Children's health insurance card change binding social welfare

About children's health insurance, many mothers and fathers have questions about the children's social security card "binding", simple "binding" two words, but explains a lot of content. Do you have any questions about this? Here's a list of questions that moms and dads often have, to see if any of them are of interest to you.

In the following questions, the term "child" refers to a child who is enrolled in the city's second-tier health insurance program.

Questions and Answers

1. How do I change my health center or hospital?

Answer: You can do it in the following ways:

1, the participant can go directly to the hospitals or social health centers where they want to bind their outpatient medical care;

2, log on to the Shenzhen Social Security Bureau website in the "personal social security online service", select the hospitals and social security center.

Answer: Second-tier participants under the age of 14 can choose one of the city's community health centers or one of the city's second-tier hospitals or hospitals below the second-tier as the outpatient medical institutions. Participants in the second tier who are over 14 years old can only choose one community health center in the city as the designated medical institution for outpatient treatment.

And, after 14 years of age, the insured children who were originally bound to a hospital for outpatient treatment should choose a new community health center as the designated medical institution for outpatient treatment, and will no longer be able to receive treatment at the original binding of the first- or second-tier medical outpatient clinic.

3. Can my child be bound to Bao'an District People's Hospital?

Answer: No. The Baoan District People's Hospital is a tertiary care hospital. Because Bao'an District People's Hospital is a Grade 3A hospital, and second-tier healthcare enrollees can only be bound to a community health center or a second-tier or lower-tier hospital in the city as a designated medical institution for outpatient treatment.

4. My child's social security card is bound to a community health center, can I go to the hospital for outpatient treatment?

Answer: Participants in the second tier of the social security card can use up to 1,000 yuan of the Community Outpatient Coordination Fund for outpatient services at the hospitals of the community health centers to which they are bound by the social health centers that issue referral orders.

5. If my child's social security card is bound to a community health center, do I have to write a referral order every time I go to the community health center's billing hospital for outpatient services?

Answer: Yes.

6. If I don't use all of my 1,000 yuan of Community Outpatient Pool Fund in one medical year, will it be accumulated in the next medical year?

Answer: No, it does not accumulate.

7. If a child's social security card is not tied to any hospital or community health center, can he or she use the $1,000 community outpatient fund?

Answer: No. The $1,000 community outpatient fund can only be used at the community health center or hospital to which it is tied.

8. Can I change the bound hospital?

Answer: Yes, the participant can change the selected community health center or other designated medical institutions, and from the month following the effective date of the change, the participant will be able to receive outpatient treatment at the changed community health center or designated medical institution. Changes to the community center or hospital before the 20th of the same month will take effect on the 1st of the following month.

9. The hospital said that my child's social security card has to be bound before I can use it, what does that mean?

Answer: Your child is enrolled in the second level of medical care, the second level of participants can choose a social health center as the outpatient clinic designated medical institutions, commonly known as "binding". After binding, the community outpatient fund can be used for general outpatient treatment at the bound community health center or hospital, up to a maximum of 1,000 yuan per medical year (from July 1 each year to June 30 of the next year).

10. Why did the hospital say that the child's card should be tied to the adult's card?

Answer: The "binding" here refers to the "family channel binding", which is different from the "binding" of the social welfare or hospital. The term "binding" refers to "home access binding", which is different from "binding" to social health or hospitals. The balance of the individual account of a basic medical insurance participant exceeds 5% of the average annual salary of the city's on-the-job workers in the previous year (7,778 yuan in 2022), and the exceeding portion can be used to pay for the designated medical expenses for their parents, spouses, and children who are already enrolled in the city's medical insurance, which is called the "family channel". The way to use the "family channel" is: the family members associated with the social security card, the authorized person's personal account balance is insufficient or no personal account, medical treatment, only the authorized person's social security card can be used to swipe the authorized person's social security card personal account balance.

11. Is the "Family Access Binding" the same as changing the binding hospital, which will take effect next month?

Answer: No, the Family Channel Binding will take effect as soon as the binding is successful.

12. How do I apply for a Home Channel Binding?

Answer: The following ways are available:

1. Self-service social insurance service personal web page: Login to personal web page, enter - social security business - medical business - personal account family **** enjoy - new binding - enter the information of the relatives - submit and save, that is, to complete the association. If you want to link more than one person, you need to enter the family member's social security computer number, ID number and kinship;

2. Holding my and my family member's ID card and social security card to the self-service terminals of social security organizations;

3. Holding my and my family member's ID card and social security card to the medical insurance office of the designated hospitals in the city;

4. Holding my and my family member's ID card and social security card, the original and a copy to the social security office of the place of management. copy to the window of the social security organization that manages the place of belonging.

13, the child's social security card with both parents' social security card for "family channel binding"?

Answer: Yes.

14: How do I use my social security card after I am "family pass-bonded"?

Answer: (a) After the family members are linked, if the balance of the personal account exceeds 5 percent of the average annual salary of the on-the-job workers of the previous year in the city (in 2022 it will be

7778 yuan), the exceeding part of the balance can be given to designated family members to use.

(ii) Individual accounts can be authorized for use by one or more family members. If a participant is authorized to use the account by more than one family member, the order of use will be in accordance with the balance of the authorizer's individual account, from the largest to the smallest.

(c) The condition for outpatient use by family members of an individual account is that the balance of the individual account of the person authorized to use it is zero or there is no individual account.

(d) After the family members of the personal account are linked, the authorized user only needs to swipe his/her social security card when seeking medical treatment.

15, is it necessary to do the binding, the child can only be hospitalized in order to swipe the social security card account?

Answer: Whether or not the hospitalization costs can be charged to the card depends on the child's insurance status. In the case of children's insurance status is normal, whether or not for the binding, in the hospitalization can enjoy the provisions of the medical insurance treatment.

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