I can answer your question about children’s medical insurance (i.e. resident medical insurance) and hospitalization fund: Children’s medical insurance has outpatient and hospitalization reimbursement, and the hospitalization fund has hospitalization reimbursement. You may not understand it just by talking about the policy. I will explain it with an example, such as a child being hospitalized.
1,000 yuan has been incurred. Assuming that the 1,000 yuan is covered by medical insurance (self-payment must be paid separately), then the children's medical insurance will bear 500 yuan, and of the remaining 500 yuan, the children's hospital fund will reimburse another 250 yuan, which is your own
Bearing 250 yuan, the children's hospital fund will reimburse half after the medical insurance reimburses the other half.
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It should be noted that the children's medical insurance card and booklet are only for outpatient and emergency reimbursements. All hospitalization reimbursements are managed by the hospitalization fund. To put it simply, when you are hospitalized, give the small booklet of the hospitalization fund to the hospital, and the hospital will automatically settle and reimburse you.
Children's medical insurance reimbursement and hospitalization fund reimbursement are reflected on the invoice. Don't worry, you will be reimbursed for what should be reimbursed, and the hospital will not charge less for what you should bear.
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Also, I don’t understand the children’s accidental injury subsidy, so I can’t help you. I’m sorry.
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Supplementary answer: I know the general policy about the hospitalization fund policy. For the detailed question you asked, I suggest you call: Shanghai Children’s Hospitalization Medical Mutual Aid Fund hotline: 62790637, 62894085. They specialize in this, ask.
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