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. 2022 May 24;15:1129–1144. doi: 10.2147/RMHP.S349124

Table 1.

Provincial/Municipal Paradigm Fiscal Subsidy Policies for COVID-19 Patients’ Medical Costs

Location Key Points of the Policy Issue Date Source Access
Shanghai 1 The medical costs of COVID-19 confirmed patients, after the reimbursement by fundamental healthcare insurance fund, the critical illness insurance fund and medical assistance fund according to regulations, the original personal borne part shall be subsidized by central finance and municipal finance. 2020.1.20 Shanghai Bureau of Finance & Shanghai Municipal Health Commission https://www.shanghai.gov.cn/nw48607/20200826/0001-48607_63694.html
2 Temporary work subsidy for medical staff and epidemic prevention staff who participate in the epidemic prevention work.
3 The expenses for the medical institutions used for buying prevention, diagnosis and treatment equipment and the fast diagnostic reagent shall be arranged by the financial organizations that are responsible for the applied hospitals
Beijing 1 The medical costs of COVID-19 confirmed patients, after the reimbursement by fundamental healthcare insurance fund, the critical illness insurance fund and medical assistance fund according to regulations, the original personal borne part shall be subsidized by finance. 2020.1.23 Beijing Municipal Medical Bureau&Beijing Municipal Finance Bureau http://ybj.beijing.gov.cn/swdt/2020_tzgg/202002/t20200217_1643872.html
2 As to the non-native healthcare insurance COVID-19 confirmed patients, they shall be treated first and the medical costs settlment can wait after the treatment, their reimbursement shall not be deducted as usual.
3 The medicine and medical service costs of the COVID-19 confirmed patients in accordance with the diagnosis treatment scheme by national health department can be temporarily counted in healthcare insurance payment coverage.
Tianjin 1 The medicine and medical service costs of the COVID-19 confirmed and suspected patients in accordance with the diagnosis treatment scheme by national health department can be temporarily counted in healthcare insurance payment coverage. 2020.1.23 Tianjin Healthcare Security Administration http://ylbz.tj.gov.cn/xxgk/zcfg/ybjwj/202010/t20201022_3993991.html
2 The medical costs of COVID-19 confirmed and suspected patients under the healthcare insurance coverage shall be fully undertaken by fundamental healthcare insurance fund.
3 Non-native healthcare insurance COVID-19 patients shall be first treated and the medical costs settlment can wait after the treatment.
Taiyuan, Shanxi 1 Non-native healthcare insurance COVID-19 confirmed and suspected patients shall be first treated and the medical costs settlment can wait after the treatment, their reimbursement shall not be deducted as usual. 2020.1.27 Taiyuan Healthcare Security Administration http://ybzx.taiyuan.gov.cn//doc/2020/01/29/954295.shtml
2 Native healthcare insurance COVID-19 confirmed and suspected patients receiving treatment outside the region shall be exempted the procedures for registration due to receiving treatment outside the region and their medical costs can be reimbursed by healthcare insurance fund.
3 The medical costs of COVID-19 confirmed and suspected patients of our city, their original personal borne part shall be fully subsidized by municipal finance.
4 The COVID-19 confirmed and suspected patients will not be restricted by local tiered medical service policy so as to make sure the security standard will not be decreased. As to the local healthcare insurance patients with receiving treatment in our province, their medical costs will be settled by immediate healthcare insurance; as to the local healthcare insurance patients receiving treatment outside the province, they could make a phone call to the relevant authority to register the condition in record and their medical costs will be immediately settled by the hospital.
Fujian 1 The medical costs of COVID-19 confirmed patients, after the reimbursement by fundamental healthcare insurance fund, the critical illness insurance fund and medical assistance fund according to regulations, the original personal borne part shall be first advanced by the hospital, the hospital shall apply to the finance bureau for reimbursement. 2020.1.27 Fujian Provincial Healthcare Security Bureau http://ybj.fujian.gov.cn/zwgk/gsgg/202001/t20200127_5186559.htm
2 The medical costs of the COVID-19 confirmed patients in accordance with the diagnosis treatment scheme by national health department can be temporarily counted in healthcare insurance payment coverage.
3 Non-native healthcare insurance COVID-19 confirmed patients shall be first treated and the medical costs settlment can wait after the treatment, their reimbursement shall not be deducted as usual.
Jiangxi 1 The medical costs of the COVID-19 confirmed and suspected patients shall be first advanced by the hospital, the hospital shall apply to the healthcare security administration which governs the hospital, then the healthcare security administration shall apply to the finance bureau which takes charge of the healthcare security administration’s expenses. 2020.1.29 Jiangxi Province Healthcare Administration http://ybj.jiangxi.gov.cn/art/2020/1/29/art_27600_2903572.html
2 The medical costs for the non-native healthcare insurance patients shall be advanced by the healthcare administration where the patients receive the treatment. The information and medical costs record for the non-native patients must be kept well because the settlement for medical costs of the nan-native patients shall be solved after the pandemic is over.
Gansu 1 The medical costs of the COVID-19 confirmed and suspected patients after the reimbursement by fundamental healthcare insurance, critical illness insurance and medical assistance fund, the personal payment part shall be subsidized by the finance. The personal payment part of the COVID-19 confirmed patients shall be advanced by the municipality or county finance where the hospital is located, the central finance shall subsidize 60% of the actual costs and the provincial finance shall bear 40%; the personal payment part of the COVID-19 suspected patients shall be borne by the government finance where the hospital is located. 2020.2.5 Gansu Healthcare Security Administration, Gansu Finance Bureau and Health Commission of Gansu Province http://ylbz.gansu.gov.cn/ylbzj/c10376410/202002/434681.shtml
Guangdong 1 All the medical costs of the insured COVID-19 confirmed and suspected patients incurred from the medicine and medical service of the outpatient service and inpatient service will not have the personal payment proportion, all the medical costs will be included by healthcare insurance. 2020.2.7 Healthcare Security Administration of Guangdong Province and Department of Finance of Guangdong Province http://hsa.gd.gov.cn/zwgk/content/post_2887480.html
2 All the disease treatment fee of the COVID-19 suspected and confirmed patients (including the expenses arising from underlying disease treatment, complicated disease treatment and the treatment for infection from other disease etc.) will be covered by healthcare insurance. All the medical costs of the outpatient (emergency) charge, the observation charge and hospitalization fee of the COVID-19 confirmed and suspected patients at the first visit medical institution and the designated hospital will be covered by the healthcare insurance. The expenses of the COVID-19 confirmed and suspected patient at the designated or non-designated hospital will be included in the scope of the healthcare insurance.
Shenyang, Liaoning 1 The standards of the outpatient (emergency) service of the COVID-19 confirmed and suspected patients equal to critical illness rescue (emergency), their treatment will be in accordance with local critical illness rescue (emergency) policy. 2020.2.27 Shenyang Healthcare Insurance Administration http://ybj.shenyang.gov.cn/zwgk/fdzdgknr/zcjd/202111/t20211122_1132346.html