China's basic medical insurance coverage rate has remained stable at approximately 95 percent of the population throughout the 14th Five-Year Plan period (2021-2025), the National Healthcare Security Administration (NHSA) announced on Thursday.
Zhang Ke, head of the administration, unveiled the data at a press conference in Beijing.
"During the 2021-2025 period, China's basic medical insurance has maintained a coverage rate of around 95 percent, with 1.327 billion people enrolled in 2024," Zhang said.
Authorities highlighted continuous improvements to the insurance system in the five-year period: The long-acting mechanism for acquiring basic medical insurance has been continuously improved and made complete, with medical aid subsidizing premiums for nearly 80 million individuals annually. Meanwhile, the proportion of insurance fund payment for hospitalization expenses by employees and residents within the catalogue of reimbursement has remained stable at around 80 percent and 70 percent respectively.
In the 2021-2025 period, the mutual aid guarantee mechanism for outpatient services under the employee medical insurance program and the consolidated insurance funds guarantee mechanism for general outpatient expenses have been fully established. The operation of pilot projects of the insurance system for long-term care has been further advanced, covering nearly 190 million people, according to the authorities.
Monitoring over the appropriation of medical insurance funds has been continuously strengthened over the past five years, with the establishment of a comprehensive fund supervision system. Meanwhile, measures such as pre-event education, in-event reminders, post-event supervision, and surprise inspections have been regularly and comprehensively advanced.
"By the end of 2024, the accumulated balance of the consolidated funds for medical insurance reached 3.86 trillion yuan (539.77 billion U.S. dollars). A total of 104.5 billion yuan of misused medical insurance funds has been recovered," Zhang said.
China achieves 95-percent health insurance coverage rate under 14th Five-Year Plan
