10Evidence A

When suffering from a serious illness, first use yibao, dibao, medical assistance, and register for cross‑regional treatment — avoid online loans

The sequence is fixed. Before any cross‑provincial hospitalization, register through the “National Medical Insurance Administration” WeChat account; this allows direct settlement at discharge without paying the full amount upfront. If the post‑reimbursement cost remains high, apply for medical assistance at the township or subdistrict level. Employees are granted a medical leave period of 3–24 months based on seniority, during which they cannot be fired. Steer clear of online loans and high‑interest private borrowing. In total, 120 people have benefited from this system.

Cost

There is no expense involved. The steps must be followed i…

Benefit

The state groups basic medical insurance, dibao, and medical assistance into what is known as the “triple safe…

Cost

There is no expense involved. The steps must be followed in order. First, before being hospitalized in another province, register via the “National Medical Insurance Administration” WeChat official account using the “National Cross‑Regional Medical Registration” mini‑program. Second, settle the bill directly upon discharge. Third, if the remaining amount after reimbursement is still unaffordable, apply to the local township government or subdistrict office for medical assistance. Fourth, employed individuals are entitled to a medical leave period ranging from 3 to 24 months during which they cannot be dismissed; workers suffering from work‑related injuries should turn to workers’ compensation. Fifth, if credit‑card payments cannot be met, proactively negotiate a repayment plan with the bank. Sixth, as a last resort, use a personal fundraising platform authorized by the Civil Affairs Bureau. The required documents are mainly medical diagnoses, expense lists, and settlement statements; you will need to make 2–4 trips. The difficulty lies in having to handle all these procedures while ill.

Benefit

The state groups basic medical insurance, dibao, and medical assistance into what is known as the “triple safety net,” each layer providing additional protection. Eligible low‑income and extremely vulnerable individuals receive at least 70 % coverage for qualifying medical expenses. Even those who are not originally poor but become financially strained by illness may apply for extra aid. Proper pre‑registration ensures immediate post‑discharge settlement without needing to pay out‑of‑pocket first. The medical leave period lasts 3–24 months depending on length of service; during this time employers must retain employment and pay at least 80 % of the local minimum wage. Injured workers enjoy a “work‑rest period” of up to 12 months with full salary and benefits maintained by the employer. Credit‑card borrowers facing unmanageable debt may negotiate a customized repayment schedule with the bank, extending payments up to five years; once agreed, the bank must cease collection efforts. Only platforms expressly designated by the State Council’s Civil Affairs Bureau may solicit online donations, and they must verify the authenticity of each request before disbursing funds directly to the applicant.

Original sources

国务院办公厅 (2021). 关于健全重特大疾病医疗保险和救助制度的意见(国办发〔2021〕42 号). https://www.gov.cn/gongbao/content/2021/content_5659514.htm;国家医保局 (2025). 跨省异地就医如何直接报销?. https://www.nhsa.gov.cn/art/2025/3/16/art_14_16010.html;劳动部 (1994). 企业职工患病或非因工负伤医疗期规定(劳部发〔1994〕479 号,第二、三条). https://www.gov.cn/zhengce/2022-08/31/content_5711269.htm;劳动部 (1995). 关于贯彻执行《劳动法》若干问题的意见(劳部发〔1995〕309 号,第 59 条). http://hrss.jl.gov.cn/ldgx/ldyggl/201608/t20160824_2401358.html(吉林省人社厅转载);国务院 (2010 修订). 工伤保险条例(国务院令第 586 号,第三十、三十三条). https://www.gov.cn/gongbao/content/2011/content_1778064.htm;银监会 (2011). 商业银行信用卡业务监督管理办法(银监会令 2011 年第 2 号,第七十条). https://www.gov.cn/gongbao/content/2011/content_1893974.htm;全国人大常委会 (2023). 关于修改慈善法的决定(第一百二十四条). https://www.gov.cn/yaowen/liebiao/202312/content_6923390.htm;民政部等五部门 (2024). 个人求助网络服务平台管理办法(令第 75 号,第三、十一、十三、十七条). https://www.gov.cn/gongbao/2024/issue_11646/202410/content_6980857.html

Open source link
Book note

The exact percentage of medical assistance and its annual cap are set locally by each insurance region. The “medical leave period” is defined as the span during which an employee cannot be terminated due to illness; it is divided into six tiers based on total and company‑specific tenure. After this period ends, termination becomes legally permissible, so it is wise to know which tier applies to you. Emergency patients also fall under the registration requirement, though the official site does not clarify whether such cases are automatically covered or require retroactive filing; contact your local insurer for clarification. High‑interest online loans and private usury are strictly discouraged; courts only protect debtors up to four times the one‑year LPR rate (see item 15). Any amount exceeding this limit remains legally owed, though pursuing litigation while ill is impractical. In cases of acute, life‑threatening illness, emergency care must be rendered regardless of ability to pay; such costs are covered by the Emergency Medical Assistance Fund (see section 24, item 9). The original text of Ministry of Labor Decree No. 309 (1995) is unavailable on the Ministry’s website; the cited content is reproduced from a provincial labor authority source.

My note