For stable chronic diseases already diagnosed in a hospital, renew prescriptions online via that hospital's internet hospital; initial consultations cannot take place online

For established chronic conditions with stable clinical courses, patients can consult online and get prescription renewals directly through the internet hospital operated by the diagnosing medical institution. By law, first-time evaluations of an undiagnosed symptom or illness are strictly prohibited from occurring online. If clinical condition changes or requires physical palpation, the platform must redirect you to an in-person clinic. Online prescription medications are verified by licensed pharmacists and delivered directly to your doorstep.

Free. Online consultation fees are comparable to regular in-person outpatient clinic registration fees; medicine courier delivery involves a nominal standard shipping fee. Saves travel and queuing time.

Administrative Measures for Internet Diagnosis and Treatment (Trial) stipulate that internet medical services are legally confined to follow-up visits for designated common and chronic diseases. The prerequisite is that the patient has already received a verified clinical diagnosis in an offline physical medical facility and the treating physician has access to complete medical records. The regulation strictly decrees that "internet diagnosis and treatment activities shall not be conducted for first-time outpatient visits." If a patient's symptoms fluctuate or require physical clinical examination, the facility must promptly terminate online services and direct the patient to an offline clinic. Online prescriptions require physician electronic signatures, pass clinical pharmacist reviews, and can be home-delivered via third-party logistics. Prescriptions for controlled narcotics or psychotropic pharmaceuticals are strictly prohibited online. Online pediatric consultations for children under 6 years require the presence of a legal guardian accompanied by an appropriate specialist. NHSA Document No. [2020] 45 specifies that consultation and medication expenses incurred during internet follow-ups at designated "Internet+" institutions within the pooled medical insurance fund region are reimbursable under local medical insurance rules, with patient out-of-pocket co-pays eligible for payment via employee individual medical insurance personal accounts (medication delivery fees are excluded from coverage). NHSA Document No. [2019] 47 decrees that public internet hospital follow-up visits, regardless of practitioner academic ranking, are charged strictly at base general outpatient clinic rates.

Inquire first with your attending hospital specialist whether your specific condition is eligible for internet follow-ups, then navigate to the official internet hospital module within the hospital's verified WeChat Official Account or mobile application. Always verify you are using the accredited portal of the physical tertiary hospital where your baseline diagnosis was established. For patients with stable chronic conditions whose maintenance drugs are readily available at neighborhood community health clinics, obtaining an extended 12-week prescription locally is often even simpler (see Chapter 16, Rule 5). For complex medication adjustments requiring specialized physician monitoring, online hospital follow-up preserves specialist continuity without redundant physical travel.

国家卫生健康委、国家中医药局 (2018). 关于印发互联网诊疗管理办法（试行）等 3 个文件的通知（国卫医发〔2018〕25 号；《互联网诊疗管理办法（试行）》第二、十六、十八、十九条，《互联网医院管理办法（试行）》第十九、二十条）. http://www.gov.cn/gongbao/content/2019/content_5358684.htm：「不得对首诊患者开展互联网诊疗活动。」；国家医疗保障局 (2020). 关于积极推进“互联网+”医疗服务医保支付工作的指导意见（医保发〔2020〕45 号，第（三）（四）（五）项）. https://www.gov.cn/zhengce/zhengceku/2020-11/03/content_5556883.htm：「参保人在本统筹地区“互联网+”医疗服务定点医疗机构复诊并开具处方发生的诊察费和药品费，可以按照统筹地区医保规定支付。其中个人负担的费用，可按规定由职工医保个人账户支付。提供药品配送服务的费用不纳入医保支付范围。」；国家医疗保障局 (2019). 关于完善“互联网+”医疗服务价格和医保支付政策的指导意见（医保发〔2019〕47 号，「针对各类服务特点细化价格政策」一项）. https://www.gov.cn/zhengce/zhengceku/2019-08/30/content_5456428.htm：「公立医疗机构开展互联网复诊，由不同级别医务人员提供服务，均按普通门诊诊察类项目价格收费」