What percentage can be reimbursed for newborn medical insurance?

Newborn medical insurance can be reimbursed 60%

The reimbursement rate of neonatal medical insurance is as follows:

(1) The annual settlement unit is general outpatient expenses. For outpatient expenses below 300 yuan, the fund pays 40%, that is, the maximum is 120 yuan/year. After the one-time settlement is completed, part of the expenses above 300 yuan need to be paid by individuals;

(2) There is no threshold for outpatient expenses of hemophilia, aplastic anemia, systemic lupus erythematosus and other serious diseases, and the medical insurance fund pays 75%;

(3) The hospitalization expenses, according to the level of medical institutions, set different hospitalization Qifubiaozhun and fund payment ratio. Take tertiary hospitals as an example. If the standard is above 500 yuan, the proportion of fund payment is 80%. All insured newborns can enjoy the basic medical security benefits of hospitalization and outpatient service, and the medical expenses can be written off immediately by holding a card for medical treatment. If the newborn is insured within 3 months after birth, it can enjoy corresponding medical treatment from birth; Students who were insured before June 3 1 of that year will enjoy the corresponding medical treatment from July 1 of that year.

The reimbursement rate for newborns is the same as that for adults. Provincial hospitals generally reimburse 60%, while municipal hospitals reimburse 60%, 70% and 85%. Newborns need to go to the streets to buy medical insurance within three months of birth. If you buy medical insurance within three months of birth, you can reimburse the hospitalization expenses since the newborn came out. For example, they were just born and hospitalized because of jaundice, but they didn't buy medical insurance when they were hospitalized, so they can be reimbursed as long as they buy it in time.

How to reimburse medical insurance reimbursement?

Medical insurance reimbursement, drug purchase, outpatient service, hospitalization, different medical insurance reimbursement regulations. When purchasing medicine, the cardholder goes to the designated medical insurance institution to purchase medicine, and the expenses are paid in the personal account;

Go to the outpatient clinic, keep the original diagnosis certificate, medical record, report and expense receipt, and submit them to the local social security agency for reimbursement;

Save a certain amount of money when you are in hospital, and settle it according to the proportion of medical insurance reimbursement when you leave hospital.

Legal basis:

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

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations;

Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Social insurance law

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented 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.