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How to apply for pediatric health insurance for children in Shenzhen? How to reimbursement

Shenzhen children's health insurance process:

Enrollment conditions:

1. Shenzhen household children: no conditions

2. foreign household children: in kindergarten or school, one parent within the last three years in Shenzhen to pay the normal social insurance for more than one year, need to have both conditions.

Provided information:

1. Hukou of the child and the guardian

2. Birth certificate of the child

3. Bank account number of one of the parents (no bank restrictions, passbook or card can be recommended in China, China, Industrial and Construction)

Copies of the above three items are required

4. Return receipt of the digital photo of the child (write down the name of the child, gender and ID number. ID card number, all children need to provide)

5. Residence Committee in Shenzhen issued by the family planning certificate (non-Shenzhen households to provide, the deep household children do not provide)

6. One parent is a staff member, you need to provide the unit not to participate in the coordinated medical care of the family members of the unit to prove that.

Process:

1). Students, college students:

Participants (students) submit the declaration information to the school they belong to, and the school will unify the enrollment procedures. The school uploads the information of all enrolled students to the social security organization through the online reporting system of the Municipal Social Security Bureau;

2). Non-institutionalized children:

A. Participants submit the declaration materials to the community workstations and streets where they reside, and the communities and streets will accept the declaration materials and report them to the social security institutions after preliminary examination;

B. Participants submit the declaration materials to the social security institutions where they reside, and the social security institutions will accept the declaration materials.

3). Students or guardians log in:

"Online declaration of student health insurance" in "Shenzhen Children's Health Insurance Online Declaration" in "Children's Health Insurance Individual Online Declaration System". Registration Form" to the school to confirm the application for participation. Remarks: College students can log in to the "Online Confirmation System for College Students in Shenzhen" in the "Online Declaration of Student Health Insurance"

Shenzhen Children's Health Insurance Reimbursement Ratio:

Hospitalization Starting Payment Standard: 100 RMB for hospitals of the first class and the following hospitals in the city If the insured children and college students are referred to different hospitals for inpatient treatment, the hospitalization thresholds will be calculated separately.

Participating children and college students are entitled to outpatient medical insurance treatment for major outpatient diseases such as outpatient dialysis for chronic renal failure, outpatient anti-rejection medication after organ transplantation, outpatient chemotherapy, interventional therapy, radiotherapy or nuclide therapy for malignant tumors, and outpatient medical insurance treatment for hemophilia and aplastic anemia upon approval by the municipal social insurance agency.

*The total amount of outpatient medical care (including emergencies) paid by the Community Outpatient Coordination Fund to each inpatient medical insurance participant in a medical insurance year shall not exceed a maximum of 800 yuan.

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