Discharge and reimbursement process of Shanghai Children's Medical Insurance: 1. Pay the hospitalization expenses in full at the settlement window with the discharge certificate; 2. Copy the relevant information according to the reimbursement requirements and submit it to the Children's Fund reimbursement window; 3. Wait for the phone call to collect the reimbursement.
The following documents are required for discharge reimbursement of children under Shanghai Children's Medical Insurance: 1. Original and copy of "Medical Certificate".
2. Original and copy of household registration book.
3. Certificate issued by the school (kindergarten) where you are located.
4. Original and copy of discharge certificate.
5. Original and copy of hospitalization medical expense list.
6. Original and copy of discharge settlement invoice.
Article 28 of the "Regulations of the People's Republic of China and the State on the Basic Medical Insurance for Urban Employees" Personal accounts are used to pay medical expenses beyond the scope of payment by the overall fund; if the personal account is insufficient to pay, it is the responsibility of the individual.
Article 29 Medical expenses for hospitalization for serious diseases shall be paid according to the following methods: (1) The minimum payment standard is in principle controlled at 9% to 11% of the average social salary of employees in cities, counties, and autonomous counties in the previous year.
(2) In principle, the maximum payment limit is controlled at 3-5 times the average annual social salary of employees in cities, counties, and autonomous counties in the previous year.
(3) Medical expenses above the minimum payment standard and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion.
Appropriate care will be given to the proportion of retirees paying medical expenses.
The scope of serious diseases, specific standards for deductibles and maximum payment limits, and the sharing ratio of medical expenses above the deductible standard and below the maximum payment limit shall be determined by the Provincial People's Government.