Job Recruitment Website - Social security inquiry - What is the process of handling children's medical insurance in Ningbo in 2023, and what is the scope of reimbursement for children's medical insurance?
What is the process of handling children's medical insurance in Ningbo in 2023, and what is the scope of reimbursement for children's medical insurance?
Ningbo children's medical insurance processing process, children's medical insurance reimbursement scope finishing. If there is any change, please refer to the news released by official website.
Children's medical insurance is a guarantee for medical expenses such as hospitalization, treatment and surgery caused by certain diseases reported by insurance. At present, China's basic medical system basically has a very low level of medical security for children. It is suggested that we can consider referring to some commercial security to reduce family risks.
Ningbo Children's Medical Insurance Handling Process
(a) the guardian needs to prepare materials:
1, original and photocopy of the household registration book (insurance information page);
2. 1 inch recent color ID photo;
3. The original and photocopy of the guardian's resident ID card.
(2) Handling place: the county (city) medical insurance agency where the household registration is located handles the insurance formalities.
(3) Time node:
Parents will handle it within 3 months from the month after the baby is born! So you can use it every other month!
Then, if it exceeds the time node of 3 months, can it still be handled?
The answer is yes, but if it is handled after 3 months, it is set to enjoy the waiting period of 3 months. In other words, during these three months, no expenses can be reimbursed! (The waiting period for 3 months' treatment is counted from the month when the insured completes the insurance payment procedures. )
(4) Fees payable:
Situation 1: babies born before the end of August
Newborns born before the end of August enjoy the original medical insurance policy for urban residents. Because August is the last year of residents' medical insurance, if you want to reimburse the expenses of the previous year, you must pay the insurance expenses of the previous year. Last year, the standard of personal insurance for newborns was 400 yuan.
Situation 2: Babies born after the end of August
Babies born after the end of August can be directly insured for the next year's medical insurance. Because it coincides with the transition from urban residents' medical insurance to urban and rural residents' medical insurance system, and the old and new systems alternate, it is necessary to handle the insurance payment for a total of 16 months from September to February. The total amount of individual contributions is 530 yuan.
Reminder: In a medical insurance year, no matter when you apply, you will be charged according to the annual fee. Of course, the minimum payment standard and the maximum payment limit enjoyed by the baby are also implemented according to this year's standards.
Reimbursement scope of children's medical insurance
2. When can I use medical insurance after handling?
Case 1: handle it within 3 months of birth, and you can use it the next month;
Case 2: If it is processed for more than three months, it can only be used after three months from the month when the payment procedures are reissued.
Take E's biological experience as an example. Little e will be treated within 3 months after the baby is born. After completing the formalities, Jiangdong Human Resources and Social Security Bureau will inform you to get the card after 30 working days, and you can apply for reimbursement at the same time.
Third, the newborn medical insurance card is lost, how to reissue it?
If the newborn medical insurance card is lost, please bring the child's household registration book and the agent's ID card to the nearest city or district medical insurance agency, and the card replacement fee will be 20 yuan.
Those who have received social security cards will not be reissued if they are lost. Please activate the social security card directly.
The social security card is lost. Please consult the social security card center at 838674 1 1 for specific procedures.
4. What is the reimbursement rate of newborn medical insurance?
After infants and young children participate in residents' medical insurance, the insured person will seek medical treatment in designated hospitals with his medical insurance card (social security card). The medical expenses incurred shall be paid by individuals in cash and by medical insurance funds, and shall be accounted for by designated hospitals according to regulations, and settled with medical insurance agencies.
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