How to handle Zunyi newborn medical insurance?

In our country, there are two kinds of universal guarantees. One is social security and the other is medical insurance. I hope I can help you.

First, how to deal with neonatal medical insurance?

Go to your community to get the registration form of basic medical insurance for urban residents and fill in the relevant information. And bring the following materials:

Household register and its copy. You should bring the original and photocopy of the household registration book, and the photocopy must copy the first page and baby page of the household registration book.

ID card and copy/ID number. Generally, you need an ID card to apply for medical insurance, because the age requirements for applying for an ID card are different in some places. If you don't have an ID card, you need to provide your ID number.

Second, matters needing attention in handling infant medical insurance

First, it is best to apply for baby medical insurance for children within three months of their birth. This is because the sooner you apply for medical insurance for your child, the sooner you can enjoy the corresponding preferential treatment.

Second, the medical insurance benefits for newborns are enjoyed from the day of birth. Therefore, after entering school, parents can reimburse the medical expenses they paid before entering school.

Third, newborns who are hospitalized due to major diseases can be reimbursed 70% of the expenses according to regulations.

Three, medical insurance reimbursement should pay attention to six rules.

Article 1:

Pay attention to medical treatment and drug purchase in designated institutions.

There are medical insurance designated institutions! When participating in insurance, you must remember where your designated hospital is, and you can only be reimbursed if you go to a designated hospital for medical treatment; If you go to a non-designated medical institution, there is no way to reimburse the treatment expenses, and you can only bear it yourself. The same is true for buying medicine. Only designated pharmacies with medical insurance can swipe their medical insurance cards to buy medicines, and other pharmacies can only pay their own money.

Article 2:

Don't transfer without permission.

Some diseases can't be seen in designated medical institutions. If you want to go to a better hospital for treatment, you must first apply for referral, and the referral with complete procedures can be reimbursed; If you don't apply for referral, it is still equivalent to going to a designated medical institution that you have no choice, and you still can't reimburse. There is often a gap in the reimbursement ratio. Generally speaking, the higher the level of hospital treatment, the lower the reimbursement rate.

Article 3:

You can only apply for medical insurance if the deductible line crosses the line.

Medical insurance has a deductible, and you can only reimburse it if you pay that amount first. For example, X stipulates that the outpatient deductible line is 1.800 yuan, and if the total amount of outpatient medical treatment in one year is less than 1.800 yuan, all the money must be paid by yourself; And if it exceeds 1800 yuan, it can be reimbursed. At the same time, medical insurance also has a cap line, which means that medical insurance can give you the most money, and the excess money cannot be reimbursed.

Article 4:

Some drugs cannot be reimbursed.

The drugs reimbursed by medical insurance are specific, and only drugs in the medical insurance catalogue can be reimbursed, but drugs outside the medical insurance catalogue cannot be reimbursed, such as many expensive imported innovative drugs and patented drugs. So communicate with the doctor before taking medicine. If you want to save money, use the medicine in the catalogue.

Article 5:

Some special surcharges cannot be reimbursed.

It is common to be hospitalized in your private room or to ask for special services, such as specialized doctors and nurses. These are not reimbursable. If you really have special needs, pay for it yourself.

Article 6:

Pay attention to the time limit for reimbursement.

Social security card must be used to settle all kinds of expenses when leaving the hospital. Special circumstances can not be settled immediately, you can later take documents and vouchers to the medical insurance department for manual reimbursement of medical expenses. But we must hurry up at this time, because there is often a time limit. For example, some local medical insurance departments will conduct liquidation before the end of the year, and they will not be reimbursed after the deadline. Don't forget to reimburse the medical expenses because of carelessness. You can only bear these expenses yourself after the deadline.

The above is all the contents of this paper, from which we can learn how to handle the newborn medical insurance, the matters needing attention in handling the baby medical insurance, and the six rules that should be paid attention to in medical insurance reimbursement. They are online 24 hours a day and can answer your legal questions at any time.

Legal objectivity:

Article 24 of the Social Insurance Law 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 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.