How to pay social security for children with medical insurance card?

Guidelines for handling children's medical insurance

I. Children's medical insurance and social/medical insurance cards

1. Required materials: the original household registration book+a copy of the first page of the household registration book and the baby's own page, and the original and copy of the agent's ID card.

2. Handling place: social security center where the household registration is located.

3. Handling fee: 25 social security cards/medical insurance cards, and 60 yuan medical insurance every year.

4. Enjoy treatment: hospitalization 50%, emergency 50%.

5. Note: Do it after you register your account. Pick up the card+medical record book 10 working day after registration, and bring the card book to see a doctor later.

Two, children's hospital medical mutual fund (blue medical certificate)

1. required materials: household registration book

2. Handling location: the street where the household registration belongs and the community health service center (lot hospital).

3. Handling fee: 60 yuan every year (September 1 to August 3 1 of the following year).

4. Enjoy the treatment: on the premise of designated medical treatment, pay 50% of the hospitalization expenses above the deductible line (deductible line: first-level hospital 50 yuan, second-level hospital 100 yuan, third-level hospital 300 yuan); The maximum payment per person per academic year is 654.38+10,000 yuan.

5. Note: Baby will handle it in 30-60 days. Shanghai Children's Hospital Medical Mutual Fund Hotline: 52 122999 Consultation time: Monday to Friday, 9: 00- 17: 00.

Three, the only child insurance (Shanghai)

1. required materials: Shanghai household registration book or Shanghai residence permit of the only-child parents, and honorary certificate of the only-child parents.

2. Handling place: the street where the residence is located and the insurance plan service point set up by the neighborhood Committee where the residence is located.

3. Insurance fee: 60 yuan is equivalent to the one-child parents' incentive fee for a couple in Shanghai every year.

4. The maximum guarantee amount: 40,000 yuan for illness death, 40,000 yuan for accidental death, 20,000 yuan for major illness and 5,000 yuan for accidental medical treatment (the first visit to a first-class hospital (inclusive) and above a second-class hospital (inclusive)). Pay 80% after deducting 100 yuan each time)

5. Note: The object is an only child born 30 days ago-16 years old; Online activation is required after purchase.

Children's medical insurance

School-age children (excluding children from poor families)

1. Insured children receive insurance materials from the school (including insurance instructions and forms, the same below).

2. The guardians of the insured children should fill in the relevant forms carefully according to the admission requirements, declare the admission information online (the first batch of applications in 2007 did not need to declare information online), and return the required materials to the school after preparing them.

3. The school shall review and summarize the relevant information and submit it to the social security institution.

4. Social security agencies receive insurance information, review insurance information, enter insurance information, establish social security collection accounts and collect application fees from banks through computer systems.

5. After the successful collection of children's medical insurance fees, the school can apply to the social security agency for making children's medical insurance. After the school prints the voucher list in the children's insurance collection window, it can pay the voucher fee and go through the voucher formalities at the social security voucher window.

6. Within 20 working days from the date of accepting the certificate-making procedures, the school will receive the children's medical insurance certificate from the social security institution and issue it to the insured.

(2) Children under the age of 18 who have not entered school or settled outside the city.

1. The guardian of the insured child shall go to the social security agency where the household registration is located to receive the application materials for insurance.

2. Guardians of insured children should fill in relevant forms according to the insurance requirements and declare the insurance information online (the first batch of applications in 2007 did not need online declaration information), and prepare the required insurance information to declare to the social security agency where the household registration is located.

3. The social security institution accepts the insurance information, reviews the insurance information, enters the insurance information, establishes the social security collection account and collects the application fee in the bank through the computer system.

4. After the collection of children's medical insurance premiums is successful, the guardians of the insured children can apply to the social security agency for making children's medical insurance certificates, print the certificate-making list in the children's insurance collection window, pay the certificate-making fee, and go through the certificate-making procedures in the social security certificate-making window.

5. Within 20 working days from the date of accepting the certificate-making procedures, the guardian of the insured children will go to the social security collection agency to receive the children's medical insurance certificate and issue it to the insured.

(3) Children from poor families with higher family allowance.

1. The insured children ask the civil affairs department in the area where the household registration is located for the insurance application materials, print and confirm the insurance list, affix the official seal, fill in the insurance form, prepare the insurance materials, and return them to the civil affairs department.

2, the civil affairs department to review the insurance forms and materials, and report to the social security agencies.

3. The social security institution accepts the insurance information, reviews the insurance information, enters the insurance information, establishes the social security collection account and collects the application fee in the bank through the computer system.

4. After the collection of children's medical insurance premiums is successful, the civil affairs department can apply to the social security agency for making children's medical insurance certificates, print the certificate-making list in the children's insurance collection window, pay the certificate-making fee, and go through the certificate-making procedures in the social security certificate-making window.

5, within 20 working days after accepting the certification procedures, the civil affairs department to the social security collection agencies to receive children's medical insurance card and send it to the insured.

Paying social security with medical insurance card is a convenient way for parents to pay social security fees for their children more conveniently. Using the medical insurance card to pay social security, parents only need to follow the guidelines, associate the medical insurance card with their children's social security information, and then complete the payment operation according to the prescribed procedures. This not only saves parents the trouble of queuing to pay fees, but also ensures that children's social security fees are paid in time and that children enjoy social security benefits. Parents can easily complete the task of paying social security with medical insurance card as long as they know the relevant operation procedures in advance and operate in accordance with the prescribed time and method. This method is not only convenient and fast, but also can effectively manage children's social security expenses and provide protection for their health and future.

Legal basis:

Social Insurance Law of People's Republic of China (PRC) (revised 20 18);

Chapter III Basic Medical Insurance 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.