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How to reimburse the children's social security card clinic?

Legal analysis

Students and children who are hospitalized or treated for special diseases shall be paid in advance by individuals when seeking medical treatment, and the medical expenses incurred shall be accounted for by designated medical institutions. At the time of settlement, the part paid by the serious illness medical insurance fund shall be settled by designated medical institutions and social insurance agencies, and the rest of the medical expenses shall be settled by individuals and designated medical institutions. Hospitalization medical insurance benefits. Within one year, the first-level hospital (community health service center) does not set the deductible line for hospitalization medical expenses below 6.5438+0.8 million yuan, 65% of the deductible line of the second-level hospital is 300 yuan, 60% of the deductible line of the third-level hospital is 500 yuan, and 55% is reimbursed.

legal ground

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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.