Proportion of reimbursement for neonatal medical insurance

Proportion of reimbursement for newborn medical insurance: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.

Within 90 days after birth, newborns can participate in residents' medical insurance and reimburse any treatment expenses. In other words, if the newborn gets sick before seeing a doctor, it will not be able to participate in hospitalization reimbursement. But if the newborn is hospitalized within 90 days, it can be reimbursed, and the reimbursement is relatively strong, so don't worry too much. It is safe to be hospitalized when the newborn is ill.

Newborn babies can be reimbursed for hospitalization, but only for babies born within three months. During this period, if the baby has physical illness, parents can take the newborn baby to the hospital for treatment, and then parents can go to the local social security bureau for reimbursement. This policy is very good, reducing the doubts about more expenses. In short, whether the newborn can reimburse the hospitalization expenses depends on the age of the newborn and whether it is within 90 days.

The hospitalization expenses of newborn babies within three months can be solved through reimbursement. When parents treat newborns, they must pay attention to keeping all kinds of documents for neonatal treatment, and don't let the list of neonatal treatment be lost, so that they can be reimbursed more.

The reimbursement process and matters needing attention of hospitalization medical insurance;

1. When entering or leaving the hospital, you must go through the registration formalities with the medical insurance IC card at the medical insurance management window of each designated medical institution. When in hospital, the individual pays the deposit of medical expenses in advance, and pays more and less after discharge. Medical expenses incurred before hospitalization registration are not included in the payment scope of basic medical insurance. If the emergency hospitalization fails to go through the hospitalization registration formalities in time, the emergency certificate should be used to go through the hospitalization formalities at the medical insurance management window the day after admission (postponed in case of holidays), and the overdue medical expenses should be borne by themselves.

2. The deductible line of the overall fund after the insured person is hospitalized: the deductible line varies from place to place, which is generally 10% of the average annual salary of employees in the whole city in the previous year. In a basic medical insurance settlement year, the medical expenses for multiple hospitalizations are calculated cumulatively.

3. If the insured person needs to be referred or transferred due to illness, the deputy chief physician or chief physician of the designated medical institution at or above the third level shall put forward the opinions of referral (hospital) after diagnosis, and the unit to which he belongs shall fill in the application form and go through the referral (hospital) formalities with the approval of the medical insurance management department of the designated medical institution.

Baidu Encyclopedia-Medical Insurance