Can the children's medical insurance clinic be reimbursed?

According to the Regulations of People's Republic of China (PRC) on Children's Medical Care, the scope of children's medical care includes services such as children's preventive care, disease diagnosis and treatment, rehabilitation and health education. Therefore, children's medical insurance clinics can be reimbursed.

Specifically, children's medical insurance outpatient reimbursement needs to meet the following conditions:

1. Children's medical insurance participation: Children's outpatient reimbursement needs to participate in children's medical insurance.

2. Expenses in the medical insurance catalogue: Children's medical insurance outpatient reimbursement can only be reimbursed for expenses in the medical insurance catalogue, including registration fees, medical treatment fees, inspection fees, laboratory fees, treatment fees, operation fees, etc.

3. Payment proportion of medical insurance: The payment proportion of reimbursement for children's medical insurance clinics varies according to different regions and medical insurance policies, generally between 50% and 90%.

4. Reimbursement limit for medical insurance: The reimbursement limit for children's medical insurance clinics varies according to different regions and medical insurance policies, generally ranging from 2,000 yuan in 500 yuan.

It should be noted that the specific reimbursement policies of children's medical insurance clinics may be different due to different regions and medical insurance policies, and the specific reimbursement policies need to be consulted with local medical insurance departments or hospital financial departments. In addition, children's medical insurance outpatient reimbursement needs to provide relevant medical invoices and reimbursement application materials. Parents are advised to consult the relevant policies and requirements of the hospital financial department or medical insurance department when visiting a doctor.

Legal basis:

"People's Republic of China (PRC) social insurance law" thirtieth the following medical expenses are not included in the scope of payment of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

"Social Insurance Law of People's Republic of China (PRC)" Article 31 Social insurance agencies may sign service agreements with medical institutions and pharmaceutical business units according to the needs of management services, so as to standardize medical service behavior, and medical institutions shall provide reasonable and necessary medical services for the insured.

Article 32 of the Social Insurance Law of People's Republic of China (PRC), if an individual is employed across the overall planning area, his basic medical insurance relationship will be transferred accordingly, and the payment period will be calculated cumulatively.