How much can newborn social security be reimbursed?

Proportion of neonatal medical insurance reimbursement:

1. General outpatient service: the annual settlement unit is 40% of the outpatient medical expenses below 300 yuan, that is, the maximum 120 yuan/year. After one-time settlement, the above expenses in 300 yuan need to be paid by individuals.

2. Serious illness clinic: hemophilia, aplastic anemia, systemic lupus erythematosus and other diseases, the fund has no threshold, and the medical insurance fund pays 75%.

3. Hospitalization: different hospitalization qifubiaozhun and fund payment ratio are set according to the level of medical institutions. Take a tertiary hospital as an example. The standard is above 500 yuan, and the fund payment ratio is 80%.

Processing flow of newborn medical insurance card:

Go to your community to get the registration form of basic medical insurance for urban residents, fill in the relevant information and bring the following materials:

1, household registration book and copy. The household registration book should bring the original and a copy.

Printed copies and photocopies must be copied from the first page of the household registration book and the baby page.

2. ID card and its copy/ID number. Generally speaking, medical insurance is

If you need an ID card, because some places have different age requirements for handling ID cards, if you don't have an ID card, you need to provide your ID number.

3. Photo of guardian and insured, 2-inch photo, 4 photos.

It takes a series of complicated steps and preparation materials to reimburse newborns with medical insurance cards. There are a lot of preparation materials, in addition to the newborn's medical insurance card, there is also a treatment receipt with the official seal of the hospital. If the newborn is hospitalized, it is necessary to provide a copy of the hospitalization certificate, which is also stamped with the official seal of the hospital. After preparing the above proof materials for reimbursement, of course, you should find a place to reimburse the expenses, and you need to provide the newborn's own agricultural bank account at the same time when going through the formalities.

Legal basis:

People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity. Newborns also enjoy relevant rights according to law.