Understanding Publicly Funded Medical Care According to the "Measures for the Administration of Publicly Funded Medical Care", publicly funded medical care is a social security system implemented to protect state workers and provides free medical and preventive services through the medical department in accordance with regulations.

Publicly funded medical care refers to a social security system implemented by the state to protect state workers and provides free medical and preventive services to recipients through the medical and health department in accordance with regulations.

Currently, many places in my country have abolished the publicly funded medical system, but some cities are still implementing it. For example, Guangzhou still implements the publicly funded medical system.

The abolition of publicly funded medical services has been ongoing, but the progress is slow.

The abolition of publicly funded medical care and the integration of the two into employee medical insurance would simply merge the two. If it means that state workers will enjoy the same medical treatment as corporate employees.

Who can enjoy publicly funded medical care?

According to the "Measures for the Administration of Publicly Funded Medical Care", the main service targets of publically funded medical care are state workers, students, etc., as follows: 1. State agencies, political parties, and people's organizations at all levels whose salaries are paid within the national budget and who are under establishment

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2. Staff members of cultural, educational, scientific, health, sports, economic construction and other public institutions at all levels whose salaries are paid within the national budget and who are under establishment.

3. Grassroots industrial and commercial and tax personnel who spend wages within the national budget and are established by the state.

4. Off-duty personnel on the payroll of the All-China Federation of Trade Unions, local trade unions at all levels, and industrial trade unions, as well as staff on the payroll of public institutions organized by trade union leadership agencies at or above the county or urban level and subject to full budget management.

5. Non-staff personnel who belong to publicly funded medical units and have been approved for long-term rest due to illness, as well as long-term support and over-staff personnel to be allocated.

6. Revolutionary disabled servicemen in the countryside who are second-class B or above who receive long-term pensions, and revolutionary disabled servicemen who are in the reformatory for disabled servicemen or the Invalides.

7. Retirees from units enjoying public-funded medical care, and retired employees working in the military without military status.

8. Employees of administrative institutions who do not enjoy public medical care are in compliance with the retirement regulations of the State Council, and those who have pensions issued by the civil affairs department after retirement.

9. Regular undergraduate and junior college students and postgraduate students (excluding entrusted training, self-financed, and cadre-focused students) enrolled in the plans of ordinary colleges and universities (excluding military academies) officially approved by the state, and those who have been approved to take a one-year leave of absence due to illness

Students who have retained their student status, and recent graduates from colleges and universities who cannot be assigned to work within one year due to illness.

10. Graduate students recruited by scientific research institutions that enjoy public medical care.

11. Contract cadres and workers who are under establishment and recruited by units that enjoy publicly funded medical care (excluding contract workers who are subject to unified measures for labor insurance benefits).

12. Other persons who enjoy public medical care as stipulated by the Central Government and the State Council.

The difference between public medical care and medical insurance 1. Different concepts.

Medical insurance means that when employees or residents fall ill, they can obtain affordable and appropriate medical technology that is currently available to them.

Public medical care refers to a social security system implemented by the state to protect state workers and provides free medical and preventive services to recipients through the medical and health department in accordance with regulations.

2. Cover different groups of people.

People covered by medical insurance include employees and residents, but public medical care is limited to civil servants.

3. Protection scope.

Publicly funded medical insurance has a wider coverage than medical insurance and has a higher reimbursement ratio.

4. The burden subjects are different.

Public medical care is borne by the unit and included in the budget of the department; medical insurance is paid by the social security fund, and those who enjoy medical insurance are enterprise employees and employees of the original public institutions that were divested.

5. Reimbursement ratios are different.

Publicly funded medical care is paid for by the employer and fully reimbursed.

Medical insurance is implemented in accordance with the reimbursement ratios stipulated by the national, provincial and municipal regulations.

Scope of public medical reimbursement: 1. Medical expenses incurred by persons enjoying public medical care at designated medical units (including bed fees, examination fees, medicine fees, treatment fees, surgery fees, etc.).

2. Medical expenses incurred when you cannot go to a designated medical unit due to an emergency and seek medical treatment at a nearby medical unit (national or collective).

3. Medical expenses incurred at local medical units (national, collective) when traveling for business or visiting relatives during holidays.

4. For short-term recuperation or rehabilitation treatment during the recovery period after hospitalization due to surgery or critical illness, medical expenses shall be paid upon the recommendation of the original treatment unit, the consent of the unit, and the approval of the public medical authority; for recuperation or rehabilitation during the recovery period of non-surgery or non-critical illness

Rehabilitation medical treatment shall be based on the recommendation of the designated hospital, the consent of the employer, and the drug fee approved by the public medical authority.

5. Drugs that are not available in the original treatment unit must be purchased from outside (referring to the national medical store or other medical units) and the drug fees certified by the hospital must be attached.

6. Medical expenses for treatment transferred to other places’ medical units (national, collective) according to regulations.

7. Medical expenses for family planning surgery.

8. Due to medical needs, the cost of imported artificial organs installed with a certificate issued by the treatment unit shall not exceed the highest domestic price.

9. If an organ transplant is performed due to medical needs, the cost of organ transplantation shall be borne by public medical care according to the principle that the unit and individual bear the same burden.