How much is social security reimbursement for medical treatment in different places in Dalian (children)

Children's medical insurance reimbursement:

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. As long as the primary and secondary school students tell the window that they need to be reimbursed when they leave the hospital, they will give you the hospitalization certificate and the receipt of related expenses accordingly. If there is rural (urban) cooperative medical care, you can also reimburse part of it first, and then apply for medical insurance reimbursement at the insurance company where the students study (provided that the students are insured).

The medical expenses paid by the insured in cash shall be paid with the following documents within 3 months from the date of medical expenses:

1. If I have an ID card (or household registration book) or entrust others to do it, I also need to provide my agent's ID card and social security card (including student ID card).

2. Medical insurance card, Emergency Medical Record of Dalian Basic Medical Insurance, attached pages of emergency medical record, receipt of medical expenses and relevant medical history materials, etc.

3. For hospitalization, it is also necessary to provide a discharge summary and a copy, and a detailed list of medical expenses, and submit it to the medical insurance service point of the nearest street (town) community affairs acceptance center or the county medical insurance affairs center for reimbursement.

The outpatient expenses for accidental injuries of students and children refer to hospitalization standards and are reimbursed according to the level of medical institutions at that time, and there is no threshold. For example, if a child is injured in a secondary medical institution, the outpatient medical expenses incurred will be paid in advance, and then he will go back to his street to apply for sporadic reimbursement. In line with the basic medical insurance coverage expenses, the overall fund pays 65% and the individual pays 35%. In addition, we suggest that teachers and parents try their best to go to designated medical institutions for medical treatment after students and children have personal accidents. If the conditions are limited, you can also go to a nearby non-designated medical institution for treatment, and the medical expenses incurred will be reimbursed sporadically according to the regulations.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.