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Shanghai Children Hospitalization Fund
First, preparation before hospitalization

1. You need to buy a medical certificate when you are admitted to the hospital (note: the medical certificate of the children's hospitalization fund in 60 yuan every year) (please note: some babies are delivered in many hospitals, and some are bought in kindergartens, so you have to buy them everywhere. Don't worry before you want to check out.

2. Make two copies (note: one is red and the other is white baby hospitalization statement), which cannot be made in advance because there is a date on it.

Knowing that kindergartens may not open on weekends, two pages of bills will be opened on weekdays, while many hospitals generally open in the morning, depending on the working hours of each hospital in the afternoon.

3. If we are not hospitalized in the outpatient department of the hospital where the household registration is located (for example, we are from Huangpu District but hospitalized in Pudong New Area), we need a referral form from a secondary hospital. (Note: Except emergency hospitalization). Generally, you can go to many hospitals to get to know doctors. They may know which secondary hospitals are more convenient to issue referral forms. Just hang a number!

4. Of course, what should the hospitalized baby bring? I believe parents will prepare, eat, drink, toys and so on.

Second, children's hospitalization fund reimbursement

Submit the above materials directly to the inpatient department-directly deduct the expenses reimbursed by children's fund from your deposit when you leave the hospital-> refund more and make up less!

Example of reimbursement amount: if the hospitalization expenses are 65,438+0,000 yuan (all within the scope of reimbursement, you are in a secondary hospital).

Send yourself * * * =1000-[(1000-100) * 50%] = 550 yuan.

In addition, the minimum payment of 60 yuan Children's Hospitalization Fund is 50 yuan for a first-class hospital, 0/00 for a second-class hospital and 300 yuan for a third-class hospital, that is,-100 is different in different hospitals.

Third, children's medical insurance reimbursement

1. Of course, the premise is that you have participated in the children's medical insurance in 60 yuan every year.

2. Within three months after discharge, go to the children's medical insurance handling office in this district to handle the remaining 50% expenses reimbursement. If you have been hospitalized for many times in a year, you don't need to bring your household registration book for the second time, but you can just bring the receipt for the last reimbursement (there is a number on the receipt to check the identity information of the last time).

3. Materials to be carried:

1) account book;

2) medical certificate;

3) The baby's social security card (hard card) and medical insurance card (the same as the adult's medical insurance card, white paper) (usually issued by the kindergarten, if it is handled in the street, it must be taken in the street).

4) ID card (who can bring ID card for reimbursement)

5) Shanghai bank passbook card (of parents or babies);

6) medical history card;

7) discharge summary;

8) Discharge receipt;

9) Detailed list (generally required to be printed by the checkout doctor after checkout); Especially the list with specific drugs (be sure to bring it);

10) a copy of the trans-regional referral form (at present, I know that only a few children's hospitalization funds need this, so I will call for advice first)

4. Go to the Red Cross for reimbursement and bring all the originals. They will make copies, stamp the receipt and return it to you.

5, outpatient and emergency medical insurance reimbursement 50%, hospitalization (including emergency observation room) medical expenses medical insurance reimbursement 50%.

6, after processing, after preliminary examination and review. Within 3 months, they will directly transfer the reimbursement fee to the Shanghai bank card you handed in.