How to handle the medical insurance card for children in Shenzhen kindergarten

Application procedure (1) School children (excluding children from low-income families): 1. Insured children receive insurance materials from the school (including insurance instructions and forms, the same below). 2. The guardians of insured children should fill in the relevant forms according to the requirements of insurance, and declare the insurance information online on the municipal social security website (www.szsi.gov.cn) (the first batch of applications in 2007 did not need to declare information online), and return the required materials to the school when they are ready. 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 premiums, the school can apply to the social security agency for making children's medical insurance cards (social security cards), print the list of cards in the children's insurance collection window, pay the card-making fees in the social security card-making window and go through the card-making procedures. 6. Within 20 working days from the date of accepting the certification procedures, the school will receive the children's medical insurance card (social security card) from the social security agency and issue it to the insured. (2)/kloc-children under 0/8 who have not entered the park or settled outside the city: 1. The guardian of the insured child asks the social security agency where the household registration is located for the insurance application materials or downloads them from the social security website. 2. Guardians of insured children should carefully fill in relevant forms and log on to the social security website for online declaration of insurance information according to the insurance requirements (the first batch of applications in 2007 did not require online declaration of information), and prepare the required insurance information to declare to the social security agency where the household registration is located, or to declare to the street labor security office where this business has been opened. 3. The social security agency 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 fees is successful, the guardians of the insured children can apply to the social security agency for making children's medical insurance and social security cards, 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 child will go to the social security collection agency to receive the child medical insurance certificate and social security card and issue them to the insured. (3) Children of low-income households: 1. Insured children or guardians can obtain it from the civil affairs department where the household registration is located, or download the application materials for insurance online. 2, the guardian of the insured children fill in the relevant forms, prepare the insured information, and return it to the civil affairs department. 3, the civil affairs department to review the insurance forms and materials, stamped on the form to confirm, submitted to the social security institutions. 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 civil affairs department can apply to the social security agency for making children's medical insurance and social security cards, print the certificate-making list in the window of children's insurance collection and payment, pay the certificate-making fee in the window of social security certificate-making and go through the certificate-making procedures. 6, 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 cards, social security cards, and distributed to the insured.

Legal objectivity:

Children's medical insurance is a guarantee for medical expenses such as hospitalization, treatment and surgery caused by certain diseases reported by insurance. At present, China's basic medical system basically has a very low level of medical security for children. It is suggested that we can consider referring to some commercial security to reduce family risks. 1. How to handle Shenzhen Children's Medical Insurance Binding Hospital? If in September, an insured child pays the fee successfully, and the parents are bound to a nearby community health center or hospital, then this month, if the insured child goes to the bound community health center or hospital to see the general outpatient service, he can be reimbursed for the fee. The person in charge reminded that after the children's medical insurance is included in the hospitalization medical insurance, the time to enjoy the treatment will be subject to the provisions of the hospitalization medical insurance, and they will enjoy the medical insurance treatment from the month after the medical insurance premium is paid in full, instead of enjoying the treatment in the same month as before. /kloc-for children under 0/4 years old, the clinic can choose to bind the community health center, or choose to bind the outpatient treatment of the second-class and below hospitals in the city; /kloc-The physical development of children over 0/4 years old is relatively perfect, and the incidence rate is similar to that of adults. They receive the same treatment as the adult insured in the binding social rehabilitation center. The Municipal Social Security Bureau called on and mobilized enterprises and individuals to go through the binding procedures as soon as possible to avoid the "invalidation" of general outpatient treatment. Second, why should hospitalization be bound to community health centers? Why should we bind the community health center to enjoy outpatient treatment? According to the person in charge of the Municipal Social Security Bureau, when the outpatient treatment of the insured is increased, the payment will not be increased, and the original hospitalization treatment will not be affected. Instead, the 6 yuan will be set aside from the original payment of each insured as the outpatient co-ordination fund. "6 yuan money per person is quite small. In order to maintain the balance of the outpatient co-ordination fund, it is necessary to bind a community health center, and the social security agency will pay the outpatient expenses to the community health center in one lump sum according to the number of participants bound by the community health center, and pay the outpatient expenses of the insured with limited money. " The person in charge said. Three ways to participate in the binding At present, children under the age of 14 can choose three ways to bind: those who are insured for the first time can choose the community health center or hospital near their place of residence when submitting the insurance information; Log on to the website of Shenzhen Social Security Bureau and choose the community health center or hospital near your residence through the personal online declaration system; Go to the nearest street, community or social security agency for binding. /kloc-children over 0/4 years old can also choose three binding methods: 1, and bind directly to the social rehabilitation center for binding; 2. Log on to the website of Shenzhen Social Security Bureau and bind the social health center for outpatient treatment through the personal online declaration system; 3. When the insured person submits the insured information for the first time, he can choose to bind the outpatient service for medical treatment. After the insured children are bound to the designated medical institutions for outpatient treatment, the community health center or hospital outpatient treatment shall not be changed within 1 month. But after 1 month, you can choose to bind a new community health center or hospital again. Third, how to reimburse the inpatient medical outpatient expenses? Article 43 of the "Current Measures for Social Medical Insurance in Shenzhen" stipulates that the outpatient (including emergency) expenses incurred by the insured in the selected community health centers shall be handled in accordance with the following provisions: (1) Those drugs that belong to Class A drugs and Class B drugs in the basic medical insurance drug list shall be paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively; (two) belong to the basic medical insurance directory of medical items or medical materials, a single price below 120 yuan, paid by the community outpatient co-ordination fund 90%; If the single price exceeds 120 yuan, the community outpatient co-ordination fund will pay 120 yuan; (III) The outpatient medical expenses incurred by the insured who need to be referred to other designated medical institutions with the approval of the settlement hospital due to illness, or the emergency medical expenses incurred in non-settlement hospitals, shall be reimbursed by the community outpatient co-ordination fund according to the provisions in the first and second paragraphs of this article. The person in charge also reminded that emergency expenses can be paid in advance and then reimbursed in proportion to the bound community health center. If the community health center cannot report, it can be reimbursed to the settlement hospital affiliated to the community health center. Tips: The total outpatient medical expenses paid by the community outpatient co-ordination fund to each inpatient medical insurance participant in a medical insurance year shall not exceed 800 yuan, including emergency expenses in 800 yuan. Second, why should hospitalization be bound to community health centers? Why should we bind the community health center to enjoy outpatient treatment? According to the person in charge of the Municipal Social Security Bureau, when the outpatient treatment of the insured is increased, the payment will not be increased, and the original hospitalization treatment will not be affected. Instead, the 6 yuan will be set aside from the original payment of each insured as the outpatient co-ordination fund. "6 yuan money per person is quite small. In order to maintain the balance of the outpatient co-ordination fund, it is necessary to bind a community health center, and the social security agency will pay the outpatient expenses to the community health center in one lump sum according to the number of participants bound by the community health center, and pay the outpatient expenses of the insured with limited money. " The person in charge said. Three ways to participate in the binding At present, children under the age of 14 can choose three ways to bind: those who are insured for the first time can choose the community health center or hospital near their place of residence when submitting the insurance information; Log on to the website of Shenzhen Social Security Bureau and choose the community health center or hospital near your residence through the personal online declaration system; Go to the nearest street, community or social security agency for binding. /kloc-children over 0/4 years old can also choose three binding methods: 1, and bind directly to the social rehabilitation center for binding; 2. Log on to the website of Shenzhen Social Security Bureau and bind the social health center for outpatient treatment through the personal online declaration system; 3. When the insured person submits the insured information for the first time, he can choose to bind the outpatient service for medical treatment. After the insured children are bound to the designated medical institutions for outpatient treatment, the community health center or hospital outpatient treatment shall not be changed within 1 month. But after 1 month, you can choose to bind a new community health center or hospital again. Third, how to reimburse the inpatient medical outpatient expenses? Article 43 of the "Current Measures for Social Medical Insurance in Shenzhen" stipulates that the outpatient (including emergency) expenses incurred by the insured in the selected community health centers shall be handled in accordance with the following provisions: (1) Those drugs that belong to Class A drugs and Class B drugs in the basic medical insurance drug list shall be paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively; (two) belong to the basic medical insurance directory of medical items or medical materials, a single price below 120 yuan, paid by the community outpatient co-ordination fund 90%; If the single price exceeds 120 yuan, the community outpatient co-ordination fund will pay 120 yuan; (III) The outpatient medical expenses incurred by the insured who need to be referred to other designated medical institutions with the approval of the settlement hospital due to illness, or the emergency medical expenses incurred in non-settlement hospitals, shall be reimbursed by the community outpatient co-ordination fund according to the provisions in the first and second paragraphs of this article. The person in charge also reminded that emergency expenses can be paid in advance and then reimbursed in proportion to the bound community health center. If the community health center cannot report, it can be reimbursed to the settlement hospital affiliated to the community health center. Tips: The total outpatient medical expenses paid by the community outpatient co-ordination fund to each inpatient medical insurance participant in a medical insurance year shall not exceed 800 yuan, including emergency expenses in 800 yuan. Three ways to participate in the binding At present, children under the age of 14 can choose three ways to bind: those who are insured for the first time can choose the community health center or hospital near their place of residence when submitting the insurance information; Log on to the website of Shenzhen Social Security Bureau and choose the community health center or hospital near your residence through the personal online declaration system; Go to the nearest street, community or social security agency for binding. /kloc-children over 0/4 years old can also choose three binding methods: 1, and bind directly to the social rehabilitation center for binding; 2. Log on to the website of Shenzhen Social Security Bureau and bind the social health center for outpatient treatment through the personal online declaration system; 3. When the insured person submits the insured information for the first time, he can choose to bind the outpatient service for medical treatment. After the insured children are bound to the designated medical institutions for outpatient treatment, the community health center or hospital outpatient treatment shall not be changed within 1 month. But after 1 month, you can choose to bind a new community health center or hospital again. Third, how to reimburse the inpatient medical outpatient expenses? Article 43 of the "Current Measures for Social Medical Insurance in Shenzhen" stipulates that the outpatient (including emergency) expenses incurred by the insured in the selected community health centers shall be handled in accordance with the following provisions: (1) Those drugs that belong to Class A drugs and Class B drugs in the basic medical insurance drug list shall be paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively; (two) belong to the basic medical insurance directory of medical items or medical materials, a single price below 120 yuan, paid by the community outpatient co-ordination fund 90%; If the single price exceeds 120 yuan, the community outpatient co-ordination fund will pay 120 yuan; (III) The outpatient medical expenses incurred by the insured who need to be referred to other designated medical institutions with the approval of the settlement hospital due to illness, or the emergency medical expenses incurred in non-settlement hospitals, shall be reimbursed by the community outpatient co-ordination fund according to the provisions in the first and second paragraphs of this article. The person in charge also reminded that emergency expenses can be paid in advance and then reimbursed in proportion to the bound community health center. If the community health center cannot report, it can be reimbursed to the settlement hospital affiliated to the community health center. Tips: The total outpatient medical expenses paid by the community outpatient co-ordination fund to each inpatient medical insurance participant in a medical insurance year shall not exceed 800 yuan, including emergency expenses in 800 yuan.