The reimbursement process of neonatal medical insurance in Shenzhen

The reimbursement process of neonatal medical insurance in Shenzhen is as follows:

1. When the insured person needs to apply for cash reimbursement, he should prepare all the materials that need to be provided and go to the Children's Medical Insurance Department of each branch of the municipal social insurance fund management in the insured place;

2. The staff of the Children's Medical Insurance Department or the Children's Medical Insurance Department of the Municipal Social Insurance Fund Administration will conduct a preliminary examination of the cash reimbursement data provided by the insured and input the relevant information into the computer. If the information is complete and meets the conditions of cash reimbursement, print the acceptance form and receipt; If the information is incomplete, print a notice of completing the information and make corrections when the information is complete; Do not meet the conditions of cash reimbursement, issue a notice of rejection;

3. The guardian or agent of the insured shall sign the above notice. If the reimbursed cash is not transferred to the payment account, the four major state-owned banks shall provide the original or photocopy of the guardian's bank passbook respectively. The staff enters the passbook account number, prints the passbook account number list, and the insured person signs it for confirmation.

4. The employee shall review the cash reimbursement data and submit it to the financial planning department after being approved by the leader.

Materials for handling neonatal medical insurance in Beijing:

1, household registration book (2 originals and 2 home pages);

2. Baby account page (original and 2 copies);

3. If the newborn is born within three months, the original and photocopy of the birth medical certificate shall be provided;

4. Postal Savings Bank (personal account settlement passbook) or debit card, or Bank of Beijing debit card (opening an account in the name of children);

5. Two one-inch bareheaded front color photos on a white background;

6, fill in the "Beijing urban residents basic medical insurance payment declaration form" in duplicate.

According to the regulations, newborns can directly enjoy outpatient reimbursement in the year when they are insured, otherwise they will have to pay for two years in a row to reimburse outpatient expenses. Although the enrollment in the second year does not exceed 90 days, the policy of enrollment as a newborn is from the date of birth. Otherwise, according to the unified enrollment cycle, the enrollment can only be from September to June every year +065438+ 10.

To sum up, it is best to handle it within 80 days after birth, leaving plenty of time. In case the information is unqualified, you still have time to adjust the information. Because you need a household registration book, you need to register your baby before you can handle it.

Legal basis:

Thirty-second children's hospitalization and serious illness outpatient medical insurance trial measures

The medical expenses that meet the requirements of the basic medical insurance when the insured is hospitalized or seriously ill, in any of the following circumstances, such as cash payment in advance, can go through the reimbursement procedures with the relevant documents and materials to the municipal social security agency:

1, the outpatient medical expenses for serious illness stipulated in Article 13;

2, designated medical institutions computer failure or due to damage to children's medical insurance card can not be accounted for;

3. Being hospitalized in a non-designated medical institution in this Municipality due to critical illness;

4, the city children's medical insurance designated medical institutions or municipal social security institutions agreed to transfer to medical institutions outside the city for hospitalization;

5. Being hospitalized in a medical institution outside the city due to acute illness during visiting relatives outside the city or during vacation;

6. The children registered in this city were hospitalized or seriously ill in the local outpatient department when they settled outside the city, and went through the registration formalities in different places with the municipal social security agency in advance.