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Healthcare in China works differently from what most expats expect. This guide covers the essentials: insurance, costs, quality, and emergency services.
Healthcare System Overview
| Indicator | Value |
|---|---|
| System Type | Mixed |
| Healthcare Quality Index | 72/100 |
| Spending per Capita | €670 |
| Life Expectancy | 78.2 years |
How the System Works
China's healthcare system is classified as Mixed system. The system combines public and private healthcare elements.
Public vs Private Healthcare
Most countries offer both public and private healthcare options:
- Public healthcare: Available to all registered residents. May have waiting lists for non-urgent procedures. Typically lower cost but less choice of provider.
- Private healthcare: Shorter wait times, choice of specialist. Higher cost but often better facilities. Many expats choose private insurance for the first year.
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Emergency Numbers
| Service | Number |
|---|---|
| Universal Emergency | 120 |
| Ambulance | 110 |
| Police | N/A |
Save these numbers in your phone before arriving in China. In EU countries, 112 works universally. In non-EU countries, learn the local numbers and keep them accessible.
Health Insurance for Expats
As an expat in China, your insurance options typically include:
- Employer-sponsored insurance: If employed locally, your employer may enrol you in the public system or provide private coverage
- International health insurance: Global plans from providers like Cigna, Allianz, or Bupa — ideal for the first year or if you plan to move again
- Local private insurance: Often cheaper than international plans but may have language barriers in claims
- Public system enrolment: Available once you have a residence permit and employment
Healthcare Quality
With a healthcare quality index of 72/100, China offers good healthcare by international standards.
Life expectancy in China is 78.2 years, which is above the global average.
Government healthcare spending is approximately €670 per capita per year.
Practical Tips
- Register immediately: Sign up for health insurance within your first week of arrival
- Bring medical records: Carry translated copies of your medical history, prescriptions, and vaccination records
- Find an English-speaking doctor: Expat communities and forums often maintain lists of English-speaking practitioners
- Prescription medications: Check if your regular medications are available and legal in China. Bring a 3-month supply with a doctor's letter
- Dental care: Dental coverage varies widely — check what your insurance covers and consider supplemental dental insurance
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Get Your Free VerdictFrequently Asked Questions
What should I do in a medical emergency in China?
Call the emergency number (120) immediately. In a life-threatening emergency, go directly to the nearest hospital emergency department. Carry your insurance card and a translated summary of any medical conditions or allergies. Hospital emergency departments cannot refuse treatment.
What vaccinations do I need before moving to China?
Check the WHO and your country's travel health advisory for recommended vaccinations for China. Standard vaccines (MMR, tetanus, hepatitis A/B) are generally recommended. Some regions may require additional vaccines. Bring your vaccination records.
Can I see a doctor in English in China?
In major cities in China, finding an English-speaking doctor is usually possible, especially at private clinics and international hospitals. Expat communities often maintain lists of English-speaking practitioners. In rural areas, language barriers are more common.
How does mental health care work in China?
Mental health services in China vary in availability and quality. Public sector waiting times for non-emergency mental health care can be long. Private psychologists and psychiatrists are available in urban areas. Check if your insurance covers mental health consultations.
Does China's health insurance cover dental care?
Basic dental care (check-ups, emergency treatment) may be partially covered by public insurance in China. However, major dental work (crowns, implants, orthodontics) usually requires supplemental dental insurance. Many expats purchase separate dental cover.