Health Reminder of Prevention of Ebola Hemorrhagic Fever(EHF) for People Coming to Guangzhou from Africa

Treatment at Designated Clinic for Chronic Disease

At the moment, there are 17 types of designated chronic disease in Guangzhou:Diabetes, hypertension, coronary heart disease, Parkinson's disease, rheumatoid arthritis, systemic lupus erythematosus, schizophrenia, chronic heart failure (cardiac function above grade III), Anticoagulation therapy after heart valve replacement operation, epilepsy, chronic active hepatitis (hepatitis B), liver cirrhosis (decompensation), chronic glomerulonephritis, chronic renal insufficiency (non-dialysis) Chronic obstructive pulmonary disease, Alzheimer's disease, affective disorder (manic episodes, depressive episodes and bipolar disorder).If the insured was diagnosed by the qualified designated health care organization with the designated chronic disease, the medical expenses can be reimbursed. If the medical expenses are within the specialist out-patient drug directory for designated chronic disease, according to medical insurance pooling fund, the reimbursement proportion of the expenses at local community health service Institution is 85% (excluding secondary and tertiary hospitals), the expenses at the other health care organization is 65%. The maximum payment for each designated chronic disease is RMB 100 per month, valid in current month with no accumulation. The insured can choose 3 of the entities at the maximum for health insurance benefits.

Supplementary Insurance for Student Group Medical

Part I:：Receive treatment at a designated hospital1. Designated hospitals are the hospitals which are designated by social security, or school clinic, except the foreign guests ward, priority ward and special treatment ward.2. The insurance company refuses to compensate if receiving treatments at a non designated hospital in a non emergency situation.3. For accessing health service in other regions, the insured should go to a secondary or above public hospital.Part II：Range of compensation for supplementary medical insurance:1. Outpatient for accidental injuries;2. Hospitalization for accidental injuries;3. Hospitalization for illness (only for the disease occurred after admission to school).Part III: Operation standard for supplementary medical insurance：1. Guangzhou Basic Medical Insurance Drug Directory2. Guangzhou Basic Medical Insurance Treatment Items Range3. Guangzhou Basic Medical Insurance Service Facility Range and Payment Standard for Urban EmployeesClaims has to be within the reimbursement range according to the abovePart IV：Compensation regulations for outpatient for accident1. The medical expenses should be reimbursed at school first; the insurance will compensate the insured students of basic social medical insurance with the remaining balance.2. For the uninsured students of basic social medical insurance, insurance company will compensate them under the standard of medical insurance, which is the total expenses deduct the payment from basic social medical insurance that is calculated based on compensation standard. The remaining balance will be paid by insurance company.3. Medical expenses (including the domestic vaccine cost) is caused by accidental injuries by cats, dogs, rats and etc. that are fitted into the payment range.Part V：Compensation regulations for hospitalizationThe insured students of Guangzhou resident medical insurance is required to pay the expenses with social security card or medical insurance card, otherwise insurance company refuses to compensate. For the uninsured students of basic social medical insurance, insurance company will compensate them under the standard of medical insurance, which is the total expenses deduct the medical cost of social pool that is calculated based on compensation standard. Insurance company will pay the remaining balance.Part VI：Note for settlements1. The following documents are needed for settlements on outpatient for accidental injuries:1.1. Student identity card, copy of bank card (both sides are needed)1.2. Invoice and invoice list1.3. Copy of outpatient medical record (including the cover)1.4. Medical record of medical insurance (apply at school clinic)2. The following documents are needed for settlements on hospitalization for accidental injuries:2.1. Student identity card, copy of bank card (both sides are needed)2.2. Original invoice of hospitalization and original statement of hospitalization fee by medical insurance.2.3. List of particular items for hospitalization fee2.4. Copy of outpatient medical record (include the cover, admission record and summary of discharge)2.5. Discharged aegar (with hospital chop)3. The following documents are needed for settlements on hospitalization for illness:3.1. Student identity card, copy of bank card (both sides are needed)3.2. Original invoice of hospitalization and original statement of hospitalization fee by medical insurance.3.3. List of particular items for hospitalization fee3.4. Copy of outpatient medical record (include the cover, admission record and summary of discharge)3.5. Discharged aegar (with hospital chop)Part VII：Special Instructions1. Insurance company collects information for claims every week (that means your information for claims may takes maximum 5-7 business days at school for summarizing)2. For the claims with complete documents and within the coverage, CLIC will send the compensation to the banks within 10 business days, the amount will be transfer to corresponding student accounts by the banks (it may takes 2-10 business days for the banks to transfer). Notice will be sent out to students for the claims that are rejected if they are not in coverage. If information for claims is missing, students will be noted to reclaim after they have the complete documents.3. China Life Insurance Company Ltd. service personnel/ telephone/mobile phoneGao Jie/020-86380493/13826486662 Fax：020-86375909

Reimbursement Process and Regulations for Student Medical Insurance

The insured is admitted to hospital → Check-in at the local designated health care organization (present admission notice, medical insurance card, Identity card) → Admission to hospital → Check-in for Treatment →payment of hospitalization (the insured who meet the discharge standard can settle the medical bill with discharge notice and medical insurance card) → Discharge from hospitalI. Regulations for payment1.In hospitalization fee, patients are responsible for the following expenses:（1） Out-of-pocket expense（2） Paid in advance by patients (Drugs that covered by medical insurance, treatment programs, the insured need to pay a portion of expenses within the three medical insurance service facility directories.（3）Expenses that below the medical insurance pay line（4）Out-of-pocket expenses in copayment（5）Exceed the limit of medical allowance for critical illness.2. The medical insurance pay line for each timeClassification of HospitalsServing StaffRetired StaffPrimary HospitalRMB 500RMB 350Secondary HospitalRMB 1000RMB 700Tertiary HospitalRMB 2000RMB 14003.Payment portions in copaymentClassification of HospitalsServing StaffRetired StaffPayment of pooling fundIndividual paymentPayment of pooling fundIndividual paymentPrimary Hospital90%10%93%7%Secondary Hospital85%15%89.5%10.5%Tertiary Hospital80%20%86%14%4. Maximum payment limit for pooling fundThe total maximum payment limit within one social security fiscal year is four times the average income of local staff in last fiscal year (RMB 40,187 for 2007)(cap line is RMB160,748 for 2008).5.Medical allowance for critical illnessApplication is not required to receive medical allowance for critical illness. When the basic medical pooling fund payment is over the maximum payment limit of one fiscal year, the 95% of the basic fee of hospitalization and specialized items in clinic that will be paid by critical illness allowance. The basic fee for chronic disease will be paid by critical illness allowance under the payment standard, the maximum payment will be 150 thousand Yuan.6.Payment standard for supplementary medical insuranceFor the people who receive supplementary medical insurance and basic medical insurance for hospitalization and clinic specialized items, supplementary medical insurance will pay 70% of the exceeding balance of the total cost over 2000 Yuan, if the correspondent medical expenses by individual is under the medical cost of social pool maximum limit within one fiscal year (excluding individual should pay for part of the expenses according to “three directories”).7.Hospital bed fee per day according to the following criteriaClassification of HospitalsGeneral WardICULaminar Flow WardClinic (Emergency) ObservationPrimary HospitalRMB 29.6RMB 56RMB 224Secondary HospitalRMB 33.3RMB 63RMB 252RMB 9Tertiary HospitalRMB 37RMB 70RMB 280RMB 102.In following situations, reimbursement for small amount of medical expenses can be applied at Guangzhou Medical Insurance Service and Management Center (following referred as City Medical Insurance Center):2.1.Basic medical expenses in designated hospital in other regions with effective application for accessing medical service in other regions;2.2.Basic medical expenses in designated health care organization in out of pooling areas within China during business trip, government-sponsored study and home leaves.（三）Note1.The insured is required to present the medical insurance card and identity card for admission of hospital.2.According to condition needs, patient who meet the admission standard can be readmitted to hospital without waiting for 15 days.3.Hospitalized for treatment continuously over 90 days, the expenses at pay line standard need to be paid again. If it’s hospitalized for treatment at specialist hospital for mental disorder, tuberculosis, the expenses at pay line standard need to be paid again in every 180 days.4.After treatment, patient who meets the discharging standard is responsible for any cost from the discharging date that is advised by the designated hospital.