupants of this city who are under 18 years of age are not residents of the industry and apply to the street offices of the household's location for the processing of the procedures.

Article 11

(i) Participated in the basic health insurance file, between 40 and 30 per cent of the average monthly salary of the entrant worker in the current city, of which males are under the age of 60 years, female under the age of 50 years, paying at 8 per cent of the pay base; and male ceas at the age of 60 years and the age of 50 years;

(ii) Participated in the second file of the basic health insurance, with a payment of 0.7 per cent of the average monthly salary for the active workers in the current city.

The personnel set out in article 8, paragraph (iii), of this approach apply for participation in the first file of the basic health insurance, which was paid by 15.5 per cent of the average monthly salary of the employee in the current city.

The persons set out in article 8, subparagraphs (ii), (iii), of this approach are requested by the social insurance agencies in their own place of residence for personal protection.

Article 12, subparagraphs (iv), (v) of Article 8 of this approach, provides for the harmonization and payment of medical insurance expenses by the Civil Affairs Department, the Disability Unit.

Article 13, paragraph 6 (vi), of this approach is paid by 0.7% of the average monthly salary paid by the municipal social insurance agencies in the current city by paying them for the month and from the unemployment insurance fund.

Article 14.

(i) Persons who were in the process of receiving old-age insurance treatment by the month of 2014 with a cumulative payment period of 15 years, of which the actual pay for the city expires on 10 years;

(ii) A person who received an old-age insurance treatment by the month of 2015 shall be paid for a cumulative period of 16 years, of which the actual pay for this city expires on 11 years;

(iii) Persons who received maternity insurance treatment due to the month of 2016 shall be paid in a cumulative amount of 17 years, of which the actual pay for the current city expires for 12 years;

(iv) In 2017, persons who have received maternity insurance treatment according to month have reached 18 years for the cumulative payment period, of which the actual pay for this city expires on 13 years;

(v) In 2018, persons who received the old-age insurance treatment due to the month of service expired in 19 years, with the actual payment rate of 14 years in this city;

(vi) 2019 persons who received maternity insurance treatment by month, with a cumulative payment period of up to 20 years, with the actual payment rate of 15 years in this city;

(vii) Persons who received maternity insurance treatment by the month of 2020 shall be paid for a cumulative amount of 21 years, of which the actual pay for this city is 15 years;

(viii) In 2021 persons who received maternity insurance treatment due to the month of the month, the cumulative pay period was up to 22 years, with the actual payment rate of 15 years in this city;

(ix) In 2022, persons who received the old-age insurance treatment due to the month have reached 23 years for the cumulative payment period, of which the actual contributions of this city have reached 15 years;

(x) In 2023 persons who received the old-age insurance treatment due to the month, the cumulative payment period was 24 years, of which the actual payment rate was 15 years;

(xi) In 2024 and after the month of the receipt of the old-age insurance treatment process, the cumulative pay period was up to 25 years, with the actual payment rate of 15 years in this city.

Persons under article 8, paragraph (vii), of this approach may discontinue the payment and continue to enjoy basic medical insurance treatment by virtue of their continued contributions to the prescribed period. 11.5 per cent of the basic pension or pension was chosen to participate in the first file of the basic health insurance, at the monthly rate of 0.7 per cent of the average monthly salary of the insured employee in the current city.

Article 8, subparagraph (a) of this scheme provides that persons shall not be allowed to participate in the calculation of the actual contributions and the accumulated annual payment limits of the present article;

Article 14.

In the first 15 years of the basic health insurance, the former may apply for the treatment of the basic medical insurance file after his or her continued participation in the basic health insurance file until 15 years. The form of health insurance is no longer changed after the approval of the municipal social insurance institutions. During the interruption of contributions by the continuing payer, the medical insurance treatment was not enjoyed.

Article 16 The number of contributions to the basic health insurance file is determined by the amount of its pension insurance contribution base; the contribution base is less than 60 per cent of the average monthly salary of the employee in the current city and 60 per cent of the average monthly salary of the employee in the current city.

Article 17 persons participating in basic health insurance participate in local supplemental health insurance. The number of persons participating in the basic health insurance file is 0.2 per cent of their contribution base; 0.1 per cent of the total number of persons participating in the basic health insurance 2nd file is paid in monthly contributions; and 0.05 per cent of the three copies of the basic health insurance are paid in monthly contributions.

Local supplemental health insurance payments are paid by the user unit by month, and other personnel are executed on the basis of the channels of payment and payment of their basic medical insurance payments.

Article 18, in accordance with the State's provision for participation in the health insurance for urban workers, urban dwellers' health insurance or new rural cooperative medical treatment in other areas, shall not be subject to repeated social health insurance treatment.

Article 19

The municipal market supervision management, the civil affairs sector and municipal institutions should be informed, in a timely manner, of the establishment, change and termination of the social insurance institutions; the public security sector should communicate to the municipal social security agencies on time the registration, relocation, write-off of the insured person.

Article 20 Social health insurance payments are transferred from the social insurance fund account established by the social insurance agencies in the banking sector, after the receipt of the month of arrival of the social insurance fund by the social insurance agencies.

Article 21

Criteria for participation in various forms of basic health insurance combined.

The duration of the first comprehensive health insurance is considered to be the same as that of the first file of the basic health insurance; the number of insured years for the pre-patential health insurance is considered to be the same as for the second-stage period of the basic health insurance; and the number of former farmers' health insurance is subject to the same period of time as the three files of the basic health insurance.

Chapter III Fund management

Article 2

The basic health insurance fund consists of the Integrated Fund and the Personal Account, which consists of the Integrated Disease Fund, the Community Mapping Fund and the Fund.

The local supplemental health insurance fees paid by the insured units and the insured person enter the local supplementary health insurance fund. The local Supplementary Health Insurance Fund does not have an individual account.

Article 23 of the medical expenses incurred by the insured person are covered by the basic health insurance medicine catalogue, therapeutic project and the medical care facility standard (hereinafter referred to as basic medical costs) under this scheme, and is covered by the basic health insurance fund (hereinafter referred to as local supplemental medical costs) and is paid under this scheme by the local Supplementary Health Insurance Fund.

Article 24 of the Medical Insurance Fund is governed by the income and expenditure line, which is included in the Fund's financial exclusives, is accounted for by sub-accounting, with no cross-cutting and reorientation.

Article 25 Pension Fund income and expenditure management is governed by the principle of payment, balance of payments and a marginal balance.

The Medical Insurance Fund is subsidized by financial resources when special circumstances such as outbreaks of disease, severe natural disasters are not used or paid for other reasons. Finances provide adequate subsidies for the participation of young children, students and households in the city in the health insurance.

Article 26

(i) Medical insurance fees and their interest;

(ii) Medical insurance fees lagging;

(iii) The legal operation of the health insurance fund;

(iv) Government subsidies;

(v) Other income.

Article 27 pays for medical insurance payments by a person's unit and a person in accordance with the law.

The balance in the personal accounts of the insured person is calculated in accordance with the relevant provisions of the State and included in the personal accounts.

Article 29 provides for the establishment of a personal account for the basic health insurance occupants, mainly for the medical expenses of the medical care, with the following proportion:

(i) The insured person paid a basic medical insurance fee of 8 per cent, accounting for 5 per cent of the contributory base in the personal accounts for a month, of which 5.6 per cent of the contributory base was taken into account in the personal accounts for 45 years;

(ii) The insured person's contribution to the basic medical insurance fee of 11.5 per cent, which is accounted for by 8.0 per cent of the contributions base; the one-time payment of the medical insurance expenses shall be charged to the individual accounts for the month;

(iii) The insured person ceases to pay and continues to receive the basic health insurance file, 60% of the average monthly salary of the employee in the current city are placed in the base, and 8.0 per cent of the base number is accounted for in the personal accounts by the month, with the cost paid by the Fund.

The remaining portion of the lump-sum payment for basic health insurance has entered the Integrated Fund for Diseases to meet the medical costs under this scheme.

Article 33 The basic health insurance 2nd and three files collected by the municipal social insurance agencies should be taken into account in the annual average monthly salary of 0.2 per cent of the average monthly salary in the current city's pension fund, with the remaining portion of the Fund. The custodians cease their contributions and continue to enjoy the treatment of the basic health insurance file and are transferred to the Community Integrity Fund and to the Emergency Fund.

The Community Medical Integration Fund covers the basic medical costs incurred by the basic health insurance 2nd and three-pronged insured persons in the selection of the Social Consequency Centre; the pyramid Fund for the selection of the basic medical costs between the Clinic settlement hospitals; and expenditures for basic medical costs under this scheme.

In addition to the provisions of this approach that provide for the continued presence of the insured person in the city, the insured person shall not receive the same insurance treatment or pension in the current city when he or she meets the mandatory retirement age and shall transfer its basic health insurance relationship to the place of the old insurance relationship or retirement relationship to end the health insurance relationship in the city.

The owner's mobile employment across provinces, self-governance zones, and the immediate municipalities has been transferred to the basic health insurance relationship to be implemented in accordance with the relevant national provisions.

Those involved in cross-regional employment within the broader province have been transferred to the basic health insurance relationship to be implemented in accordance with the relevant provisions of the province.

The personal accounts of the insured person cannot be transferred and the relevant certificates transferred to the local social insurance agency may apply for a lump-sum balance of the individual accounts.

The insured person's exit or loss of nationality may apply for a lump-sum balance in the personal accounts and end the health insurance relationship in the city.

Participating in the death of the insured person, the balance of the accounts of the individual was requested by its successor and closed the health insurance relationship; the portion of the lump-sum medical insurance payments had not been transferred to the Integrated Fund for Basic Health Insurance.

Chapter IV

Article 32 The basic health insurance participant is treated with health insurance according to the following provisions:

(i) The medical treatment of the basic health insurance occupier in the municipality;

(ii) The second class of the basic health insurance is medically available at the selection centre, with the consent of the settlement hospital, which may be medically available at the Clinic Centre, in conjunction with the other identifiers located under a settlement hospital; inpatient hospitals and inpatient medical institutions within the city;

(iii) The three basic health insurance clips are medically available at the selected centre, with the consent of the settlement hospitals, medical treatment may be provided to the selection centre in conjunction with the other identifiers located under a settlement hospital; the medical treatment of the diagnosed medical facility in the city; and the medical treatment of the hospital inpatient centres;

(iv) Other medical conditions consistent with the provisions of this approach.

Article 33 Two files and three fileers of the basic health insurance should be selected as a medical facility for medical treatment. The useful units are selected by their user units; the owner's unit is chosen by themselves.

The basic health insurance two-pronged workers under 14 years of age may choose a social welfare centre or a lower secondary hospital in one city as a medical facility for medical treatment.

The custodians may change the selected social consortia or other targeted medical institutions, which are medically available in the post-reformation centre or in the targeted medical facility after the month of entry into force.

Article XIV of the Basic Medical Insurance 2nd Clinics is subject to the agreement of the original settlement hospitals with respect to medical referrals, three cases of basic health insurance attendance and hospital referrals. The referral should be made to a medical institution with a specialist director at the same level in the city, where the hospital should be sent to a referral certificate.

Article XV states that the insured person has one of the following cases when he or she is medically available within the city:

(i) The types of referral diseases published by the Social Insurance Administration;

(ii) Discussions of ill-treatment that have not been identified by the House of Commons at the third hospitals or at the municipal hospitals;

(iii) Emerging patients who are currently without equipment or technical treatment at the primary level of the city or at the municipal level.

The medical institutions receiving referral should be referrals to the local health-care establishment at the same level or above.

Article 36 referrals to outside-communication medical institutions in accordance with article 335 of this approach, according to the following procedures:

(i) Completion of the municipal referral application form;

(ii) A medical doctor or director of the hospital;

(iii) Medical insurance institutions in hospitals have been reviewed and incorporated into the High Hospital.

The referral of targeted medical institutions should be accompanied by referrals to municipal social insurance institutions.

The medical care provided by the custodian to the city's identifier may be charged with a referral request for a medical examination; the medical costs incurred by other medical institutions outside the city have been paid by their own medical agencies and are subject to a review by the municipal social insurance agencies.

Article 337, after referrals from the custodian to the commune, requires re-repatient referrals, which should be provided by outside-school medical institutions.

Article 338 Entrepreneurs of the occupants of the city and those who have reached the mandatory retirement age are permanently residing outside the city, may select three local health-care institutions in their long-term residence as their medical institutions for medical care and file with the municipal social insurance institutions.

The immediate vehicle company in the city has long been stationed outside the city and has been able to select three local health-care establishments as medical institutions for medical treatment at the workplace and to submit a case to the municipal social insurance institutions.

The personnel under this article fall under the basic health insurance first-time occupants and, after payment by their own medical institutions, are subject to a review by the municipal social insurance institutions; are the second file of the basic health insurance, the third-party occupants, and the hospitalization costs incurred by the medical facility in the case-by-case medical facility, and are subject to reimbursement to the municipal social insurance institutions upon payment.

The medical treatment required for referrals by a medical body that processed a request for medical treatment under paragraph 3 of this article should be obtained by the medical institution.

Article 39 of the Basic Health Insurance Fund and the Local Supplementary Health Insurance Fund are paid in the following manner:

(i) The medical costs of the insured person shall be paid by the basic health insurance fund and by the local supplementary health insurance fund, which shall be settled by agreement between the municipal social insurance agencies and the targeted medical institutions or the terminal retail pharmacies;

(ii) The medical costs of the insured person fall within the scope of the individual accounts and are deducted from the personal accounts of the insured person by the customary medical institution or the customary retail pharmacies; the underpayment of personal accounts shall be paid by the insured person's cash;

(iii) The medical costs of the insured person are paid in the personal accounts of the family members and are deducted from the personal accounts of the family members provided by the targeted medical institution in the city;

(iv) Medical costs incurred by non-residential medical institutions, which are reimbursed by the insured person before paying the municipal social insurance institution, are reviewed by the municipal social insurance agencies in accordance with the provisions of this scheme and are eligible for payment.

Article 40. Two files of the basic health insurance and three fileers have the following conditions for medical treatment, and are subject to a request for compensation from the relevant vouchers and information to the settlement hospitals or designated medical institutions after payment is made by themselves:

(i) Medical expenses incurred by the settlement hospitals in connection with referrals to non-settlement hospitals;

(ii) Medical fees incurred for emergency medical care in non-recovery hospitals due to work out or travel;

(iii) No accounts may be recorded for the duration of computer failures, social security card damage or remissions of medical establishments.

Article 40

(i) The purchase of medicines within the scope of basic health insurance or local supplemental health insurance by a doctor at the time of hospitalization, with the consent of the hospital;

(ii) Upon the consent of the hospital, medical projects within the scope of the basic health insurance or local supplemental health insurance coverage are carried out outside the hospital;

(iii) No accounts may be made for a computer failure or for damage or removal from social security card.

Article 42, in addition to article 40 of this approach and article 41, the medical expenses paid by the custodian, are in accordance with the provisions of this scheme and are subject to reimbursement from the relevant documents and information to the municipal social security institutions.

Article 43 thirteenth pays medical expenses before the insured person shall apply for reimbursement within 12 months of the date of the cost or departure of the compound for a period of time.

Article 44 states that the insured person shall present his or her social security card when he or she is medically provided. In receiving medical treatment by the insured person, the identification of the insured person's social security card and may require the insured person to provide identification certificates.

The final medical body determines that the social security card is owned by the insured person and that the medical expenses incurred are recorded as prescribed; it is not possible to determine the social security card of the insured person for himself and may refuse to provide health insurance services.

In the case of medical treatment, the insured person does not produce a social security card or does not indicate the status of the insured person, requires access to health insurance treatment and services, and targeted medical institutions and municipal social insurance institutions are inadmissible.

Chapter V Medical insurance treatment

Article 485 is treated by the insured person for medical insurance under this scheme as of 1 January, starting with the process of attendance and payment of medical insurance payments. A declaration of participation by 20 times a month is to be processed at the time of the month's participation, and a monthly insurance coverage is reported after 20 days.

In the event of the suspension of the payment of health insurance payments by the participating units, the insured person may continue to use the personal accounts balance for the termination of the medical insurance treatment paid by the Integrated Fund for Health Insurance, effective 1 January of the suspension.

In order to take part in the custody process for infants and young children who are present in the city, the payment of the fees commenced in the month of the application and receive medical insurance treatment from the next month of the payment of the payment; the birth certificate for the child and the reproduction of the mother's identity card on 30 days from the date of entry, may be paid from the month of their birth and receive medical treatment from the date of birth.

Article 10 of this approach provides for the uniform treatment of health insurance for students, young children who are involved in the custody process in schools, scientific boards or institutions of childcare.

Article 46 provides a directory of basic health insurance medicines, medical treatment projects, service facilities standards, in accordance with the directory published by the State and the wider Orientale province.

The coverage of the local supplemental health insurance medicines and therapeutic projects, the scope of the major medical equipment inspection and treatment projects are carried out by the Municipal Social Insurance Administration and the municipal health sector.

Special medical material, artificial organs, the scope of single-time medical material for more than 1,000 dollars and the maximum payment limit for inclusion in the integrated fund for basic health insurance, are implemented in accordance with the scope and maximum payment limits issued by the municipal social insurance administration.

Article 47 provides for the personal accounts of the basic health insurance occupants to cover the basic medical expenses of the insured person, local supplemental medical costs, and the cost of buying medicines within the medical facility at the pharmacies in the municipality of the targeted retail pharmacies, which are partially paid by individuals.

The basic health insurance file was completed for one year, with the basic medical costs paid by the individual during the same health insurance year exceeding 5 per cent of the annual average salary of the insured worker in the current city, more than 70 per cent of the basic health insurance fund or local supplemental health insurance funds, and 80 per cent of the insured person's payments over 70 years of age.

The person insured with the treatment provided in the previous paragraph does not enjoy the treatment provided for in article 49.

The treatment provided for in article 50, article 51, article 52, article 53 of this scheme is not enjoyed by the provisions of article 2, paragraph 2.

Article 48 establishes the personal accounts of the basic health insurance occupants that exceed 5 per cent of the average salary of the insured worker in the previous city, which is more than partially payable:

(i) The costs of non-participal medicines within the scope of the purchase of basic health insurance and local supplemental medical insurance medicines at the custom retail shop;

(ii) Personal and immediate family members who have participated in the basic health insurance in the city are paying basic medical expenses and local supplemental medical expenses in the case of the medical establishment;

(iii) The medical examination, vaccination costs for spouses and immediate family members who have participated in the basic health insurance in the city;

(iv) Other medical costs provided by the State, the Ministry of the Interior and the city.

Article 49

(i) Costs for oral treatment;

(ii) Rehabilitation costs;

(iii) Inspection of treatment costs for large medical equipment;

(iv) Other project costs provided by the municipality.

Article 50: The basic medical expenses incurred by the basic medical examination and treatment of major medical equipment at the primary medical facility in this city, as well as local supplementary medical costs, 80 per cent are covered by the Integrated Fund for Basic Medical Insurance and the Local Supplementary Health Insurance Fund.

Article 50 states that the insured person has one of the following cases and has access to the treatment of the sick:

(i) Chronic kidney functions diagnosing;

(ii) Removal medicines for organ transcendants covered by health insurance;

(iii) Distinguished treatment, intervention, therapy or nuclear pyrethroid treatment;

(iv) Epidemiological treatment;

(v) Removal barriers for treatment at the secondary level of anaemia;

(vi) Medical treatment for the Maltese Epidemiology;

(vii) Medical treatment for vibrant sexes in the treasury;

(viii) Other cases approved by the municipality.

In article 52, the custodians apply for access to the treatment of the sick and shall apply to the medical institutions entrusted by the municipal social insurance agencies to determine that medical care is available to the medical agencies, upon approval by the municipal social insurance agencies.

The insured person has been admitted for a period of 36 months from the date of his application to receive a medical treatment for the sick; for a continuing period of up to 36 months from the date of approval by the municipal social insurance agencies. The basic medical costs incurred by the insured person with the treatment of the diagnos, local supplemental medical expenses are paid by the Integrated Health Insurance Fund and the Local Supplementary Health Insurance Fund, respectively:

(i) Half of 12 months of continuous stay, with a proportion of 60 per cent;

(ii) The rate of payment of 75 per cent for the 12-month period of staying;

(iii) The proportion of payments is 90 per cent for a continuing period of 36 months.

Article 53 occupants are required to carry out a general diarrhoea for illness, with 90 per cent paid by the Integrated Fund for the Basic Medical Insurance, and 70 per cent from the Integrated Health Insurance Fund.

Article 54 of the Basic Health Insurance 2nd, three fileers of the insured person's medical fees at the Centre's Selected Care Centre in this city are dealt with as follows:

(i) A combination of medicines and b types of medicines in the basic health insurance medicine catalogues, which are paid by the Integrated Community Mapping Fund at 80 per cent and 60 per cent, respectively;

(ii) A single medical treatment project or medical material within the basic health insurance directory, which is paid by 90 per cent by the Integrated Community Mapping Fund, but the maximum amount is not exceeding $1120.

In the case of illness, the insured person is required to receive a medical fee from the settlement hospitals for referral to other medical agencies, or for expatriate work, travel to emergency medical treatment expenses incurred in non-retrocated hospitals, 90% of the standard paid by the Community Medical Integration Fund, as previously prescribed; and other cases are not reimbursed by the Integrated Community Medical Exposure Fund for Medical Costs incurred in non-settlement hospitals.

In a health insurance year, the Community Medical Integration Fund pays medical fees to each basic health insurance 2 file, three filer occupiers, up to 1000.

Article 55 of the basic medical costs incurred by the insured person in hospital and local supplemental medical expenses, which have not exceeded the payment line, are paid by the insured person; more than the payment line, respectively, by the Integrated Health Insurance Fund and the Local Supplementary Health Insurance Fund.

In accordance with the hospital level, the following hospitals at the municipal level were 100, at the secondary level, at a level of 200, and at the third level, at a level of 300 dollars; and in the city's offshore medical institutions, the amount of $40 for referrals or requests was not 1000 for referrals or requests. The custodians are transferred to the hospitalization treatment at different hospitals to calculate the pay line.

Article 56 covers the basic medical costs incurred by the insured person in hospital and the portion of the local supplementary medical costs, as set out below:

(i) The insured person has paid a proportion of 95 per cent in the city for old-age insurance treatment and the payment of basic health insurance payments by 11.5 per cent;

(ii) The proportion of 90 per cent of the total number of insured persons who had paid basic medical insurance fees by 8 per cent and the 2nd positions of the basic health insurance were not paid in the city by the employee's pension insurance;

(iii) The three fileers of basic health insurance receive medical care at the level of the city, the secondary hospital, the three-tier hospitals, the city's outpatient hospitals, with a proportion of 85 per cent, 80 per cent, 75 per cent, 70 per cent, respectively. As a result of work expatriate and inpatient medical expenses incurred by non-settlement hospitals for emergency medical care, 90 per cent of the inpatient hospitals are paid.

Article 57

(i) A national production material, which is paid by 90 per cent of actual prices;

(ii) The import material is covered by 60 per cent of the actual price.

Article 588 Rates of hospitalization for the insured person are paid by the Integrated Fund for the Basic Medical Insurance, at the actual hospital beds, subject to the following criteria:

(i) The first file of the basic health insurance file, the second file of the insured person, the maximum amount of which is the non-profit medical facility established by the municipal price management for the first-hand of the Government's guidance on the price;

(ii) Three copies of the basic health insurance are encumbered, with the highest payment being made to the first file of the Government of the three-size-fits-all general medical facility established by the municipal price management to guide the price.

Article 59 of this city receives a worker's old-age pension treatment or retirement pension and continues to enjoy the basic health insurance first-hand treatment, and, in the second month of receipt of the old-age insurance treatment or retirement pension, the local supplementary health insurance fund paid a lump sum of 500 medical insurance benefits and, according to the following criteria, is transferred to the individual accounts:

(i) Between the age of 70 and the month;

(ii) Over 70 years of age, $40 per month.

Article sixtieth imposes a payment limit on the basic health insurance fund and local supplementary health insurance funds. The basic medical costs paid under this scheme exceed their payment limits, which are paid by the local supplementary health insurance fund within its payment limits.

The basic medical costs incurred by the insured person in hospitalization in the targeted medical institutions in this city and local supplemental medical costs exceeded the local replenishment of the health insurance fund, which was paid by 50 per cent by the local supplementary health insurance fund.

Article 63/E of the payment thresholds for each year's basic health insurance fund shall be implemented in accordance with the following criteria:

(i) The duration of the stay is less than six months, and the average salary for the previous year in the current city is fold;

(ii) In the last year, the average salary of the employee in the current city is twice as many as 12 months for the duration of the stay;

(iii) To spend 12 months of stay, three times the average salary of the employee in the current city for the previous year;

(iv) To spend 24 months of stay, four times the average salary for the active workers in the city for the previous year;

(v) A continuing 36-month period of up to 72 months of insurance, five times the average salary for active workers in this city;

(vi) After more than 72 months of staying, six times the average salary for active workers in the current city is six times higher.

In accordance with article 62, the payment limits for each year of health insurance supplemental health insurance fund are implemented according to the following criteria:

(i) A continuing commitment period of less than six months, with a total of 10,000 dollars;

(ii) A continuing commitment period of up to 6 months, with a total of 50,000 dollars;

(iii) The amount of 100,000 yen for a continuing period of up to 12 months;

(iv) The amount of 150,000 yen for a continuing period of up to 24 months of imprisonment;

(v) The amount of 200,000 yen for a continuing period of 36 months to 72 months;

(vi) Over 72 months of continuous commitment, at 1 million yen.

Article 63 refers to the duration of the insured person's actual payment of medical insurance expenses in this city, in accordance with articles 52, 60 and 62. The insured person's accumulated interruption in the health insurance year for not more than three months, with a combined calculation of his/her stay after the repayment; and recalculation for more than three months.

The insured person pays a lump sum for medical insurance payments, which is calculated on a case-by-month basis from 1 April of his/her contribution.

In accordance with this approach, the user unit takes part in and supplements the payment of social health insurance fees, lags, and repayments are calculated as a continuum time.

Article 64 provides for the referral of basic medical expenses incurred by outside medical institutions and local supplemental medical expenses, subject to the application of the insured person, to be reimbursed by the municipal social insurance agencies for the actual medical costs incurred, in accordance with the standard of medical fees not higher than those paid in the city, including the medical fees paid by the individual accounts.

Article 65 provides for medical expenses incurred by a licensor in a medical facility outside the city, as well as inpatient medical expenses incurred by a second file and three filer in a medical institution outside the city, with the application of the insured person, subject to a review by the municipal social insurance agencies of the actual medical costs incurred, which are not reimbursed by the medical fee rates of the present city, which are covered by the medical fees paid by the individual accounts and deducted from their personal accounts.

Article 46 does not provide for referrals, referrals, basic medical costs incurred in hospitalization in the offshore medical institutions in the city, offshore medical institutions in the city, and local supplemental medical costs for 90 per cent and 70 per cent of the standards under this scheme.

The custodians are not subject to referrals, back-ups, medical expenses incurred in the medical clinic in the non-in-court medical facility, and the health insurance fund is not paid, but is covered by the individual accounts and deducted in the balance of the individual accounts.

Article 67: The three fileers of the basic health insurance are not covered by this approach to the inpatient medical expenses incurred by the targeted medical institutions outside the current city, which are subject to the standard of 90 per cent payment under this scheme.

Article 68 Changes in the form of health insurance during the hospitalization of the insured person, and their inpatient medical costs are implemented in accordance with the standard of treatment in the form of the medical insurance at the time of entry.

The insured person is in compliance with the standards of the institution and should not be boarded, and the medical expenses incurred since the date of the institution should be borne by him or her, and the health insurance fund is not paid.

Article 69

(i) In addition to article 47 of this approach, article 48 provides for the purchase of medicines on a self-governing basis;

(ii) Payments from work injury insurance funds and maternity insurance funds;

(iii) It should be burdened by third parties;

(iv) The burden of public health should be borne by public health;

(v) Access to medical care abroad, ports, aucascauses;

(vi) Non-payment of funds provided by the State, the Ministry of the Interior and the city.

Medical costs should be borne by third parties in accordance with the law, with third parties not paying or unable to determine third parties, and the insured person may apply to the municipal social insurance institutions in accordance with the relevant provisions of the State.

Article 76 shall be reimbursed by the insured person for the original application of the medical fee, and the municipal social insurance institution shall not be subject to a review of the vetted voucher.

Chapter VI

Article 76 Social Insurance institutions, in accordance with the harmonized planning, rationalization, facilitation of medical treatment, balanced needs, total control, encouragement of competition, and the principles governing the management capacity, the ability to adapt to the information system's capacity, and through integrated assessment, negotiation, tendering, the selection of health-care services and targeted service projects.

The municipal social insurance institutions should give priority to the selection of non-profit medical institutions as a targeted medical institution; non-profit medical institutions cannot meet the needs of health insurance services, and are chosen by the municipal social insurance agencies to select the profitable medical institution as a targeted medical institution.

The selection conditions and procedures of the targeted medical institutions and the pharmacies should be made public.

The following conditions should be met in accordance with article 72, the Medical Service, the Medical Service and the Social Consequence Centre's application for becoming a targeted medical institution:

(i) Provide medical equipment and medical personnel commensurate with the level of medical institutions;

(ii) To comply with the laws, regulations, regulations and other provisions relating to the management of medical services in the State, the Province of Broad East and the city;

(iii) Strict implementation of the provisions of national, grass-roots, present-market provisions on non-profit medical fees and retail prices of medicines, and the introduction of a public indicative system for fees;

(iv) Commitments for strict compliance with the relevant policy provisions of the current municipal social health insurance system, the establishment of an internal management system that is adapted to the health insurance management, with sound health insurance management organizations and the provision of soft equipment to meet the needs of social health insurance.

The medical institutions within the business unit meet the conditions set out in the previous paragraph and the number of in-service employees in the unit is more than 1,000, may also apply for becoming a targeted medical institution to provide medical services to the insured person in the unit.

Article 73 retail pharmacies apply for becoming a customized retail pharmacies and should have the following conditions:

(i) Accreditation for the operation of medicines;

(ii) Respect the laws, regulations, regulations and regulations governing the management of medical services in the State, in the province of El-East and in the city;

(iii) Strict implementation of the drug price policies established by the State, the Province of Broad East and the city;

(iv) The availability of health insurance medicines in a timely manner;

(v) In the course of the operation of the retail pharmacies, technicians in the induction service meet the requirements and provisions of the pharmacies;

(vi) Commitments for strict implementation of the relevant policy provisions of the current municipal social health insurance system, with normative internal management systems, equipped with soft equipment that meet the needs of social health insurance.

Article 76 quantify medical institutions selected by the municipal social insurance institutions and the targeted retail pharmacies should be developed and published. Medical institutions and retail pharmacies are required to apply to municipal social insurance institutions within the time required for the publication of the scheme by the municipal social insurance agencies; the municipal social insurance institutions should conduct an integrated assessment within 60 days and to publish the assessment results, in an integrated manner in which pre-empted medical institutions and retail pharmacies are selected as targeted medical institutions and targeted retail pharmacies.

Under the same conditions, there is a high size, high level of technical power, good faith and good medical institutions that may give priority to identifying targeted medical institutions.

Under the same conditions, the retailer of medicines is locked in the pharmacies, a pharmacies offering services 24 hours, a better retail shop for goods outside the manufacture of medicines and medical devices, with priority being given to the identification of a pharmacies.

Article 765 entered into agreements with targeted medical institutions and targeted retail shops and managed in accordance with the agreement.

In accordance with the implementation of the agreement by the municipality's social insurance agencies on the basis of the targeted medical institutions and the fixed-point retail pharmacies, a credit rating is conducted every two years and the results are published.

The municipal social insurance institutions, based on the assessment of the results, have given incentives to targeted medical institutions and to customized retail pharmacies and related staff to encourage funds to be included in the municipal social insurance institutional budget.

In accordance with the provisions and agreements of the scheme, the pharmacies should be adhered to the principles of “therapeutic treatment, reasonable inspection, reasonable treatment, reasonable fees” and the provision of the scheme.

Article 77 medical institutions should establish systems for the separate accounting and management of medicines, regulating medical behaviour, strictly prohibiting all activism for profit, reducing the proportion of self-payment costs for medical care and alleviating the economic burden of the insured person.

Article 78 Medical establishments, customized retail pharmacies should establish internal management systems and health insurance institutions that are adapted to the health insurance system and implement self-management and self-binding.

Article 79 provides that customised medical institutions and customised retail pharmacies should strictly implement the Government's provisions on medical fees and medicines prices and make them public.

The targeted medical institutions should provide the insured person with a specific list of fees or a breakdown of the daily fee.

Article 810 Medical institutions shall be allowed to remain in the hands of the insured person, the large medical equipment inspection review and the reporting documents, the examination of treatment orders and the list of medical costs, for a period not less than two years.

The customized retail pharmacies should be retained separately in the custodian's purchase of medicines and a detailed list, leaving time not less than two years.

Article 81 provides for the provision of medical services by targeted medical institutions to implement the relevant management provisions of basic health insurance and local supplemental medical insurance catalogues, treatment projects, medical facilities standards.

The targeted medical institutions shall notify the insured person and obtain the consent of the insured person in advance of the use of medicines, treatment projects, medical facilities, other than the preceding paragraph.

The targeted medical institutions may not be included in the coverage of medical insurance accounts with other units, personal cooperation or contracted medical treatment projects.

A medical doctor who is competent to perform a medical facility in accordance with article 82 may provide medical insurance services to the insured person as provided by the agreement.

In violation of the health insurance-related provisions, the municipal social insurance institutions may refuse to provide their health insurance services, which will address the results to be made public in society, to inform the targeted medical institutions in which they are located and to make recommendations to the municipal health administration authorities to deal with the law.

Article 83 The purchase of medicines by the insured person's personal accounts for the sale of the pharmacies at the targeted retail shop should be verified in accordance with the following provisions:

(i) The purchase of prescription drugs, verification of the effectiveness of the medical establishments in the city, and the names of the patients documented by the side are consistent with the social security card;

(ii) The purchase of non-conventional medicines should be accompanied by a social security card and verification of the effectiveness of the physical presence of the targeted medical institutions in the city, or the cumulative amount of their personal accounts reached 5 per cent of the average salary of the workers in this city for the previous year.

Article 84 provides medical expenses actually incurred by customised medical institutions and custom retail pharmacies for the insured person to provide medical services, in accordance with the provisions and agreements of the scheme, to be settled with municipal social insurance institutions.

Agreements between the municipal social insurance agencies and the targeted medical institutions, the terminal retail pharmacies should be agreed upon to resolve and pay standards.

The coverage of the health insurance costs is subject to a lump sum-sum system.

Article 8XV provides for referral to outside medical institutions under this scheme, which is a case under article 33, subparagraph (b), (iii) of this scheme, and where the hospital expenses incurred are settled by the municipal social insurance institutions after they are not reimbursed by the medical fee rates in this city.

Article 86 of the Municipal Social Insurance Agency should agree to pay standards with targeted medical institutions and provide incentives for the actual medical costs of targeted medical institutions that are less than the agreed payment criteria, as set out in the agreement.

The Integrated Community Mapping Fund has a balance, which is partly rewarded by proportional incentives for the settlement of the hospital and the remainder has been transferred to the next year.

Oversight inspection

Article 87 Social Insurance institutions should establish a financial system for the health insurance fund and make payments to society.

Article 82 of the Social Insurance Fund's income and expenditure, management, use, etc., should be included in the supervision of the ISA. The municipal finance, auditing sector conducts regular audits of the payments, liquidation and management of the health insurance fund in accordance with the law and communicates the results to the Standing Committee of the Social Insurance Fund.

Article 89 governs oversight at all levels of the health administration, the public hospitals administration, in response to targeted medical institutions, and incorporates the implementation of the health insurance provisions of the targeted medical institutions into the examination of the integrated objective management of the medical institutions and incorporates them into their mandate-holders.

Article 90 states that the municipal price management shall monitor the implementation of the targeted medical institutions and the targeted retail pharmacies, the Province of Broad Oriental, the city's medical services and the drug price policy.

The municipal drug control management should monitor the quality of medicines in targeted medical institutions and at-point retail pharmacies.

Article 90 establishes a Social Insurance Expert Advisory Committee. The Social Insurance Medical Expert Advisory Committee is responsible for the following:

(i) Professional advice on the provision of health insurance for the municipal social insurance administration based on this approach;

(ii) Provision of technical guidance to the municipal social insurance institutions for the conduct of health insurance surveillance inspections, providing expert advice on the problems of medical doubts arising from inspections;

(iii) Provision of expert advice for the establishment of health insurance clinics for social insurance institutions;

(iv) Provision of expert advice on the medical recognition of the insured person;

(v) Provision of expert advice to the insured person and the targeted medical institutions for the assessment of the cost of the medical treatment for the reasons for the controversy that occurred at the entrance;

(vi) Other health insurance tasks commissioned by the municipal social insurance institutions.

Funding for the work of the Advisory Committee of Social Insurance Medical Experts is included in the budget of the Social Insurance Agency.

Article 92 states that the social insurance agencies shall send the insured person free of charge to the insured person in the event of the insured person's medical insurance and the treatment of the person's rights and interests in social insurance.

The custodians agreed with the municipal social insurance agencies to obtain personal rights records in the form of the social insurance personal service web page, fax, e-mail, handicraft letter, etc., and the municipal social insurance agencies are no longer sent.

Any units and individuals under article 93 have the right to sue, prosecute targeted medical institutions, class retail pharmacies, participate in the security units, attend the insured person and work in the municipal social insurance institutions.

Upon verification of the reporting content, the municipal social insurance agencies have given incentives to the prosecution from the provision of incentives to include funds in the sector budget of the municipal social insurance institutions.

The municipal social insurance institutions are confidential to the reporting units and personal information.

Article IXXIV of the municipal social insurance institutions should conduct oversight inspections in response to targeted medical institutions, targeted retail pharmacies, attendance units, health insurance for insured persons, and may involve institutions or health insurance monitors.

The targeted medical institutions and the pharmacies do not provide health insurance information as prescribed, and the municipal social insurance agencies may reject the corresponding costs.

In carrying out inspections by the municipal social insurance agencies, it may be required that the inspectorate provide information relating to the payment of health insurance fees, the salary scale, the financial statements, which may be collected, including by recording, recording, video, photographing and reproduction.

Article 9.15 The insured person's loss of the social security card shall be kept in a timely manner to a social security institution; the medical expenses incurred during the new card by the insured person shall be paid by himself and the relevant information, such as the new card and the medical calendar, upon receipt of the new card, shall apply for reimbursement, replenishment or deduction from its personal accounts.

Article 96 of the Social Security Card remains of the insured person resulting in the loss of the Integrated Fund for Health Insurance, and the municipal social insurance institutions may seek reimbursement to medical institutions or to takers. The loss of the social security card of the insured person has not been left behind, resulting in the loss of the personal accounts.

Article 97 is contested by the insured person on the dates defined by the targeted medical institution, which may apply to the social insurance institutions for the decision that the municipal social insurance institutions shall arrange expert advice from the Medical Expert Advisory Committee on Social Insurance to determine the date of the institution's admission within 10 working days from the date of receipt.

Article 98 found that the social security card was unusually used in order to avoid the loss of the health insurance fund and the insured person, the social security card's record-keeping function could be suspended and the reference to the insured person. The medical expenses incurred during the suspension of the social security card are paid by the insured person and, with verification of non-compliance, the municipal social insurance agency should restore the social security card accounting function and reimburse the medical expenses incurred during the period under this scheme.

Chapter VIII Legal responsibility

Article 99 of the author's unit is not registered with social insurance, which is being converted by the time limit of the public social insurance administration, which is not later commuted, imposes a fine of three times the amount of social insurance paid by the unit of the agent and imposes a fine of $3000 for the competent and other person directly responsible for it.

Article 100 does not provide for payment of social health insurance expenses under this scheme, and the worker shall, if he knows or should know, lodge a complaint, report to the municipal social insurance institutions within two years.

Unless the payment of social health insurance payments is provided under this scheme, the period of time being converted by the municipal social insurance administration and the payment of social health insurance payments that should be paid; the failure to be fulfilled is fined with the amount owed.

No payment of social health insurance payments under this scheme has been found and reported for more than two years and the municipal social insurance administration is no longer available.

Article 101 supplements the payment of social health insurance payments by a user unit and receives five lags from the date of payment.

The social insurance agencies of the city are not in a position to apply for the payment of medical insurance payments or personal contributions for the period of two years.

Article 101 bis.

After taking part in social health insurance and repayment of social health insurance fees and lags, new medical expenses incurred by the insured person are paid by the Medical Insurance Fund in accordance with the provisions of this scheme.

Article 101 ter Medical establishments, customized retail pharmacies violate the agreement with municipal social insurance institutions, which is regulated by the agreement.

The default of the targeted medical institutions and the fixed-point retail pharmacies is credited to the basic health insurance fund.

Article 101 quantify is in violation of one of the following conditions under the health insurance scheme, and the municipal social insurance institutions may suspend their social security card accounting functions for three months; resulting in the loss of the health insurance fund and suspend the accounting function for 12 months. During the suspension of the social security card, the medical expenses incurred by the insured person are in line with the coverage of the health insurance fund, which can be applied for reimbursement, but the treatment paid by the Integrated Fund for Health Insurance has been reduced by half.

(i) Transfer of social security cards for use by others;

(ii) The basic health insurance fund through the pharmacies, pharmacies or the sale of medicines;

(iii) Access to medicines paid by the Integrated Fund on a number of occasions is beyond normal doses.

Article 105 Medical insurance services such as medical agencies, pharmaceutical operators and other means of decepting the health insurance fund by fraud, counterfeiting of material or other means, which is returned by the municipal social insurance administration and is charged with a fine of five times the amount; the dismissal of service agreements by the health insurance service institutions; the competent and other direct responsible personnel directly responsible are eligible for the operation, the legal discharge of their duties; and the transfer of suspected crimes to the judiciary.

Article 101 of the article quinquies the treatment of social health insurance by fraud, falsification of material or other means, which is dealt with by the municipal social insurance administration in accordance with article 101 quantify, releasing and deceing a fine of five times the amount; and the transfer of the judiciary to justice by law.

Article 101, paragraph 7, is incorporated in the credit evaluation system of the city by an act of integrity or integrity that is in contravention of the provisions of this approach.

Article 105 of the Social Insurance Administration, the municipal social insurance institutions and their staff are held accountable under the law for the management of social health insurance, supervision and failure to perform their duties in the right manner, and for the transfer of criminal offences to the judiciary.

Article 101 No. 1009 of the health insurance relationship is not consistent with the specific administrative actions of the municipal social security administration, the municipal social insurance agency, which may apply for administrative review or administrative proceedings in accordance with the law.

Chapter IX

Article 101 allows businesses to draw up additional medical insurance fees by 4 per cent of the total employee's salary, to cover the complementary treatment of the enterprise for health insurance, from the employee welfare fee.

The medical safeguards scheme for the departure of persons and one to six-year-old military personnel (removable military personnel, such as the former pharmacies, etc.) are developed separately by the municipality.

Article 101

Article 113 participates in an integrated presence in the old-age insurance industry, which is paid by a retired person who is treated for old-age insurance by the Hiroshima Province, the Social Insurance Agency in Beijing in the month of retirement, whose basic health insurance is provided for by the old-age insured person in this city by the month; the need for continued payment of basic health insurance fees and local supplemental health insurance payments is required, and is paid at 11.5 per cent and 0.2 per cent of the average monthly salary paid by the current city, respectively, for a one-year medical insurance grant.

Article 101 XIV achieves the mandatory retirement age and the non-availability of the old-age insured person in the city, which shall provide his own fingerprints in the manner prescribed by the municipal social insurance institutions and provide a fingerprint to the social insurance institutions in the coming months; the failure to be provided on time to stop the payment of health insurance treatment since the end of the month of the month; and the addition of fingerprints, the municipal social insurance institutions have continued to pay medical treatment for the month since then. During the period of cessation of payment, the medical expenses incurred by the custodians were paid by their first-hand, supplemented by the provision of fingerprints and were reimbursed under the relevant provisions.

The municipal social insurance institutions should maintain the fingerprints of the insured person and should not be used for other purposes.

The custodians are unable to provide fingerprints and should provide effective means of survival at the request of the municipal social insurance agencies.

Article 105 Costs such as family beds and medical care for old-age diseases, the elimination of new medical screening fees for medical care for after-school medicines are added to the Social Health Insurance Fund, which is implemented in accordance with the relevant provisions of this city.

Article 106 of the municipal social insurance administration may establish a health insurance package based on this approach.

The average monthly salary of the last-year occupier in the city is limited to the data published by the municipal statistical offices. The average monthly salary of the last-year occupier in the city referred to in this scheme is calculated at the average monthly salary of the previous two-year occupiers in the first two-year occupiers, with the average monthly salary calculated in the previous year.

Article 108 of this approach refers to an agency of the executive region of the city, a business unit, a social group, enterprise, a non-commercial unit and an individual economic organization.

This approach refers to the user units already involved in social health insurance.

This approach refers to persons already involved in social health insurance.

The scheme referred to the non-exploited population of the city, which refers to persons who have been home in the city who had not attained the mandatory retirement age of 18 years, who had not been enrolled in schools and who had not been employed in the user's unit, who had reached the mandatory retirement age but had not been treated in the monthly pension insurance.

Article 10019 or veterans have been placed in the city, and their military age during the service of the force or the military's participation in the health insurance period are considered to be the actual pay for the basic health insurance in the city.

The year covered by this approach is 1 July to 30 June.

Article 101, paragraph 20, of the scheme, is to be implemented by retired and one-time payment of medical insurance expenses paid by the old-age insurance fund in my city prior to the implementation of this scheme.

Those who had received monthly medical insurance benefits prior to the implementation of the scheme were continued to be paid by the local Supplementary Health Insurance Fund.

The insured person, prior to the implementation of this approach, has been determined by the municipal social insurance institutions as a medical clinic, with the proportion of the basic medical costs incurred and the local supplemental medical costs, which remain 90 per cent and 80 per cent, respectively.

Prior to the implementation of the maternity insurance system in the city, the basic health insurance file for the age of 18 years and the absence of a statutory retirement age, and the second-pronged insured person participates in the maternity health insurance, as set out below:

(i) Participants of the basic health insurance, which are paid at 0.5 per cent of their basic health insurance contributions at monthly rate;

(ii) Part Two of the basic health insurance, 0.2 per cent of the gross medical insurance contribution base is paid on a monthly basis.

The cost of maternity health insurance for active personnel was surrendered by the user unit, and other personnel were executed on the basis of their contributions and contributions to the basic health insurance payments.

The maternity health insurance is in line with the family planning policy, and its prenatal inspection, inpatient delivery, post-natal visits, basic medical costs for family planning operations (excluding infant costs) continue to be paid by the maternity health insurance fund, with the basic medical costs for prenatal inspections paid from the provision of family planning certificates.

During the period of unemployment insurance coverage for unemployed persons, the insured person continued to participate in the form of the former health insurance and enjoyed the corresponding treatment as a result of the suspension of the unemployment insurance scheme for up to 30 days.

Article 105 of this approach is implemented effective 1 January 2014, the “Summit of Social Health Insurance in the Shenzhen City” (No. 180 of the Hanghen People's Government Order) dated 30 January 2008 and the announcement of the issuance of the supplementary provision of social health insurance coverage for non-communicient residents in the Shenzhen City (Year/2008]210), the notice of the integration of adolescent children and the primary student health insurance into the inpatient health insurance (No.