What are the benefits of social security cards for newborn babies?

Benefits of social security for newborns:

There are many things that parents need to worry about when children grow up, especially newborn babies. Because of poor physical development and weak body, it is inevitable that there will be various minor illnesses. If it's serious, you may be hospitalized or something. Handling social security is the guarantee of baby's health. Not only that, you enjoy good benefits, mainly including the following four benefits.

1 Newborns can enjoy residents' medical insurance benefits independently.

Children can enjoy medical insurance benefits if they have social security, but only if either parent pays social security can children enjoy residents' medical insurance benefits independently. Children can register in the local city to participate in residents' medical insurance, and the insurance premium in the year of birth can be exempted, but the insurance premium in the following year will be paid in the child's own capacity.

2 social security costs are cheap

Newborns are exempt from social security fees in the first year. If the child has some minor illnesses and is admitted to the hospital, the small expenses can be reimbursed after paying social security. Newborn social security costs in 280 yuan every year, generally will not increase too much.

3 low insurance requirements

Newborns don't have high requirements for insurance. Generally, they can use information processing after birth. Children can be insured normally no matter what problems arise in the future, and the expenses can be reimbursed to a certain extent.

4 High utilization rate

The high utilization rate is mainly reflected in how soon newborns start to use social security. If the child is handled within three months after birth, then the enjoyment time starts from the birthday. If it's three months later, enjoy it next month. The utilization rate is really high.

First, social security for newborns cannot reimburse birth expenses.

Although social security for newborns has played a great role and has many benefits, the scope of application of social security for newborns is still limited. Not all expenses incurred by newborns can be reimbursed. As far as maternity expenses are concerned, the hospitalization and childbirth expenses of the mother at birth cannot be reimbursed through social security.

Reason for non-reimbursement:

According to the regulations of the Bureau of Human Resources and Social Security, newborn social security reimburses the expenses incurred by children during hospitalization for treating diseases. There is no way to enjoy reimbursement if it is not the expenses incurred by hospitalization.

However, maternity expenses can be reimbursed through the new rural cooperative medical system, and the social security gap in the reimbursement process of pregnant women in the new rural cooperative medical system is small, which can also save a lot of expenses.

3. Newborns can be reimbursed by social security.

From the above, we can know that the expenses reimbursed by the newborn medical insurance can only be the expenses incurred by the child's illness and hospitalization, and other expenses will not be reimbursed.

1 drug reimbursement for basic medical insurance

Class A and B drugs are included in the basic medical insurance coverage.

Class A drugs refer to the basic drugs that are basically unified throughout the country and can meet the needs of clinical treatment.

The list of Class B drugs is not fixed, but is adjusted by provinces, autonomous regions and municipalities directly under the Central Government according to their own conditions.

Social security can only reimburse basic drugs and diagnosis and treatment projects.

Medical insurance can only reimburse basic drugs and diagnosis and treatment items.

2. The basic medical insurance treatment project reimbursement

There are certain conditions for reimbursement of diagnosis and treatment projects, which must be designated medical services provided by designated medical institutions. The expenses are appropriate, safe and effective, and the charging standard is formulated by the price department.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.