Deduction time of Beijing children's medical insurance

Deduction time of Shenzhen children's medical insurance

The first insured

1. For those who apply for new insurance from June of that year to June of 10, the collection time of children's medical insurance premium: 10 from September 20th to June 30th, will be collected by social security institutions through banks.

2. Those who apply for new insurance during the period from 10 to May of the following year (excluding newborns registered in Shenzhen) need to wait for 3 months before they can join the insurance, and enjoy insurance benefits in the fourth month from the date of application (including the month of application).

(2) the insured.

1. Collection time of medical insurance premium for insured children: from September 20th to September 30th every year, it is collected by social security institutions through banks, and the collection period is from September of that year to August of the following year, with * * *1February as a payment period.

2. If the insured child fails to receive the children's medical insurance premium before September 30 of that year, the system will automatically stop the insurance. If you need to apply for insurance, you have to wait for 3 months to get insured.

Payment standard

(1) Children's medical insurance is paid annually 150 yuan, that is 12.50 yuan per month. The guardian of the insured shall bear the 75 yuan, that is, 6.25 yuan per day, and the municipal financial subsidy will be given to 75 yuan.

(two) children insured for the first time must pay the social security card business card printing fee, each card 20 yuan.

The annual fund-raising standard for children's medical insurance participants is 100 yuan, of which individuals only need to pay 50 yuan and the government subsidizes 50 yuan. For students and children who enjoy subsistence allowances, poverty alleviation, special care and severe disabilities, and all kinds of college students who enjoy national student loans, individuals do not pay fees and are fully subsidized by the government.

After taking out medical insurance, children can enjoy four kinds of treatment: hospitalization, emergency, outpatient special diseases and accidental injury additional insurance.

First, hospitalization medical insurance benefits. Within one year, the first-class hospital (community health service center) will not set the deductible line for hospitalization medical expenses below 6.5438+0.8 million yuan, and will be reimbursed 65%; 300 yuan, the deductible line of the secondary hospital, reimbursed 60%; 500 yuan, the deductible line of tertiary hospital, will be reimbursed by 55%.

The second is the treatment of reimbursement for special diseases in outpatient department. The deductible line for outpatient special diseases within one year is 300 yuan, and the highest payment limit and reimbursement ratio are implemented according to the hospitalization reimbursement standard. Special outpatient diseases include: renal dialysis, anti-rejection after renal transplantation, tumor radiotherapy and chemotherapy analgesia, diabetes, cor pulmonale, lupus erythematosus, hemiplegia, psychosis, hemophilia, anti-rejection after liver transplantation, epilepsy, aplastic anemia and chronic thrombocytopenic purpura.

The third is outpatient and emergency reimbursement. Within one year, the deductible line of emergency medical expenses incurred by urban and rural residents in first-class hospitals (including community health service centers) is 800 yuan, with the maximum payment limit of 3000 yuan and 30% subsidy.

The fourth is the additional insurance benefits for students' accidental injuries. On the basis of the basic medical insurance for urban and rural residents, a unified supplementary insurance for accidental injuries of students and children will be established to solve the problems of medical expenses compensation, disability and death subsidies for students and children due to accidental injuries.

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