Can college students participate in resident medical insurance? Can I be reimbursed for medical treatment when I go back to my hometown during the holidays?
Recently, the Jiefang Daily·Shangguan News interactive message board received a query from a reader: "My child is attending college abroad and has participated in the local college student medical insurance. If he returns to Shanghai during the winter and summer vacations to have his wisdom teeth removed, can the medical insurance reimburse him?"
Q: Can college students participate in resident medical insurance?
Answer: College students can participate in the Basic Medical Insurance for Urban and Rural Residents and enjoy the benefits of the Basic Medical Insurance for Urban and Rural Residents and the Residential Insurance Major Illness Insurance. People in need can also enjoy the benefits of the Supplementary Medical Insurance for Major Illnesses of the Needy. However, according to relevant policies, college students need to participate in the insurance in the place where their student registration is registered, not in the place of household registration. That is, if the place of student registration is in this city, regardless of whether they have a household registration in this city, they need to participate in the resident medical insurance for college students in this city; and If your student registration place is in another province or city, even if you have a household registration in this city, you must participate in the local college student resident medical insurance in the place of student registration.
Question: My child goes to college abroad and has participated in the local college student medical insurance. If he returns to Shanghai during the winter and summer vacations to have his wisdom teeth removed, can he be reimbursed by the medical insurance?
Answer: Yes. According to relevant policies and regulations, college students studying in other places, after participating in the student residence insurance in the place where their student status is registered, if they need to return to the city during the winter and summer vacations and need medical treatment, they can apply for registration for medical treatment in other places. After completing the registration for medical treatment in other places, they can go to the place of registration. For medical insurance designated medical institutions that have opened real-time settlement for off-site medical treatment, you can use your social security card or electronic medical insurance voucher for real-time settlement; if you seek medical treatment at a medical insurance designated medical institution that has not opened real-time settlement for off-site medical treatment in the place of registration, you can advance payment in cash by yourself. Please submit relevant medical vouchers to the medical insurance agency in the insured area to apply for sporadic reimbursement.
Direct settlement for medical treatment in other places follows the principle of “the directory depends on the place of medical treatment, and the proportion depends on the insured place”. Since the tooth extraction project is within the scope of medical insurance reimbursement in this city, if the tooth is extracted in a designated medical institution in this city and the real-time settlement is carried out in Shanghai with a social security card or electronic medical insurance voucher, it can be included in the scope of medical insurance payment. The specific reimbursement ratio will be based on the insured place. Regulation. If real-time settlement with the card cannot be carried out, whether the payment can be reimbursed back to the insured place shall be subject to the relevant regulations of the insured place.
Answer: Insured persons can seek medical treatment in other places through the "National Medical Insurance Service Platform" App, the "National Record of Medical Treatment in Other Places" WeChat applet, the "State Council Client" WeChat applet, the "Inter-provincial Medical Treatment Record in Different Places" Alipay applet, or participate in Apply for online and offline registration through the window of the land protection agency and other channels, and complete the registration procedures for off-site medical treatment according to the prompts. For details, please consult the medical insurance agency in the insured area.
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