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Table 6 Summary of three main health insurance schemes in China

From: Effects of health insurance integration on health care utilization and its equity among the mid-aged and elderly: evidence from China

Items

UEBMI

NCMS

URBMI

Inception year

1998

2003

2007

Administrator

MOHRSS

NHC

MOHRSS

Eligible population

Urban employees and retirees

Rural residents

Urban unemployed residents, students, children, etc.

Enrolment unit/type

Individual/mandatory

Family/voluntary

Individual/ voluntary

Number of enrollees in 2013 (millions)

296

802

274

Source of financing

payroll tax (6% from employers, and 2% from employee)

Individual contribution and government subsidy

Individual contribution and government subsidy

Per capita fund in 2013 (CNY)

2573.19

370.59

400.48

Pooling level

Municipal

County

Municipal

Service package

Comprehensive

Limited

Limited

Number of drugs covered

2300

800

2300

Whether covers outpatient care

Yes

70% covering, 30% not covering

No covering in principle

Inpatient compensation rate in 2013 a

95.3

91.1

88.7

Inpatient reimbursement rate in 2013 (%)

68.8

50.1

53.6

  1. Note: Data are from 2014 China Statistical Yearbook and An Analysis Report of National Health Services Survey in China, 2013
  2. UEBMI Urban Employees Basic Medical Insurance, NCMS New Rural Cooperative Medical Schemes, URBMI Urban Residents Basic Medical Insurance, MOHRSS Ministry of Human Resources and Social Security, NHC National Health Commission, CNY Chinese Yuan
  3. a, the proportion of the number of individuals obtaining reimbursement to the total number of individuals having inpatient service utilization