How to reimburse children's urban and rural medical insurance clinics?

The reimbursement process for children's urban and rural medical insurance clinics usually includes the following steps:

1. Preparation before seeing a doctor: Before the child gets sick or injured, make sure that you have purchased urban medical insurance for children, and read the insurance clauses carefully to understand the insurance coverage and reimbursement regulations.

2. Seek medical treatment and obtain medical certificates: When a child is sick or injured and needs medical treatment, tell the doctor in time that you have urban children's medical insurance, and ask the hospital to provide relevant medical certificates, such as outpatient invoices, medical expense lists and doctor's diagnosis certificates.

3. Insurance reimbursement application: submit medical certificate, copy of insurance policy, reimbursement application form and other materials to the insurance company within the time specified by the insurance company, fill in the corresponding application form, and fill in the relevant information of children and medical treatment accurately and completely.

4. Payment pending review: The insurance company will review your application for payment, and after verifying that it meets the requirements of the insurance clauses, it will make payment according to the agreed payment ratio. Under normal circumstances, insurance companies will complete the payment procedures within a certain period of time.

Children's medical insurance outpatient reimbursement means that children can enjoy medical insurance reimbursement treatment in accordance with relevant policies and regulations when they are in outpatient service. The process of handling the medical insurance card is relatively simple. Just bring your child's household registration book, ID card and other relevant documents to the local social security bureau. Parents need to provide their children's medical insurance cards, ID cards, invoices and other related documents, fill in the reimbursement application form and complete the reimbursement application. The reimbursement of children's medical insurance outpatient service is a very important policy, which can help parents reduce the burden of seeing a doctor and let their children get medical treatment in time.

Children's medical insurance outpatient reimbursement means that children can enjoy medical insurance reimbursement treatment in accordance with relevant policies and regulations when they are in outpatient service. Specifically, when visiting an outpatient clinic, you can enjoy reimbursement from the medical insurance fund, reduce the family burden, and let your child seek medical treatment in time.

To sum up, the scope of reimbursement for outpatient medical insurance for children residents includes outpatient expenses such as medical treatment fees, examination fees, laboratory fees and treatment fees. However, it should be noted that the scope of reimbursement does not include the cost of medicine.

Legal basis:

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

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The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 8

Social insurance agencies provide social insurance services, responsible for social insurance registration, personal rights and interests records, social insurance benefits payment and other work.