How to use Qingdao children's social security card

Insurance Bian Xiao helps you answer, and more questions can be answered online.

1, the annual outpatient service can be reimbursed up to 300 yuan.

Children in Qingdao can choose a community hospital and sign a contract with social security card after going through the insurance formalities. This is a new policy for children in Qingdao since 20 15.

After signing up for a community hospital, if the child usually has a slight headache and brain fever, he can go to the community hospital to see a doctor and get medicine, and the expenses will be reimbursed immediately. The reimbursement rate is 40%, with the highest reimbursement for 300 yuan every year.

The Municipal Social Security Bureau requires designated communities to arrange family doctors to receive children. Conditional designated communities should arrange doctors whose practice scope is pediatrics to receive children. Designated communities should actively introduce pediatricians to practice in designated communities.

2, three designated hospitals can be reimbursed 80%.

According to the current policy of Qingdao, if a child is ill and needs hospitalization, the minimum payment standard of hospitalization medical expenses shall be formulated according to the standards of tertiary medical institution 800 yuan, secondary medical institution 500 yuan and primary medical institution 200 yuan. If the patient is hospitalized for the first time in a medical year, the minimum payment standard shall be 100%; The second hospitalization, Qifubiaozhun by 50%; For those hospitalized for the third time or more, the Qifubiaozhun shall be uniformly implemented according to 100 yuan.

Children are hospitalized in the first, second and third-level designated medical institutions, and the proportion of overall payment for medical expenses above Qifubiaozhun is 90%, 85% and 80% respectively. The hospitalization expenses of the only child, the basic medical insurance fund on the basis of the proportion of students and children increased by 5 percentage points.