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Do Beijing residents need a hukou for medical insurance?
Yes

According to Beijing local treasure's inquiry, Beijing residents' medical insurance participants need to have Beijing household registration. Beijing registered residents can participate in Beijing's basic medical insurance by paying social insurance premiums. The specific steps include preparing ID cards, social security cards and other related documents, going to local community hospitals or community health service centers, consulting staff, filling out relevant application forms, paying the corresponding social security fees, and finally getting social security cards within the specified time to register relevant medical insurance.