How to handle medical insurance for newborns in different places?

1. Referral filing: Insured persons need to complete the referral filing procedures at the local medical insurance center;

2. Submission materials: The insured shall provide relevant discharge summary, invoice, expense list and other relevant materials to the medical insurance center;

3. Audit and liquidation: the medical insurance center needs to audit according to the materials submitted by the insured, and calculate the reimbursement amount according to a certain proportion;

4. Payment of funds: After the medical insurance center completes the audit, the reimbursement amount will be transferred to the corresponding bank account of the insured. When the insured person is discharged from hospital in different places, the agency in different places will transmit the hospitalization expenses and other information to the agency in different places in real time through the national settlement system for medical treatment in different places, and the agency in different places will calculate the amount that the insured person and various medical insurance funds should pay according to local regulations, and send the calculation results back to the designated medical institutions in different places through the national settlement system for direct settlement between the designated medical institutions and the insured person.

Legal basis:

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

Article 2 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 in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Derivative problem:

How many kinds of medical insurance are there?

1. Basic medical insurance for urban workers: If you have a job, the regular unit will register with the social security department, which belongs to employee medical insurance. Generally speaking, companies pay 8% and individuals pay 2%. On-the-job, freelance or unemployed people can also pay employee health insurance, but the expenses need to be borne by individuals.

2. The new rural cooperative medical system: those who have no job and are registered in rural areas can participate in the new rural cooperative medical system normally. This kind of insurance, under normal circumstances, individuals only need to pay tens of dollars a year, and financial subsidies at all levels are several hundred dollars a year.

3. Basic medical insurance for urban residents: If you have no job and your household registration is in a town, you can participate in the medical insurance for urban residents, which is called the basic medical insurance for urban residents. Similar to the new rural cooperative medical system, this kind of insurance individual pays tens of dollars every year, and financial departments at all levels will subsidize hundreds of dollars.

4. Medical insurance for retired cadres: This kind of insurance is quite special. It is medical insurance for retirees and revolutionary disabled people, and it is basically reimbursed in full.