Q:
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What is the definition of Medical Insurance?
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A:
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According to the "Decision on Establishing a Basic Medical Insurance System for Urban Employees" (Guo Fa No. 44) issued by the State Council, all employers and their employees in urban areas must declare basic medical insurance and implement territorial management; contributed between employers and employees; the basic medical insurance fund implements a combination of social pooling and individual accounts.
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Q:
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What proportion of the funds in the personal medical account is transferred?
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A:
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All basic medical insurance premiums paid by active employees are transferred to their personal medical accounts. The standard for the basic medical insurance premium paid by the employer to be included in the personal medical account differs according to different age groups.
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Q:
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How do non-working employees declare basic medical insurance?
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A:
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People who do not declare basic medical insurance for urban employees in Shanghai and meet one of the following conditions can declare urban and rural residents' medical insurance:
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1.
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People who over 18 years-old with urban household registration in Shanghai;
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2.
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Primary and middle school students and infants with household registration in Shanghai;
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3.
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Among the children of the city's introduced talents, those under the age of 18 who hold the "Shanghai Residence Permit", and students enrolled in various secondary schools from 18 to 20 years old;
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4.
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People who have been mobilized by the city to support the construction of foreign areas (such as Xinjiang), educated youths, and their spouses in other provinces and cities, have gone through the retirement (employment) procedures in the field, and have been registered in the city's household registration, and the medical security has not been implemented;
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5.
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The spouse of urban household registration personnel in this city has not yet been registered in this city's urban household registration, and there is no medical protection;
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6.
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The spouse of talents introduced in this city, who hold the "Shanghai Residence Permit" and have no medical protection.
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Q:
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Can unemployed people declare resident medical insurance?
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A:
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Unemployed people with urban household registration in Shanghai may participate in resident medical insurance during periods when they do not enjoy unemployment insurance treatment.
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Q:
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Can medical expenses incurred during temporary stay in other provinces and cities be included in the scope of medical insurance?
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A:
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For emergency and emergency hospitalization medical expenses incurred during temporary stay in other provinces and cities, the person can bring relevant materials to the Shanghai Medical Insurance Center for review and reimbursement within 6 months from the date of issuance of the medical fee receipt. However, general outpatient or general hospitalization medical care incurred in other provinces and cities, the medical insurance fund will not pay the expenses.
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FAQ
