The reimbursement process of Shanghai Children's Medical Insurance is as follows: If students and children are hospitalized or receive outpatient treatment for special diseases, the individual must pay an advance payment when seeking medical treatment, and the medical expenses incurred will be accounted for by designated medical institutions.
At the time of settlement, according to regulations, the critical illness medical insurance fund shall pay part of the payment, and the settlement shall be made by designated medical institutions and social insurance agencies. The remaining medical expenses shall be settled by the individual and designated medical institutions.
The annual financing standard for children's medical insurance participants is 100 yuan, of which individuals only need to pay 50 yuan and the government subsidizes 50 yuan.
For students and children who enjoy subsistence allowances, special poverty relief benefits, preferential treatment, and severe disabilities, as well as various groups of students in colleges and universities who enjoy national student loans, individuals do not pay fees and are fully subsidized by the government.