Can Shanghai medical insurance be used for children?

1. Newborns participating in residents' medical insurance generally refer to babies born within 12 months. During this period, those who participate in residents' medical insurance are regarded as newborns.

2. Newborns who participate in residents' medical insurance need to bring their household registration book and one-inch color photos (or collect them at the handling point) to the district or street social insurance agency where the household registration is located for registration and payment procedures.

3 newborns enjoy medical insurance benefits after participating in residents' medical insurance. There are relevant regulations everywhere. If some places stipulate that newborns should apply for insurance and pay fees within three months after birth, they will enjoy medical insurance benefits from the date of birth; Those who apply for insurance and pay fees after three months of birth will enjoy medical insurance benefits from the date of payment.

Shanghai children's medical insurance reimbursement process is as follows:

1, students and children in hospital or outpatient treatment of special diseases, medical expenses paid by individuals in advance, the medical expenses incurred by the designated medical institutions. At the time of settlement, the part paid by the serious illness medical insurance fund shall be settled by designated medical institutions and social insurance agencies, and the rest of the medical expenses shall be settled by individuals and designated medical institutions. The annual fund-raising 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, poverty alleviation, special care and severe disabilities, and all kinds of college students who enjoy national student loans, individuals do not pay fees and are fully subsidized by the government.

To sum up, the operation process of parents' medical insurance card to pay their children's outpatient expenses is further simplified, and parents can use personal accounts to see their children.

Legal basis:

People's Republic of China (PRC) social insurance law

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The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.