How is student medical insurance reimbursed? What is the reimbursement ratio?

50% of the medical expenses incurred by insured students at designated first-level medical institutions and pharmacies within the scope of the policy, ranging from RMB 500 to RMB 3,000, will be reimbursed.

The focus of resident medical insurance is to cover serious illnesses. Student medical insurance benefits are based on the high-end medical insurance benefits for adult residents. For the portion above 500 yuan to 180,000 yuan, first-level hospitals will reimburse 80%, second-level hospitals will reimburse 75%, and third-level hospitals will reimburse 65%. In addition, insured students also enjoy reimbursement benefits from resident critical illness insurance.

Extended information:

Student Medical Insurance Policy

1. Except for college students receiving designated medical emergency hospitalization in this city, designated hospitals are established by universities in this city. The basic medical insurance shall be reasonably determined within the scope of designated medical institutions. College students seek medical treatment with the hospitalization settlement certificate printed by the medical insurance agency. The hospitalization medical expenses that comply with the medical insurance regulations will be calculated and settled by the designated medical institution.

2. If college students are hospitalized in an emergency or are hospitalized in other provinces or cities during their absence from school due to illness, they should seek medical treatment at a local medical insurance designated medical institution. After the medical expenses incurred are advanced by the individual, the public institution shall apply for reimbursement from the city's medical insurance agency within 6 months after discharge or treatment.

3. College students should go to the city’s comprehensive outpatient department for treatment and be referred to a medical institution. Outpatient medical expenses are covered by college students in designated medical institutions in this city with medical insurance claimed by colleges and universities, medical expenses in this city or other provinces and cities due to emergency treatment, and general outpatient and emergency medical expenses in other provinces and cities during the suspension of school due to illness, etc. etc., the colleges and universities should be reimbursed after they advance the expenses themselves.

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