How to apply for reimbursement when a newborn is born and hospitalized?

The process of reimbursement for neonatal hospitalization is as follows:

1. Apply for the birth certificate first (both husband and wife's household registration book, marriage certificate, ID card and discharge settlement list are required);

2. Give your baby an account;

3. Enter personal information in the community and apply for social security for the newborn (within 28 days after you register your baby, come to your community with your birth certificate, ID card and household registration book, and enter personal information, name and ID number for your baby);

4. Bank card opening;

5. Social security hall for reimbursement procedures.

Proportion of reimbursement for neonatal diseases:

1. General outpatient service: the annual settlement unit is 40% of the outpatient medical expenses below 300 yuan, that is, the maximum 120 yuan/year. After one-time settlement, the expenses above 300 yuan need to be paid by individuals.

2. Outpatient service for serious diseases: for example, hemophilia, aplastic anemia, systemic lupus erythematosus and other diseases, the fund has no minimum payment limit, and the medical insurance fund pays 75%.

3. Hospitalization: different hospitalization qifubiaozhun and fund payment ratio are set according to the level of medical institutions. Take a tertiary hospital as an example. The standard is above 500 yuan, and the fund payment ratio is 80%.

To sum up, neonatal hospitalization reimbursement needs to apply to the social security center. It is best for guardians to apply for social security before leaving the hospital. If it is not handled in time, all hospitalization expenses can only be paid in advance, and then the social security card will be reimbursed to the social security center. To apply for reimbursement of neonatal hospitalization, you need to provide certain information, such as hospitalization expense vouchers and guardian identity information.

Legal basis:

Social insurance law

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.