Shenzhen shekang medical insurance children quota

Shenzhen social security children's medical insurance quota is a supplementary medical insurance treatment that every insured child can enjoy every year. It is used to pay medical expenses beyond the scope of medical insurance protection, and different reimbursement ratios and quotas are set according to different types and grades.

The medical insurance system implemented in Shenzhen includes social basic medical insurance, serious illness insurance and medical assistance. Among them, the social basic medical insurance for children is a very important insurance system, which provides the necessary medical security for children when they are sick. Shenzhen Social Security Bureau stipulates that every child who participates in social basic medical insurance can enjoy children's medical insurance, that is, the amount of children's medical insurance. This amount is the supplementary medical insurance benefits that each insured child can enjoy every year, which is used to pay the medical expenses outside the basic medical insurance coverage, and different reimbursement ratios and amounts are set according to different types and grades of insured children. The amount of children's medical insurance in Shenzhen is divided into three categories: basic, specialized and special needs. Among them, the amount of children's basic medical insurance is 1000 yuan per year, and the amount of specialist and special needs insurance is higher. The specific amount varies according to the level of different hospitals. At the same time, the reimbursement scope of children's medical insurance includes outpatient service, hospitalization, medicine, examination and other aspects, and the reimbursement ratio is also different.

What is the reimbursement standard for children's medical insurance of Shenzhen Social Security Bureau? According to the regulations of Shenzhen Social Security Bureau, the reimbursement standard of children's medical insurance includes two aspects: reimbursement ratio and limit. Among them, different levels of hospitals have different reimbursement rates and limits. Taking children's basic medical insurance as an example, the reimbursement rate of outpatient service is 80%, and the limit is 1000 yuan per person per year; The reimbursement rate for hospitalization is 70%, and the limit is 5000 yuan per person per year. For specific reimbursement standards, please refer to the relevant policies of official website or Children's Medical Insurance of Social Security Bureau.

Children's medical insurance is an important part of Shenzhen's social insurance system, which provides basic medical security for children. The specific reimbursement proportion and limit can be queried according to different participation types and levels. At the same time, parents are advised to carefully understand their children's medical insurance policies and choose the insurance method that suits them.

Legal basis:

Article 12 of the Social Insurance Law of People's Republic of China (PRC) participates in the basic medical insurance for urban workers and enjoys the basic medical insurance benefits, including the expenses of prevention, medical treatment and rehabilitation that meet the requirements. Medical insurance benefits include qualified drugs, medical services and medical equipment.