How to apply for medical insurance for a one-year-old child

1. Application for social security card

According to the policy arrangements, the relevant departments will be through the neighborhood committee and other grass-roots organizations, to each of the age of infants and young children to issue the application form, the new parents fill out the new parents, then you can bring the household register, the proxy (that is, the new father or new mother) of the identity card, the card fee of 25 yuan, to the social security center to apply for the card point.

Unlike the adult card, the infant card does not require you to take a picture of yourself, which should make the process a bit more convenient. 2.Getting your health care benefits

The above is just a card, but the contents of the card (i.e., the health care benefits) need to be handled separately, though some neighborhoods may be able to do this as well.

At this point, the new parents should bring four types of original documents and their copies to their neighborhood committee counterparts:

a. The baby's birth certificate and its copy

b. A copy of the baby's first page of the hukou, and a copy of the baby's own hukou (usually in a hukou book)

c. A page of the parent's hukou and its copy

d. ID card of the person acting on behalf of the new parent and its copy

According to the policy, the new parent is required to pay the 60 yuan enrollment fee by March 20 every year, and the specific time and method of payment will be announced. 3.

According to the regulations, the period of children's health insurance is from January 1 to December 31 of each year.

Outpatient emergency: 40% of the cost of a primary hospital (i.e., community hospitals)

50% of the cost of a secondary or tertiary hospital

Hospitalization: 50% of the cost of the standard medical insurance

4. Can you enjoy both at the same time?

As a matter of fact, the Pediatric Hospitalization Fund is organized by the Shanghai Red Cross, and it mainly covers hospitalization and major illness insurance, but not outpatient emergency. Therefore, it is complementary to the pediatric medical insurance and can be enjoyed at the same time.

In terms of duration, the pediatric hospitalization fund does not take a natural year as the duration, but from September 1 of the current year to August 31 of the following year, which is also different from the pediatric medical insurance.

And both can protect the "hospitalization" part, the reimbursement standard is also different. Children's health insurance as long as the scope of coverage can be reimbursed 50%, pediatric hospitalization fund has a starting standard (first-class hospitals 50 yuan, second-class hospitals 100 yuan, third-class hospitals 300 yuan), that is, above this standard can be reimbursed 50%. At the same time, there is a cumulative maximum payment of 100,000 yuan per person per school year.5. Cannot be enjoyed at the same time with the family labor insurance

After the children's health insurance, the original unit in the family labor insurance can not be enjoyed at the same time. As for the latter, please refer to Diary of a New Father 8 for more details.

Examples:

It's easier to talk about this than to give an example.

1-year-old baby Weiwei, paid 60 yuan at the beginning of the year to participate in the health insurance fees, and in August paid 60 yuan of pediatric hospitalization fund fees, he went to the hospital in October a **** spent 10,000 yuan, specific and divided into three items.

Outpatient emergency 1000 yuan, of which 900 yuan covered by health insurance, reimbursed by the health insurance 50% or 450 yuan.

Hospitalization 4,000 yuan (secondary hospital), all within the scope of medical insurance, pediatric health insurance reimbursement of 50% or 2,000 yuan, the remaining 2,000 yuan, minus 100 yuan of the starting standard, the remaining portion of the pediatric hospitalization fund reimbursement of 50% or 1,950 yuan.

The $5,000 for major illnesses, all covered by Medicare, is reimbursed 50% or $2,500 by the pediatric hospitalization fund.

Therefore, he is reimbursed 450+3950+2500=6900$ for one ****.

Note: The above text is only a personal understanding, for reference only, if you have questions about the interpretation of the policy, it is best to consult the social security hotline 9622222, the health insurance hotline 962218, labor security hotline 12333