Shenzhen children's health insurance social security card application process

Application procedures (a) children in school (excluding children from low-income families): 1, the insured children to the school to collect the participation declaration information (including participation instructions and forms, etc., hereinafter the same). 2, the guardian of the insured children in accordance with the requirements of participation to fill out the relevant forms, and in the city's social security Web site (www.szsi.gov.cn) on the online declaration of insurance participation (The first batch of declaration in 2007 did not need to declare information online), prepare the required materials and return them to the school.3. The school audits the relevant information and collects it and sends it to the social security institution.4. The social security institution accepts the information on the insurance, audits the information on the insurance, records the information on the insurance, establishes the social security levy account and collects the levy fees at the bank through the computer system.5. After the collection of the children's medical insurance fees is successful, the school can apply for making the children's medical insurance card from the social security institution. After the successful collection of children's medical insurance premiums, the school can apply to the social security institution for the production of children's medical insurance cards (social insurance cards), and after printing the list of cards at the children's insurance collection window, pay the card production fee at the social security card production window and go through the procedures of card production. 6. 20 working days after the acceptance of the procedures of card production, the school will collect the children's medical insurance cards (social insurance cards) from the social security institution and issue them to the insured persons. (2) Children under 18 years of age who are not enrolled in school or kindergarten and who have settled outside the city and are of household registration in the city: 1. The guardian of the insured child will go to the social security agency in the place where the child is registered to obtain the information or download the information on the website of the social security agency for declaration of participation. 2. The guardian of the insured child will fill in the relevant forms according to the requirements of participation and log on to the website of the social security agency to declare the information on the internet for participation in the program (there is no need to declare the information on the internet for the first batch of the declarations of 2007), prepare the required information for participation and submit the information to the household registration agency. The guardian of the insured child can declare to the social security institution in the place where he/she is registered, or to the street labor security office which has opened this service. 3. The social security institution accepts the information of the insured child, examines the information of the insured child, enters the information of the insured child, establishes the account of social security levy, and collects the levy in the bank through the computer system. 4. After the collection of the premiums of the medical insurance of the child is successfully completed, the guardian of the insured child can apply for the production of a medical insurance card and social security card of the child to the social security institution. The guardian of the insured child can apply to the social security institution for the production of a pediatric medical insurance card and a social security card. After printing the list of cards at the pediatric insurance collection window, he/she can pay the card production fee at the social security card production window and go through the procedures of card production. 5. 20 working days after the acceptance of the procedures of card production, the guardian of the insured child will collect the pediatric medical insurance card and the social security card from the social security collection institution, and will be issued to the insured person. (c) Children from low-income families in deep households: 1. The insured children or their guardians can obtain the application information from the civil affairs department in the area where the household registration is located, or download the application information from the Internet.2. The guardians of the insured children fill out the relevant forms and prepare the information on the insurance, and return them to the civil affairs department.3. The civil affairs department examines the forms and information on the insurance and confirms and stamps the forms, then sends them to social security institutions.4. The social security institutions accept the information on the insurance and review the insurance information, and enter the information on the insurance into the social security collection agency. After reviewing the participation information, entering the participation information, establishing the social security collection account and collecting the levied fees at the bank through the computer system.5. After the successful collection of the children's medical insurance fees, the civil affairs department can apply to the social security institution for making the children's medical insurance card and social security card, and after printing the list of card-making at the window of the children's insurance collection, it will go to the window of the social security card-making to pay the card-making fees on behalf of the children and to go through the procedures for making the cards.6. 20 working days after the acceptance of the card-making procedures, the civil affairs department will go to the social security institution to make the card-making procedures. working days later, the civil affairs department to the social security collection agency to collect the children's medical insurance card, social security card, and issued to the participants.

Children's medical insurance, is for minor children drink with some of the diseases in the insurance report, and out of the hospitalization, treatment, surgery and other medical costs of protection. Now China's basic medical system, the state of medical insurance for children is basically very low, so it is recommended that you can consider referring to some of the commercial insurance, reduce the risk of the family. First, how to handle the Shenzhen pediatric medical insurance binding hospital? If in September, an insured child payment transfer success, and parents have also been near the binding of the community health center or hospital, from this month onwards, the insured child if you go to the binding of the community health centers and hospitals to see the general outpatient clinic, you can be credited reimbursement. The person in charge reminded that the children's health insurance into the hospitalization health insurance, its treatment time according to the provisions of the hospitalization health insurance, from the full payment of health insurance premiums from the next month to enjoy health insurance treatment, and no longer like the original month payment month to enjoy the treatment. 14 years of age or less children, outpatient clinic can choose to bind a community health center, you can also choose to bind a city of second-class or second-class or following hospitals Outpatient medical treatment; children over 14 years of age, their body development has been more perfect, the morbidity rate is similar to that of adults, and adult participants in the same binding social health center medical treatment. Municipal social security bureau to call, mobilize enterprises and individuals to go for binding procedures as soon as possible, so as to avoid the general outpatient treatment continues to "fall through" down. Second, inpatient medical care why bind the community health center? Bind a social health center why will become a necessary condition to enjoy outpatient treatment? Municipal Social Security Bureau of the relevant person in charge of the initial increase in inpatient medical insurance participants in the outpatient treatment, neither increased contributions, nor affect the original hospitalization treatment, just from each participant's original contribution of 6 yuan, as outpatient co-ordination fund." 6 yuan per person is quite small, to maintain the balance of the outpatient co-ordination fund, must be bound to a social welfare center, social security institutions according to the number of participants bound to the social welfare center, a one-time payment of outpatient expenses to the social welfare center, so that we can do to pay for the outpatient costs of the participants with a limited amount of money." The person in charge said. Three ways to participate in the binding at present, under the age of 14 years of age of the insured children can choose three ways to bind: the first time participants can be in the submission of information on the insurance, choose the residence near the social welfare center or hospital; log on to the Shenzhen Municipal Bureau of Social Security's Web site, through the individual online reporting system to choose to bind the residence near the social welfare center or hospital; to the nearest street, community or social security institutions for binding. Participating children over 14 years old can also choose to bind in three ways: 1. directly to the community health center to be bound; 2. log on to the website of the Shenzhen Municipal Bureau of Social Security, through the individual online declaration system to bind the community health center for outpatient medical treatment; 3. first-time participants can choose to bind the community health center for outpatient medical treatment when they submit the information for participation in the insurance scheme. Participating children cannot change the community health center or hospital to which they are bound for outpatient medical treatment within one month after they are bound to a designated medical institution for outpatient medical treatment. However, after 1 month, you can choose a new community health center or hospital. How to reimburse the outpatient expenses for inpatient medical care? Article 43 of the current Shenzhen Social Medical Insurance Measures stipulates that outpatient (including emergency) expenses incurred by inpatient medical insurance participants at selected community health centers shall be handled in accordance with the following provisions: (a) drugs belonging to Class A drugs and Class B drugs in the drug list of the basic medical insurance shall be paid for by the community outpatient co-ordination fund at the rate of 80% and 60%, respectively; (b) drugs belonging to diagnostic and therapeutic items or medical materials within the directory of the basic medical insurance shall be paid for by the community outpatient co-ordination fund at the rate of 80% and 60%, respectively. (ii) for diagnostic and treatment items or medical materials within the basic medical insurance catalog, 90% of the price of a single item is less than 120 yuan, and 120 yuan of the price of a single item is more than 120 yuan; (iii) outpatient medical expenses incurred by a participant who has been referred to other designated medical institutions with the approval of the settlement hospital due to the need of the participant's medical condition, or emergency medical expenses incurred at a non-settlement hospital, shall be paid by the community outpatient coordination fund in accordance with the provisions of the first paragraph of this article. 90% of the expenses paid under the first and second items of this article. The person in charge also reminded that emergency expenses can be advanced first, and then can return to the bound community health center for reimbursement according to the proportion, if the community health center can not be reported, you can go to the settlement hospitals belonging to the community health center for reimbursement. Warm reminder: the total outpatient medical expenses paid by the community outpatient coordinating fund to each inpatient medical insurance participant in a medical insurance year shall not exceed 800 yuan, and this 800 yuan includes emergency medical expenses. Why do I need to bind a community health center for inpatient medical care? Why is binding a social health center a necessary condition for enjoying outpatient treatment? Municipal Social Security Bureau of the relevant person in charge of the initial increase in outpatient treatment of inpatient medical insurance participants, neither increased contributions, nor affect the original inpatient treatment, but only from each participant's original contribution of 6 yuan, as an outpatient co-ordination fund." 6 yuan per person is quite small, to maintain the balance of the outpatient co-ordination fund, must be bound to a social welfare center, social security institutions according to the number of participants bound to the social welfare center, a one-time payment of outpatient expenses to the social welfare center, so that we can do to pay for the outpatient costs of the participants with a limited amount of money." The person in charge said. Three ways to participate in the binding at present, under the age of 14 years of age of the insured children can choose three ways to bind: the first time participants can be in the submission of information on the insurance, choose the residence near the social welfare center or hospital; log on to the Shenzhen Municipal Bureau of Social Security's Web site, through the individual online reporting system to choose to bind the residence near the social welfare center or hospital; to the nearest street, community or social security institutions for binding. Participating children over 14 years old can also choose to bind in three ways: 1. directly to the community health center to be bound; 2. log on to the website of the Shenzhen Municipal Bureau of Social Security, through the individual online declaration system to bind the community health center for outpatient medical treatment; 3. first-time participants can choose to bind the community health center for outpatient medical treatment when they submit the information for participation in the insurance scheme. Participating children cannot change the community health center or hospital to which they are bound for outpatient medical treatment within one month after they are bound to a designated medical institution for outpatient medical treatment. However, after 1 month, you can choose a new community health center or hospital. How to reimburse the outpatient expenses for inpatient medical care? Article 43 of the current Shenzhen Social Medical Insurance Measures stipulates that outpatient (including emergency) expenses incurred by inpatient medical insurance participants at selected community health centers shall be handled in accordance with the following provisions: (a) drugs belonging to Class A drugs and Class B drugs in the drug list of the basic medical insurance shall be paid for by the community outpatient co-ordination fund at the rate of 80% and 60%, respectively; (b) drugs belonging to diagnostic and therapeutic items or medical materials within the directory of the basic medical insurance shall be paid for by the community outpatient co-ordination fund at the rate of 80% and 60%, respectively. (ii) for diagnostic and treatment items or medical materials within the basic medical insurance catalog, 90% of the price of a single item is less than 120 yuan, and 120 yuan of the price of a single item is more than 120 yuan; (iii) outpatient medical expenses incurred by a participant who has been referred to other designated medical institutions with the approval of the settlement hospital due to the need of the participant's medical condition, or emergency medical expenses incurred at a non-settlement hospital, shall be paid by the community outpatient coordination fund in accordance with the provisions of the first paragraph of this article. 90% of the expenses paid under the first and second items of this article. The person in charge also reminded that emergency expenses can be advanced first, and then can return to the bound community health center for reimbursement according to the proportion, if the community health center can not be reported, you can go to the settlement hospitals belonging to the community health center for reimbursement. Warm reminder: the total outpatient medical expenses paid by the community outpatient coordinating fund to each inpatient medical insurance participant in a medical insurance year shall not exceed a maximum of RMB 800 yuan, and this RMB 800 yuan is inclusive of emergency medical expenses. Three ways to participate in binding At present, the insured children under 14 years of age can choose three ways to bind: first-time participants can choose the social health center or hospital near their place of residence when submitting the information on insurance; log on to the website of the Shenzhen Municipal Bureau of Social Security and choose to bind the social health center or hospital near their place of residence through the individual online declaration system; and go to the nearest street, community or social security institution to apply for the binding. Participating children over 14 years old can also choose to bind in three ways: 1. directly to the community health center to be bound; 2. log on to the website of the Shenzhen Municipal Bureau of Social Security, through the individual online declaration system to bind the community health center for outpatient medical treatment; 3. first-time participants can choose to bind the community health center for outpatient medical treatment when submitting the information on the participation in the insurance. Participating children cannot change the community health center or hospital to which they are bound for outpatient medical treatment within one month after they are bound to a designated medical institution for outpatient medical treatment. However, after 1 month, you can choose a new community health center or hospital. How to reimburse the outpatient expenses for inpatient medical care? Article 43 of the current Shenzhen Social Medical Insurance Measures stipulates that outpatient (including emergency) expenses incurred by inpatient medical insurance participants at selected community health centers shall be handled in accordance with the following provisions: (a) drugs belonging to Class A drugs and Class B drugs in the drug list of the basic medical insurance shall be paid for by the community outpatient co-ordination fund at the rate of 80% and 60%, respectively; (b) drugs belonging to diagnostic and therapeutic items or medical materials within the directory of the basic medical insurance shall be paid for by the community outpatient co-ordination fund at the rate of 80% and 60%, respectively. (ii) for diagnostic and treatment items or medical materials within the basic medical insurance catalog, 90% of the price of a single item is less than 120 yuan, and 120 yuan of the price of a single item is more than 120 yuan; (iii) outpatient medical expenses incurred by a participant who has been referred to other designated medical institutions with the approval of the settlement hospital due to the need of the participant's medical condition, or emergency medical expenses incurred at a non-settlement hospital, shall be paid by the community outpatient coordination fund in accordance with the provisions of the first paragraph of this article. 90% of the expenses paid under the first and second items of this article. The person in charge also reminded that emergency expenses can be advanced first, and then can return to the bound community health center for reimbursement according to the proportion, if the community health center can not be reported, you can go to the settlement hospitals belonging to the community health center for reimbursement. Warm reminder: the total outpatient medical expenses paid by the community outpatient coordinating fund to each inpatient medical insurance participant in a medical insurance year shall not exceed a maximum of 800 yuan, and this 800 yuan includes emergency medical expenses.