How to reimburse children's medical insurance

Different methods of reimbursement for different methods of medical treatment, medical treatment by the individual first delivery of prepayment, incurred medical expenses by the designated medical institutions to record.

How to be reimbursed:

If you have been registered for health insurance during your hospitalization, you can use your validated health insurance card to make an on-site settlement at the hospital when you are discharged.

If you have not registered for medical insurance during your hospitalization:

1. Keep all the invoices and other vouchers for medical expenses.

2. Grab the medical insurance within 3 months.

3, after the medical insurance card is effective, bring the documents to the medical insurance window of the social security center for reimbursement.

1, how to apply for newborn health insurance:

1, household registration

(1) first go to the police station to the child's household registration.

(2) Bring the hukou, the child's birth certificate, both parents' ID cards, marriage certificate, and a one-inch photo of the child to the district and county health insurance centers.

(3) The center will notify you in about a month to get your child's health insurance card.

2, non-household registration

(1) need to meet: one parent has a local household registration.

(2) Go to the police station in your hometown to register your child first.

(3) Bring the relevant documents to the community health insurance service center to apply for the child's health insurance card and wait for the notification.

Outpatient care is reimbursed up to 1,000 yuan per year. The hospitalization reimbursement portion is higher, up to 90% after the starting line, and 60% for imported materials. In addition to outpatient and hospitalization, the following circumstances can also be in the designated hospitals to enjoy the treatment of major medical protection, reimbursement rate of up to 90%.

Second, the child health insurance how to reimbursement

Student children hospitalized or special outpatient treatment, medical treatment by the individual first delivery of the advance payment, the medical costs incurred by the designated medical institutions to keep track of. At the time of settlement, the portion of the medical expenses that should be paid by the medical insurance fund for major illnesses will be settled between the designated medical institution and the social insurance agency, while the rest of the medical expenses will be settled between the individual and the designated medical institution.

Three, the reimbursement rate

Children's health insurance participants per person per year financing standard 100 yuan, of which individuals only need to pay 50 yuan, the government subsidies 50 yuan. For the enjoyment of low-income treatment, special hardship assistance treatment, preferential treatment, students and children with severe disabilities, as well as enjoyment of national student loans to various groups of students in universities and colleges, individuals do not pay, the government fully subsidized.

Children's health insurance enrollment, you can enjoy hospitalization, outpatient emergency, outpatient special diseases and accidental injury additional insurance four kinds of treatment.

First, the hospitalization medical insurance treatment. For inpatient medical expenses under 180,000 yuan incurred in a year, there is no starting line for first-level hospitals (community health centers), and reimbursement is 65%; for second-level hospitals, the starting line is 300 yuan, and reimbursement is 60%; and for third-level hospitals, the starting line is 500 yuan, and reimbursement is 55%.

The second is the outpatient special disease reimbursement treatment. Outpatient special diseases in an annual starting line of 300 yuan, the maximum payment limit and reimbursement rate in accordance with the hospitalization reimbursement standards. Special outpatient diseases include: renal dialysis, anti-rejection after renal transplantation, radiotherapy, chemotherapy and analgesic treatment for cancer, diabetes, pulmonary heart disease, lupus erythematosus, hemiplegia, mental illness, hemophilia, anti-rejection after liver transplantation, epilepsy, aplastic anemia, chronic thrombocytopenic purpura.

Third, outpatient emergency reimbursement treatment. In a year, urban and rural residents in the first-class hospitals (including community health service centers) for outpatient and emergency medical expenses incurred, the starting line of 800 yuan, the maximum payment limit of 3,000 yuan, subsidies 30%.

Fourth, the student accidental injury additional insurance treatment. On the basis of the basic medical insurance for urban and rural residents, a unified additional insurance for accidental injuries of students and children was established to solve the problem of compensation for medical expenses and disability and death benefits for students and children due to accidental injuries.

Legal Basis

The Social Insurance Law of the People's Republic of China

Article 28 Medical expenses that are in line with the basic medical insurance drug catalogs, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency and rescue shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.