Reimbursement ratio of children born in Tianjin medical insurance

The reimbursement rate of medical insurance for employees' children includes expenses ranging from 1300 yuan to 30,000 yuan, and the reimbursement rate is 85%; If the hospitalization expenses of employees are between 30 thousand yuan and 40 thousand yuan, the reimbursement ratio is 90%; If the hospitalization expenses of employees are between 40,000 yuan and 654.38+10,000 yuan, the reimbursement ratio is 95%; If the hospitalization expenses of employees are between 654.38+10,000 yuan and 300,000 yuan, the reimbursement ratio is 85%.

Legal objectivity:

Article 28 of the Social Insurance Law

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

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.