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  • Game Changer: China’s Workers’ Comp System Just Got a Major Upgrade – Say Goodbye to Out-of-Pocket Medical Bills!
  • Policy & Regulation

Game Changer: China’s Workers’ Comp System Just Got a Major Upgrade – Say Goodbye to Out-of-Pocket Medical Bills!

China just announced a major overhaul of its workers' compensation system, enabling direct settlement of medical bills across provinces, easing financial burden on injured workers.
benny 2025-04-17 2 min read

Alright folks, buckle up! The Chinese government just dropped a policy bomb that’s going to significantly ease the burden on injured workers. The Ministry of Human Resources and Social Security, along with the Ministry of Finance and the National Health Commission, has officially greenlit nationwide direct settlement for cross-provincial workers’ compensation medical expenses. And it’s happening fast.

Essentially, this means if you’re injured on the job and need to seek treatment in a different province, you won’t have to front the cash and then wait for reimbursement – the bills will be settled directly. This is HUGE.

Here’s the timeline: by the end of 2025, existing pilot regions will have at least 30% of Level 3 hospitals participating, with new regions adding at least one. By the end of 2026, that jumps to over 50% in pilot regions and 30% in new ones. And by the end of the 15th Five-Year Plan (2026), the goal is universal coverage.

But it doesn’t stop at hospitals. Rehabilitation and assistive device providers are also being brought into the fold. Over 50% of these providers will support cross-provincial direct settlement by the end of 2026, with full coverage planned by the end of the 15th Five-Year Plan.

Let’s break down what this means for you:

This policy tackles a long-standing pain point in the Chinese workers’ compensation system: the financial strain and bureaucratic hassle of out-of-province medical care.

Historically, workers who needed specialized treatment not available locally faced significant financial burdens.

Direct settlement streamlines the process, reducing administrative costs and, more importantly, protecting workers from crippling debt.

It’s a move towards a more equitable and efficient system, and frankly, it’s about time. This isn’t just about money; it’s about ensuring workers receive the care they need without facing financial ruin.



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