For elderly individuals at home who are bedridden or severely disabled, apply to the local yibao (basic medical insurance) office for long-term care insurance; it is not limited to seniors only.

Long-term care insurance helps cover the cost of hiring caregivers. Those who are severely disabled and have remained in that condition for at least six months may apply to their local yibao office. Eligible care expenses do not need to be paid upfront; roughly 70% is reimbursed for employees covered under the worker policy, while about 50% is reimbursed for residents enrolled in the urban/rural resident policy. However, costs such as room charges and meals are not covered. Though often mistaken for a senior-specific program, official documents refer to “insured persons” without any age restriction — even younger individuals with severe disabilities may apply.

You only need to visit the local yibao office once to submit an application and undergo a disability assessment. If you pass the assessment on the first try, the evaluation fee is covered by the insurance fund — no out-of-pocket expense is required.

There is no deductible threshold for approved long-term care services; you do not need to pay a set amount out-of-pocket before reimbursement begins. Approximately 70% of eligible costs are reimbursed for workers, and about 50% for urban/rural residents. The maximum annual payout cannot exceed 50% of the local average per-capita disposable income for residents in that region.

Disability must be “long-term and continuous” — generally lasting six months or more; a few weeks of hospitalization does not qualify. A six-month waiting period applies before benefits can be claimed. Expenses unrelated to care, such as room fees or meals, are not covered by this insurance. Medical costs normally paid by yibao are also excluded. Individuals already receiving work-related injury care benefits cannot claim both simultaneously. This insurance is separate from disability-related subsidies; they follow different application procedures and provide distinct financial aid, as detailed in Section 7, Article 8. Care received at home or in community settings receives preferential reimbursement rates; institutionalization is not mandatory. Implementation varies by region, and assessment criteria differ locally. Contact 12393 or your local yibao office to confirm whether the program is active in your area and how to schedule an evaluation. Even if an initial assessment fails, reapplication is possible once disability worsens.

国家医保局等八部门 (2026). 关于印发《加快建立长期护理保险制度实施方案》的通知. https://www.gov.cn/zhengce/zhengceku/202603/content_7063915.htm：保障对象为「按规定参保缴费且失能状态长期持续（一般为6个月以上），经申请通过评估认定的失能人员」，「制度起步阶段保障重度失能人员」；「待遇享受不设起付标准。符合规定的长期护理服务费用，按未就业城乡居民参保政策参保的，基金支付比例为50%左右；按单位职工参保政策参保的，基金支付比例为70%左右，退休人员享受单位职工参保待遇」；「参保人员基金年度最高支付限额不超过统筹地区上年度城乡居民人均可支配收入的50%」；「除新生儿等特殊群体外，对未在当地长期护理保险制度启动时初次参保，以及中断缴费后再次参保的情形，应制定待遇享受等待期……待遇享受固定等待期原则上按照6个月设置」；「对机构床位费、膳食费等非护理服务费用以及应由医疗保险支付的医疗费用，基金不予支付」；「原则上不直接向失能人员发放现金」；另见中共中央办公厅、国务院办公厅《关于加快建立长期护理保险制度的意见》. https://www.gov.cn/gongbao/2026/issue_12666/202604/content_7065119.html