Legal analysis: The initial implementation of the basic medical insurance system for primary and secondary school students is a transitional period. The medical expenses incurred by the insured object shall be paid in cash by the individual first, and within 3 months, they shall apply for reimbursement to the office of the Children's Medical Fund of the Red Cross Society of the county by virtue of the residence booklet of this Municipality or the residence permit of Shanghai Municipality, medical history data and medical expense receipt. After the transition period, the hospitalization expenses incurred by the insured in the designated medical institutions should be paid by the security fund and settled by the hospital. Primary and middle school students and infants who participate in medical insurance for urban and rural residents can choose the nearest designated medical insurance hospital and seek medical treatment with social security card (student ID card) or medical insurance card and medical record. Hospitalization should go to the designated hospital, with the children's hospitalization fund medical certificate and hospitalization settlement certificate for medical treatment. Need to be transferred due to illness, should be in accordance with the provisions in the designated medical institutions step by step referral, and hold the relevant documents to the agency (school or community health service center) to receive hospitalization settlement vouchers.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Seventeenth individuals who participate in the basic old-age insurance, due to illness or non-work-related death, their survivors can receive funeral grants and pensions; Persons who have completely lost their ability to work due to illness or non-work-related disability before reaching the statutory retirement age can receive disability allowance. The required funds are paid from the basic old-age insurance fund. .
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.