Skip to main content

Table 2 comparison of before and after the reform on MWHI in Beijing, shanghai and Shenzhen

From: Barriers of effective health insurance coverage for rural-to-urban migrant workers in China: a systematic review and policy gap analysis

 

Shangha i[92,93,94,95,96]

Beijin g[97,98,99]

Shenzhe n[100,101,102]

Before 2011

After 2011

Before 2012

After 2012

Before 2014

After 2014

Category I

Category II

Category III

Eligible conditions

 Eligible population

Non-local workers

Local/non-local workers

Non-local workers

Local/non-local workers

Non-local workers

Local/non-local workers

Non-local workers

 Contract

Unnecessary

Necessary

Necessary

Necessary

Necessary

Necessary

 Dependence on employee

No

Yes

Yes

Yes

Yes

Yes

Insurance typea

Limited-duration health insurance

Limited-payment whole-life health insurance

Limited-duration health insurance

Limited-payment whole-life health insurance

Limited-duration health insurance

Limited-payment whole-life health insurance

Guarantee period

The following one year

The following one year and future

The following one year

The following one year and future

The following one year

The following one year and future

Account type

Individual account + risk-sharing account

Individual account + risk-sharing account

Risk-sharing account

Individual account + risk-sharing account

Risk-sharing account

Individual account + risk-sharing account

Risk-sharing account

Management agency

Commercial insurance company

Social insurance agency

Social insurance agency

Social insurance agency

Social insurance agency

Social insurance agency

Financing strategy

 Minimum financing unit

Employed: employee

Self-employed: individual

Employed: employee + employer

Employer

Employee + employer

Employee + employer

Employee + employer

 Financing contribute rate

12.5% (non-local construction enterprise rate is 5.5%)

Employee: 9.5%

Employer: 2%

Employer: 2%

Employee 2% + 3 RMB

Employer: 10%

Employee: 4 RMB/month

Employer: 8 RMB/month

Employee 2%

Employer: 5.2% or 6.2%

Employee 0.2%

Employer: 0.6%

Employee 0.1%

Employer: 0.45%

 Total financing amount per unit (RMB/year)

3485 *12 * 12.5% or 5.5%

3485 *12* 11.5%

3485 *12 * 2%

3485 *12 * 12% + 36

12* 12

3485 *12 * 7.2% or 8.2%

3485 *12 * 0.8%

3485 *12 * 0.55%

 Bundled with other welfare programs

Pension insurance

On-the-job injury insurance

Same with UEBMI

NA

Same with UEBMI

NA

Same with UEBMI

 Employer’s total contribution rate

12.5% (non-local construction enterprise rate is 5.5%)

31.2–32.9%

2%

30.8–32.5%

8 * 12 RMB

18.49–20.49%

15.16–16.16%

14.74–15.74%

 Employee or individual’s total contribution rate

None

10.50%

None

10.2% + 3RMB

4 * 12 RMB

10.3%

8.5%

8.4%

 Total amount of burden by funders per unit (RMB/year)

Employed:

employee: None

employer: 2300 or 5228

Self-employed: 5228

Employed:

employee: 4391

employer: 13,048–13,786

Self-employed: Unclear

Employed:

employee: None

employer: 836

Self-employed: Unclear

Employed:

employee: 4320

employer: 12,881–13,592

Self-employed: Unclear

Employed:

employee: 48

employer: 96

Self-employed: Unclear

Employed:

employee: 4307

employer: 7733–8569

Self-employed: Unclear

Employed:

employee: 3555

employer: 6340–6758

Self-employed: Unclear

Employed:

employee: 3513

employer: 6464–6582

Self-employed: Unclear

Covered services

Inpatient + commonly used medicine

Outpatient + Inpatient

Inpatient

Outpatient + Inpatient

Outpatient + Inpatient

Outpatient + Inpatient

 Matching with RUM’s health  needs

Mismatch

Match

Mismatch

Match

Match

Match

Geographic consistency

Consistent

Consistent

Consistent

Consistent

Consistent

Consistent

Portability, in the view of RUMWs [64, 70, 73, 77]

No

Quite low

No

Quite low

No

Quite low

Low

Low

Membership selectivity [38, 64, 71]

        

 Employee

Low

High

Low

High

Low

High

Moderate

Moderate

 Government

Low

High

Low

High

Low

High

Moderate

Moderate

  1. a Limited-payment whole-life health insurance refers to the insurance plan that has a fixed period, in which an insurance holder pays premiums for the policy. Once the holder reaches the target years, premiums are no longer required but the policy’s benefits last the insured’s entire life. Limited-duration health insurance refers to the plan with a limited duration, paid by years or less