Legal objectivity:
According to the "Trial Measures for Basic Medical Insurance for Urban Residents in Shanghai", full-time undergraduate students, vocational college students and part-time graduate students who have received general higher education in colleges and research institutes in Shanghai can participate in the basic medical insurance for urban residents. The specific financing methods, medical insurance benefits and medical treatment management of college students shall be separately stipulated by the Municipal Human Resources and Social Security Bureau (the Municipal Medical Insurance Office) in conjunction with relevant departments. Registration fee is paid annually from October to December every year. Those who have not participated in the basic medical insurance for employees in Shanghai, the medical insurance for small towns and the new rural cooperative medical system, and are eligible for urban household registration in this city, are over 18 years old; Primary and secondary school students and infants with Shanghai household registration; Full-time undergraduate students, vocational college students and part-time graduate students who receive general higher education in universities and research institutes in Shanghai; According to the actual situation, you can refer to one of the other personnel conditions applicable to these measures and participate in the basic medical insurance for urban residents. The registration and payment period of residents' medical insurance is from October to December every year. According to the annual payment, the insured shall enjoy the corresponding residents' medical insurance benefits from January 1st to December 31st of the following year. Midway insured persons (except newborns) shall pay according to the annual standard, and after the expiration of 3 months' waiting period, they can enjoy medical insurance benefits for residents. The residents' medical insurance fund combines individual contributions with government subsidies. The financing standard and individual payment standard of residents' medical insurance fund shall be determined by different age groups of the insured. The per capita financing standard is determined according to about 2% of the average wage of employees in this city in the previous year. Among them, the per capita individual payment standard is determined according to about .4% of the per capita disposable income of urban households in this city in the previous year. The insured shall seek medical treatment with the Social Security Card (or Medical Insurance Card), Shanghai Basic Medical Insurance Emergency Medical Record Book and relevant vouchers. Primary and secondary school students and infants can seek medical treatment at the designated community health service center (or a first-class medical institution), or they can choose a second-and third-class designated medical institution for medical treatment as needed. Measures for the administration of hospitalization shall be formulated separately by the Municipal Human Resources and Social Security Bureau (Municipal Medical Insurance Office) in conjunction with relevant departments. Insured persons other than primary and secondary school students and infants can seek medical treatment at the designated community health service center (or first-class medical institution) in the city; Because of illness need referral treatment, must go through the referral procedures, to the second and third level medical insurance designated medical institutions for medical treatment; Need emergency and hospitalization, you can go to the city's medical insurance designated medical institutions for medical treatment. Outpatient treatment exceeds the Qifubiaozhun. The medical expenses incurred by the medical insurance insured in outpatient emergency (including family sickbeds) can be set with the Qifubiaozhun. Within one year, the accumulated medical expenses exceeding the Qifubiaozhun will be paid by the residents' medical insurance fund according to a certain proportion, and the rest will be borne by the individual. Qifubiaozhun is: 3 yuan for people aged 6 and above, severely disabled people in cities and towns, primary and secondary school students and infants; People over 18 years old and under 6 years old are 1 yuan. The proportion of residents' medical insurance fund payment is: 65% in the outpatient emergency of community health service center (or first-class medical institution); Pay 55% for outpatient emergency in secondary medical institutions; In the third-level medical institutions outpatient emergency, pay 5%. For each hospitalization (including the emergency observation room for observation) of the insured, the medical expenses incurred shall be set with a minimum payment standard. The part exceeding Qifubiaozhun shall be paid by the residents' medical insurance fund according to a certain proportion, and the rest shall be borne by the individual. Qifubiaozhun is: 5 yuan, a first-class medical institution, 1 yuan, a second-class medical institution and 3 yuan, a third-class medical institution. The proportion of residents' medical insurance fund payment is: 85% for people aged 6 and above and severely disabled people in cities and towns who are hospitalized in community health service centers (or first-class medical institutions), 75% for those hospitalized in second-class medical institutions and 65% for those hospitalized in third-class medical institutions; For people under 6 years of age, 75% are hospitalized in community health service centers (or first-class medical institutions), 65% are hospitalized in second-class medical institutions, and 55% are hospitalized in third-class medical institutions.