Foreigners do not need to be overly anxious when they get sick in China. The Chinese medical system is open to foreign patients and has clear procedures for different scenarios (emergency, outpatient, hospitalization, etc.). Below are three major scenarios of emergencies, routine medical treatment, and long-term treatment, with detailed guidelines on procedures, language, costs, and other key issues:
Emergencies (e.g. sudden illness, accidental injury): Prioritize medical treatment and make up the procedures afterwards
China adheres to the principle of “life is paramount”, and medical institutions are required to prioritize treatment regardless of whether the foreigner has a legal visa or not. The specific procedures are as follows:
1. Immediately call the emergency number
The national unified emergency telephone number: 120 (medical emergency), 110 (alarm, applicable to accidents).
If you don't speak the language, ask the operator to transfer you to a “foreign service” or contact an interpreter on the spot (in some cities, 120 is equipped with multi-language dispatching).
2. Procedures after transportation to the hospital
Identity registration: the hospital will verify the patient's passport, visa and other information (if you can't provide it, you can register your contact information first and add it later).
Settlement of expenses: Emergency medical expenses are to be borne by the patient (some private hospitals/international departments support international credit card payments), public tertiary hospitals charge according to Chinese standards.
Visa Extension: If you need to extend your stay due to medical treatment, you need to apply for visa extension to the Exit-Entry Administration of the place where the hospital is located before you leave the hospital (you need to provide the Diagnostic Certificate issued by the hospital).
Tips: If you have a sudden illness during your trip, you can contact the Chinese Embassy or Consulate in your country (phone numbers can be found through the MFA's “Consular Express” app) for assistance in contacting your family or an interpreter.
Routine medical treatment (outpatient clinic, specialized examination, etc.): Prepare in advance for efficient medical treatment
In case of non-emergency, it is recommended to plan in advance so as to avoid the impact of incomplete procedures on medical treatment.
1. List of required materials
Proof of identity: original and photocopy of valid passport (visa page must be included).
Visa/residence permit: valid within the period of validity (short-term medical treatment is recommended to use tourist visa L visa or business visa M visa, long-term need Q / S visa);; and
Medical records: past examination reports, diagnostic certificates, medication records, etc. (it is recommended to translate into Chinese, some hospitals provide translation services).
Insurance certificates: If you have purchased international medical insurance (e.g. BUPA, MSH) that covers your treatment in China, you need to bring the policy and direct debit card with you.
2. Registration and consultation process
Selecting a hospital: Recommend the international department of a public tertiary hospital (e.g., Peking Union Medical College Hospital , Shanghai Ruijin Hospital International Medical Center) or a foreign-related private hospital (e.g., United Family Hospital and Clinics (UFH), which are usually equipped with multi-language services and have a more convenient process.
How to make an appointment: Appointments can be made through the hospital's official app, WeChat, or by phone (some specialists need to be booked 1-2 weeks in advance).
On the day of consultation: register at the “International Patient Service Counter” with your passport when you arrive at the hospital and be guided to the consultation room by the staff.
Language support: The International Department is generally equipped with English, Japanese and Korean interpreters (some hospitals provide 24-hour interpreter hotlines), and professional medical interpreters can be applied for complicated cases (at additional cost).
3.Payment
Public hospitals' international department/special needs clinic fees are higher (about 3-5 times higher than general outpatient clinics), but support cash, credit cards, Alipay/WeChat (some hospitals).
Private hospitals have transparent fees and some of them pay directly with international insurance (you need to check the coverage of the policy in advance).
Long-term treatment (hospitalization, rehabilitation of chronic illnesses, etc.): Visa and residence permit are crucial
If you need to be hospitalized for more than 180 days or undergo long-term rehabilitation, you need to apply for a long-term visa and residence permit, and the process is as follows:
1. Visa application type
S1 Visa (Long-term treatment): for foreigners who need to be hospitalized in China for more than 180 days (a Certificate of Need for Long-term Treatment issued by the hospital is required); and
Q1 Visa (Relative Reunion Category): If you need to accompany and take care of your family members for treatment in China, you can apply for a Q1 Visa (the period of stay is generally not more than 180 days, and can be subsequently converted into a Residence Permit).
2. Application for Residence Permit
With the Certificate of Diagnosis, Notification of Hospitalization and S1/Q1 visa issued by the hospital, apply for a foreigner's Residence Permit (the validity period is usually in line with the treatment cycle and can be extended) to the Exit-Entry Administration of the place of residence.
Accompanying family members (e.g. spouse, parents) can apply for Q2 visa (family visit category) or S2 visa (accompanying category), and the period of stay will not exceed the duration of the patient's treatment.
3. Hospitalization and Accompanying
During the period of hospitalization, you must comply with the hospital's regulations (e.g. visiting hours, number of accompanying family members).
If more than one family member is required to accompany the patient, the patient must apply for additional visas for the accompanying persons (each person applies for a separate visa).
Special treatment (e.g. licensed medicines, Chinese medicine, etc.): policy support and regional selection
Some areas in China (e.g., tumors, rare diseases) can enjoy special policies and simplified processes through the Boao Lesheng International Medical Tourism Advance Zone in Hainan :
1. Licensed medicine and equipment use
Lecheng is the only “special medical zone” in China that allows the simultaneous use of drugs/devices that have been approved by the US FDA and EU EMA but are not yet marketed in China (e.g., new anticancer drugs, drugs for rare diseases); patients do not need to wait for approval in China.
Patients do not need to wait for China's approval, but can apply for use with a foreign prescription or doctor's recommendation letter (subject to the approval of the Lotus City Administration).
2.Visa facilitation
LeCheng has opened a green channel of “medical visa” for overseas patients. With the “Letter of Confirmation of Entry for Medical Treatment” issued by LeCheng's medical institutions, patients can directly apply for a 5-year multiple-entry visa (with each stay of no more than 90 days).
3.Fees and Services
Prices of licensed medicines and devices are usually lower than those in the international market (some of them enter the negotiated catalog of medical insurance).
Medical institutions in LeCity (e.g. Boao Super Hospital) provide full-process services (reservation, translation, accommodation coordination, etc.).
Key Notes
1. Plan insurance in advance: foreigners who stay in China for a long time or engage in high-risk activities (e.g., traveling, working) are recommended to purchase international medical insurance (covering emergency, hospitalization, transit, etc.) to avoid the burden of high costs; and
2. Save important information: Record the telephone numbers of international departments of commonly used hospitals (e.g. Peking Union Medical College Hospital's international department), emergency telephone numbers (120), and contact information of embassies and consulates.
3. Respect medical norms: there may be differences between Chinese and Western medical concepts of diagnosis and treatment (e.g. description of the side effects of traditional Chinese medicine), it is recommended to fully communicate with the doctor and follow the Chinese medical process; 4.
4. Contact the embassy or consulate in time: if you encounter language barriers, procedural problems or disputes, you can call the local Chinese embassy or consulate for consular protection (e.g., China's Ministry of Foreign Affairs Global Consular Protection and Service Emergency Hotline: +86-10-12308).
Summary
When foreigners are sick in China, the core principles are to prioritize emergency treatment, prepare documents in advance for routine medical treatment, and apply for corresponding visas for long-term treatment. Choosing the international department of public tertiary hospitals or foreign-related private hospitals can significantly reduce communication costs, while Boao LeCheng in Hainan provides a more convenient channel for special treatment. Planning insurance in advance and saving key information can further enhance the efficiency of medical treatment.
The content is quoted from:https://www.medicaltourismbiz.com/faq/What-if-a-foreigner-gets-sick-in-China.html