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How to apply for Shanghai Children's Medical Insurance Card? What materials are needed? Where can I do it?
Refer to the Trial Measures for Basic Medical Insurance for Urban Residents in Shanghai? Article 4. Registration and payment.
The payment period for residents' medical insurance registration is from 10 to 10 to 12.20 every year. The insured pays the fee every year, and enjoys the corresponding residents' medical insurance benefits from 10 to 12.3 10 in the following year.
During the registration payment period, the registration payment procedures for students and children in the park (institute) shall be handled by schools and child care institutions. Other personnel hold their ID cards, household registration books and other relevant documents, and go through the registration and payment procedures at the agency where the household registration is located.
Extended data
Refer to Article 2 of the Trial Measures for Basic Medical Insurance for Urban Residents in Shanghai.
Those who have not participated in the basic medical insurance for urban workers, the medical insurance for small towns and the new rural cooperative medical system in this Municipality may participate in the basic medical insurance for urban residents if they meet one of the following conditions.
(1) 18-year-old urban household registration personnel in this city;
(two) primary and secondary school students and infants with household registration in this city;
(three) according to the actual situation, you can refer to other personnel who apply these measures.
Refer to Article 5 of the Trial Measures for Basic Medical Insurance for Urban Residents in Shanghai to raise funds.
Residents' medical insurance fund consists of individual contributions, government financial subsidies, employee medical insurance fund transfer payments and special funds. The financing standard and individual payment standard of residents' medical insurance fund are determined according to the insured persons of different ages, and are tentatively set as follows:
(1) For persons over 70 years of age, the financing standard is 1.500 yuan per person per year, of which individuals pay 240 yuan;
(2) For persons over 60 years old and under 70 years old, the fund-raising standard is 1200 yuan per person per year, in which individuals pay 360 yuan;
(3) 18 years old and under 60 years old, the funding standard is 700 yuan per person per year, in which individuals pay 480 yuan;
(four) primary and secondary school students and infants, the subsidy standard is 260 yuan per person per year, of which individuals pay 60 yuan.
The funds other than the individual contributions of the insured are paid by the government financial subsidy funds. The specific measures shall be formulated separately by the Municipal Medical Insurance Bureau and the Municipal Finance Bureau.
Residents' medical insurance fund financing standards and individual payment standards shall be adjusted in a timely manner according to the principle of fund balance and the use of economic and social development and medical expenses, and approved by the Municipal Medical Insurance Bureau, the Municipal Finance Bureau and other relevant departments, and promulgated and implemented after being reported to the municipal government for approval.
Refer to Article 7 of the Trial Measures of Shanghai Municipality on Basic Medical Insurance for Urban Residents, medical insurance benefits.
The medical expenses incurred by the insured in outpatient emergency (including family beds) and hospitalization (including emergency observation room for hospitalization observation) in accordance with the provisions of these Measures shall be paid by the residents' medical insurance fund according to the following proportions, and the rest shall be borne by the insured individuals:
(1) For people over 70 years old, 70% will be paid for hospitalization and 50% for outpatient emergency;
(two) people over the age of 60 and under the age of 70, 60% in hospital and 50% in outpatient emergency;
(3) For those over 60 years old and under 08 years old, 50% will be paid for hospitalization, and 50% will be paid for outpatient emergency medical expenses exceeding 1000 yuan;
(four) primary and secondary school students and infants, hospitalization pay 50%, outpatient emergency pay 50%.
The outpatient expenses of the insured in the community health service center (or medical institution) shall be paid by the residents' medical insurance fund 60%.
The management of medical treatment refers to Article 8 of the Trial Measures for the Basic Medical Insurance for Urban Residents in Shanghai.
The insured shall seek medical treatment with social security card (or medical insurance card), emergency medical record of Shanghai basic medical insurance and relevant vouchers.
Primary and secondary school students and infants can seek medical treatment in designated community health service centers (or first-class medical institutions), or they can choose second-and third-class medical institutions nearby for medical treatment because of illness. The measures for the administration of hospitalization shall be formulated separately by the medical insurance bureau Municipality in conjunction with relevant departments.
Insured persons other than primary and secondary school students and infants can seek medical treatment at the designated community health service center (or first-class medical institution) in this Municipality. If you need to be referred for treatment due to illness, you must go through the referral procedures and go to two or three designated medical institutions for medical treatment. Emergency and hospitalization can go to designated medical institutions for medical treatment.
Minhang District Government-Trial Measures for Basic Medical Insurance for Urban Residents in Shanghai
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