How to deal with medical insurance for newborns in Huizhou?

According to the regulations of the Human Resources and Social Security Bureau, newborns can also be reimbursed if they are insured after treatment within 3 months of birth.

Reimbursement process:

Use the name of the newborn when you are hospitalized, and try to avoid using the name of "the son of" or "the daughter of"; Inform doctors that they have participated in residents' medical insurance, try to use drugs and treatments in the medical insurance reimbursement catalogue, and use less drugs at their own expense.

After the newborn is insured, it is more convenient to use the medical insurance settlement system. If there is no insurance, the reimbursement procedure is relatively complicated. Therefore, cash reimbursement should be avoided as much as possible to reduce the burden of submitting materials and occupying funds. If cash reimbursement is really necessary, the newborn hospitalization invoice, expense list, copy of hospitalization medical record, copy of guardian's ID card, copy of newborn's birth certificate and copy of newborn's household registration book (home page, index page and newborn's personal page) shall be submitted to the local medical insurance office.

If a newborn needs to be hospitalized after being insured, it is necessary to issue a card-free certificate to the human resources and social security service center of the insured place with the Hospitalization Certificate, and hand it over to the hospital medical insurance office, and go through the hospitalization formalities with the card-free certificate when being hospitalized. The medical insurance settlement system is used for settlement when leaving the hospital, and only the individual's own part is paid.

Newborns with urban household registration shall go through the insurance formalities within 3 months from the date of birth and pay the annual medical insurance premium for residents in one lump sum. Everyone enjoys medical insurance benefits for 40 yuan residents every year from the date of birth.

Those who have been insured for more than 3 months after birth will still enjoy residents' medical insurance benefits from the next month of payment. For medical expenses within the scope of payment due to in-patient or out-patient disease treatment, the payment ratio of neonatal medical insurance fund in primary, secondary and tertiary medical institutions is 80%, 65% and 55% respectively, and the maximum payment limit is 654.38+0.5 million yuan.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.