Job Recruitment Website - Social security inquiry - How to reimburse the medical insurance for newborns discharged from hospital?
How to reimburse the medical insurance for newborns discharged from hospital?
First, prepare relevant materials.
1. Newborn Birth Certificate: This is an important document to prove the identity of the newborn and ensure that the newborn can enjoy medical insurance benefits.
2. List and invoice of hospitalization expenses: this is an important basis for reimbursement of medical insurance expenses, and it is necessary to list the details of various medical expenses in detail.
3. Parents' ID cards and medical insurance cards: As guardians of newborns, parents' ID cards and medical insurance cards are necessary conditions for medical insurance reimbursement.
Second, submit an application.
1. Go to the local social security or medical insurance window: parents need to bring the above materials and go to the local social security or medical insurance window.
2. Fill in the application form: according to the instructions of the window staff, fill in the relevant application form and attach the required materials.
3. Submit the application for approval: After submitting the application, the window staff will conduct a preliminary review and inform the follow-up process.
Three. Audit and reimbursement
1. review process: the social security or medical insurance department will review the submitted materials in detail to ensure that the reimbursement conditions are met.
2. Reimbursement notice: After the approval, the parents will receive a reimbursement notice, informing them of the reimbursement amount and collection method.
3. Receiving reimbursement: Parents can receive reimbursement at the designated place according to the notification requirements.
To sum up:
Newborns need to prepare relevant materials for medical insurance reimbursement after discharge, submit an application to the social security or medical insurance window, and get reimbursement after approval. Parents should provide complete and accurate materials as required in the process of handling to ensure smooth reimbursement.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 23 provides that:
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Article 24 provides that:
The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 25 provides that:
The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
Article 28 provides that:
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
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