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Does the child need to pay the new rural cooperative medical system after buying the children's hospitalization fund in Shanghai?
Don't hand it in.

After the children bought the children's hospitalization medical fund in Shanghai, they have already obtained the medical security in Shanghai, and their hometown does not need to buy the new rural cooperative medical system (rural children's medical insurance). Children's hospitalization fund and new rural cooperative medical insurance system are two independent medical insurance systems, so you can choose the appropriate one according to the specific situation.