Detailed process of reimbursement of Shanghai Children's Hospital Fund and Children's Medical Insurance

1. Preparation before hospitalization 1. You need to buy a medical certificate when you are admitted to the hospital (note: the medical certificate of 6 yuan Children's Hospital Fund every year) (please note: some babies are paid in lots of hospitals, and some are bought in kindergartens, so don't worry about it when you want to check out) 2. Open two copies (note: one copy is red). Knowing that kindergartens may not be open on weekends, it is necessary to open a two-page bill on working days, while lots of hospitals usually open in the morning and depend on the working hours of each hospital in the afternoon. 3. If we are not hospitalized in the outpatient department of the hospital where the household registration is located (for example, we are from Huangpu District, but hospitalized in Pudong New Area), we need a referral form from a secondary hospital. (Note: Except emergency hospitalization). Generally, you can go to a lot of hospitals to find out about doctors. They may know which secondary hospitals are more convenient to issue referral forms. Just hang a number! 4, of course, what should the baby in hospital bring? I believe parents will prepare, eat, drink, toys and so on.

II. Reimbursement of Children's Hospitalization Fund The above materials shall be submitted directly to the inpatient office-directly deduct the expenses for reimbursement of Children's Fund from your deposit when you leave the hospital-> Retreat more and make up less! Example of reimbursement amount: If the hospitalization expenses are 1 yuan (all of which are within the scope of reimbursement and are in a secondary hospital), you will pay * * * at the time of discharge =1-[(1-1)*5%]=55 yuan to add: the threshold of 6 yuan Children's Hospitalization Fund is 5 for a primary hospital, 1 for a secondary hospital and 3 for a tertiary hospital.

Third, children's medical insurance reimbursement 1. Of course, the premise is that you participate in the children's medical insurance in 6 yuan every year. 2. Go to the children's medical insurance handling office in this district for the remaining 5% reimbursement within three months after discharge. If you are hospitalized many times in one year, you don't need to bring a household registration book for the second time, just bring the receipt of the last reimbursement directly (the receipt has a number to check the last identification information). 3. Materials to be brought: 1) Household registration book; 2) medical certificate; 3) The baby's social security card (hard card) and medical insurance card (the same as the medical insurance card for adults, the white book) (generally issued by kindergarten, if it is handled in the street, it should be taken in the street) 4) ID card (only those who go to reimburse can bring their ID card) 5) Shanghai bank passbook card (of parents or babies); 6) medical history card; 7) discharge summary; 8) Discharge receipt; 9) Detailed list (generally ask the checkout doctor to print it after checkout); Especially the list with specific drugs (must be brought); 1) Copy of trans-regional referral form (at present, I know that this is only needed by individual children's hospitalization fund, so I will call for consultation first) 4. Go to the Red Cross for reimbursement and bring all the originals. They will make copies, stamp the receipt and return it to you. 5, outpatient and emergency medical insurance reimbursement 5%, hospitalization (including emergency observation room stay in hospital for observation) medical expenses medical insurance reimbursement 5%. 6, after handling, after preliminary examination and review. Within 3 months, they will directly transfer the reimbursement expenses to the Shanghai bank card you handed in.