Shenzhen Newborn Medical Insurance Handling Process (First Enrolment)

Children's medical insurance processing flow

1. The guardian of the insured child shall go to the social security agency where the household registration is located to receive the application materials for insurance.

2. The guardians of the insured children should fill in the relevant forms and declare the insured information online according to the insurance requirements, and prepare the required reference materials to declare to the social security agency where the household registration is located.

3. The social security agency accepts the insurance information, reviews the insurance information, enters the insurance information, establishes the social security collection account and collects the application fee in the bank through the computer system.

4. After the collection of children's medical insurance premiums is successful, the guardians of the insured children can apply to the social security agency for making children's medical insurance certificates, print the certificate-making list in the children's insurance collection window, pay the certificate-making fee, and go through the certificate-making procedures in the social security certificate-making window.

5. Within 20 working days from the date of accepting the certificate-making procedures, the guardian of the insured children will go to the social security collection agency to receive the children's medical insurance certificate and issue it to the insured.

Social security is a national welfare, and newborns can also apply. If the baby gets a social security card within 3 months of birth, the hospitalization expenses at birth can also be reimbursed. To apply for a social security card for a newborn, parents need to register the baby first, and then bring the relevant documents of parents and children to the local social security center for processing.

When will children's medical insurance be handled?

1, school children go through the insurance payment formalities in September every year.

2. If the children transfer or move outside the city and meet the conditions of insurance, they should go through the insurance and payment procedures within two months after the transfer or move.

3. Newborns can apply for insurance and payment procedures within two months after birth.

4. For those who apply for insurance after handling the insurance and payment procedures within the specified time, the social security agency will accept the insurance payment procedures after applying for insurance for 4 months (except for those who participated in insurance for the first time in 2007).

Tips:

(1) Children aged 0-3 don't need to provide digital photo receipt, but they must provide birth certificate number and ID number as soon as possible before they can use the children's medical insurance card.

(2) In September each year and within two months after the birth of a newborn, those who are not insured need to receive less medical insurance premiums from the fourth month after three months from the month of enrollment, and enjoy treatment from the month of collection (except for school applications).

③ Copies of application materials provided by children and guardians are A4 paper.

Consult the local social security agency for details.

Materials to be prepared for handling children's medical insurance

Parents should bring their children's household registration book and birth certificate (original and photocopy), guardian's household registration book and ID card (original and photocopy), digital receipt (required for children over 4 years old) and family planning certificate issued by the street.

Children's medical insurance is good news for some families of children with congenital diseases. Because commercial insurance is not responsible for this part, and children's medical insurance includes this part of the treatment costs, it is very important for children with congenital diseases to apply for children's medical insurance.

Legal basis:

"Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law" Article 8.

The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations.

If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.