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Shanghai primary school students' medical insurance outpatient reimbursement

"Shanghai Mutual Fund for Hospitalization of Primary and Secondary School Students and Infants" was jointly established by Shanghai Red Cross Society, Municipal Education Commission and Municipal Health Bureau. The reimbursement system for hospitalization and serious illness clinics is implemented for primary and secondary school students (including technical secondary schools, vocational schools and special schools) from the full moon. Since 211, the funding standard for primary and secondary school students and infants has been adjusted from 26 yuan to 59 yuan. Among them, the individual payment was adjusted from 6 yuan to 8 yuan. The fund can provide the maximum payment of 1, yuan per academic year for children hospitalized in more than 32 designated medical institutions in the city, as well as children with leukemia complicated with kidney transplantation and blood friends complicated with malignant tumor. So far, this is the only non-profit, mutual-aid and economic form of children's medical security implemented in provinces and cities in China.

primary and secondary school students and infants are provided with a deductible line in 3 yuan. In that year, the cumulative outpatient and emergency medical expenses exceeded those in 3 yuan:

For medical treatment in a first-class medical institution, the proportion of residents' medical insurance fund payment was adjusted from 6% to 65%;

For medical treatment in secondary medical institutions, the proportion of residents' medical insurance fund payment will be adjusted from 5% to 55%;

For those who seek medical treatment in tertiary medical institutions, the proportion of residents' medical insurance fund payment remains unchanged at 5%.

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