1. Those who participate in the basic medical insurance system for children are: ① Those with Shanghai household registration and under the age of 18.

② Registered students with Shanghai household registration, aged 18 to 20, studying in various secondary schools (including high schools, technical secondary schools, technical schools, vocational schools and special schools).

③ Repeat students who have Shanghai household registration and are under 20 years old.

2. Who can participate in the basic medical insurance system for children and students? ① Approved by the Shanghai Municipal Personnel Department, children of school age who hold a "Shanghai Residence Permit" and work in Shanghai.

② Preschool infants and toddlers who comply with the relevant regulations of the Shanghai Municipal Public Security Department, one of whose parents has a Shanghai household registration, and has not yet registered as a Shanghai household registration.

3. What medical security benefits can those who participate in the Children's Student Basic Medical Insurance System enjoy? The insured subjects' hospitalization medical expenses, as well as leukemia, hemophilia, aplastic anemia, radiotherapy and chemotherapy for malignant tumors, dialysis treatment and surgery before kidney transplantation

50% of the medical expenses for specialized outpatient services such as anti-rejection treatment (referred to as "outpatient major illness") will be paid by the security fund.

1. Reimbursement ratio for primary and secondary school students: outpatient and emergency care (including family hospital beds) 1. The minimum payment standard for outpatient and emergency care is 300 yuan; 2. The minimum payment standard for village clinics is not included; 3. Medical expenses below the minimum payment standard are paid by individuals; 4.

For medical expenses exceeding the minimum standard, the individual is responsible for 30% of the medical expenses in the first-level hospital, and the resident insurance fund pays 70%; the individual is responsible for 40% of the medical expenses in the second-level hospital, and the resident insurance fund pays 60%; the individual pays 50% of the medical expenses in the third-level hospital, and the resident insurance fund pays 70%.

The fund pays 50%; the village clinic pays 20% out of pocket, and the resident insurance fund pays 80%.

Hospitalization (including emergency observation room stay) 1. There is a minimum payment standard for medical expenses incurred for each hospitalization, specifically: 50 yuan for first-level hospitals, 100 yuan for second-level hospitals, and 300 yuan for third-level hospitals; 2. Minimum payment standards

The following medical expenses are paid by the individual; 3. For medical expenses exceeding the minimum standard, the individual is responsible for 20% of the medical expenses in the first-level hospital and the resident insurance fund pays 80%; the individual is responsible for 25% of the medical expenses in the second-level hospital and the resident insurance fund pays 75%;

Individuals in tertiary hospitals pay 40% out of pocket, and the resident insurance fund pays 60%.

2. How to reimburse primary school students for medical insurance 1. Required conditions for reimbursement.

2. School students, children and other insured persons under the age of 18 who need outpatient emergency treatment due to accidental injuries can seek medical treatment at the nearest hospital, but the medical expenses must be paid by the individual in advance.

3. Materials required for reimbursement.

4. After the treatment, present the original outpatient medical records, original valid expense receipts (the invoice must be stamped with an emergency seal); expense list (details of treatment fees, laboratory fees, and examination fees); drug prescriptions; original outpatient medical records; and student household registers.

Copy of personal page; copy of guardian’s (agent’s) ID card.

5. Go to the medical insurance agency in your area to handle the reimbursement procedures.

6. Student medical insurance reimbursement process.

7. After recovery, students should promptly go to the school accounting office to fill out a claim application form with the following certificates and information, and entrust an entrusted agent to apply for insurance benefits: Original voucher for medical expenses issued by the hospital recognized by the insurance company (unified receipt for hospital charges);

Diagnosis certificate (outpatient medical record or discharge summary) issued by a hospital recognized by the insurance company; a copy of the student's own.

8. Reimbursement method.

9. After the insurance company closes the case, the compensation will be transferred to the school's account. The Financial Planning Office will publish a notice in the publicity column next to the school mailroom. After seeing the notice, students should bring their ID cards (student ID cards) to the Financial Planning Office in a timely manner.

Receive insurance benefits.

10. Conditions for reimbursement of public medical care.

11. Outpatient and inpatient treatment of students should be carried out in the school hospital. If the condition is serious and needs to be transferred to off-campus medical treatment, a referral slip should be obtained from the school hospital. Otherwise, the student can only apply for insurance benefits from the insurance company and cannot enjoy the school's public medical reimbursement.

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12. Publicly funded medical reimbursement methods.

13. When reimbursing the school’s public medical expenses, outpatient medical expenses will be reimbursed once every academic year by the school hospital, and a fixed quota system will be implemented. Inpatient medical expenses will be based on the balance after the insurance company settles the claim. After filling in the public medical reimbursement form, the school hospital referral form will be used.

, after approval and signature by the dean of the school hospital, the accounting and finance department will provide reimbursement payment in accordance with regulations.

3. The Shanghai Municipal Medical Insurance Measures for Primary and Secondary School Students and Kindergarten Children are as follows: Article 1 In order to reduce the burden of medical expenses on families of primary and secondary school students and kindergarten children in this city due to hospitalization of their children due to illness and injury, and to facilitate the healthy growth of young people, Shanghai

Hospitalization medical insurance for primary and secondary school students and kindergarten children in the city.

Article 2 All students enrolled in primary and secondary schools and children in kindergartens in this city shall be the insured of this insurance.

Article 3 This insurance covers each insurance year from September 1st of the current year to August 31st of the following year.

Article 4 The insured shall pay an insurance premium of six yuan to the Shanghai Branch of the People's Insurance Company of China (hereinafter referred to as the Municipal Insurance Company) every insurance year.