What is the reimbursement rate for pediatric hospitalization?

The proportion of hospitalization reimbursement for children is as follows:

Third-class hospital: urban residents pay 15%, and the minimum payment standard is 30,000 yuan, and 85% is reimbursed; 30,000 yuan to 40,000 yuan, urban residents pay 10%, 90% reimbursement; If the expenses exceed 40,000 yuan to the maximum payment limit, 95% can be reimbursed, and urban residents only need to pay 5%.

Level II hospital: reimbursement rate is 60%.

Level-I hospital: reimbursement rate is 65%.

The reimbursement rate of children's commercial hospitalization medical insurance varies with the insurance coverage and types of insurance companies. For example, some types of insurance may strongly supplement some medical expenses and personal expenses beyond the capping line.

The proportion of children's social security hospitalization medical insurance prescribed by law is as follows:

Level-I hospital: reimbursement rate is 65%.

Level II hospital: reimbursement rate is 60%.

Level III hospital: reimbursement rate is 55%.

Medical insurance, the full name of social medical insurance, is one of the most important social welfare systems in the country, and everyone is eligible to participate. Compared with commercial medical insurance, medical insurance has three exclusive advantages:

1, you can insure against illness. Even terminally ill patients can spend hundreds of dollars on medical insurance and go to the hospital for reimbursement.

2. Guaranteed renewal, commercial medical insurance may stop, but as long as the red flag does not fall, you can buy medical insurance at any time.

3. Long-term effectiveness. Employees who have paid medical insurance premiums for a certain number of years (such as Guangzhou 15 years) can enjoy medical reimbursement for life after reaching retirement age.

To sum up: medical insurance is closely related to everyone's life, regardless of men, women and children.

Legal basis:

Regulations on the supervision and administration of the use of medical insurance funds

essay

The use of medical security funds should be centered on people's health, the level of security should be adapted to the level of economic and social development, and the principles of legality, safety, openness and convenience should be followed.

Article 4

The supervision and management of the use of medical insurance funds should combine government supervision, social supervision, industry self-discipline and personal trustworthiness.