How to reimburse the baby for social security, and how long will it take?

If the baby pays the insurance premium within 3 months after birth, he can enjoy the relevant treatment of medical insurance for urban residents from the date of birth; During the age of 0- 18, 20 yuan can reimburse 70% of the hospitalization expenses after paying the premium for one year; Outpatient medical expenses below 200 yuan, 200 yuan-1000 yuan, can be reimbursed 50%, capped in 400 yuan.

If the baby pays the insurance premium within 3 months after birth, he can enjoy the relevant treatment of medical insurance for urban residents from the date of birth; During the age of 0- 18, 20 yuan can reimburse 70% of the hospitalization expenses after paying the premium for one year; Outpatient medical expenses below 200 yuan, 200 yuan-1000 yuan, can be reimbursed 50%, capped in 400 yuan.

Within three months after the baby is born, the mother should apply for medical insurance for it. As long as the parents handle the insurance payment procedures for the baby within 3 months after birth, the baby can reimburse the related medical expenses incurred after birth.

New regulations on reimbursement conditions and proportion of infant social security

Newborns who pay insurance premiums within 3 months after birth can enjoy medical insurance for urban residents from the date of birth. If the child was born for more than 3 months and did not apply for medical insurance, according to the New Deal, he can only participate in the medical insurance for the following year, and the medical insurance fee for the following year is paid from September 1 to February 3 1 of the previous year.

During the age of 0- 18, 20 yuan can reimburse 70% of the hospitalization expenses after paying the premium for one year; Outpatient medical expenses below 200 yuan, 200 yuan-1000 yuan, can be reimbursed 50%, capped in 400 yuan. The highest can be reported130,000.

Postpartum social security reimbursement process is as follows:

1, prerequisites for maternity insurance benefits:

(a) when giving birth or having an abortion operation, the unit to which it belongs participates in maternity insurance according to regulations, and gives birth after paying maternity insurance premiums for 6 months continuously, and the employer continues to pay maternity insurance premiums for the employee during maternity leave;

(2) The fertility or abortion operation conforms to the national, provincial and municipal population and family planning policies;

(3) to provide the required documents and certification materials.

2, the insured enterprise employees to apply for maternity insurance benefits process:

By my unit to fill in the "maternity insurance benefits application form", with the following documents to the city and county (District) social insurance agencies to apply for maternity insurance benefits.

① See the original ID Card, Marriage Certificate and Family Planning Service Certificate and keep a copy;

(2) See the original birth medical certificate issued by the hospital above the town, and the original valid bills and invoices issued by the hospital at the time of discharge (including the inspection and laboratory expenses and hospitalization expenses during the period of building the size card before delivery).

(3) See the original copy of the One-Child Preferential Card. Without the "one-child certificate", you can't enjoy the relevant treatment of the only child.

3, the insured enterprise employees maternity treatment payment procedures:

(a) when the first child of a female employee is pregnant and miscarried, the enterprise holds the female employee's personal endowment insurance number, original birth certificate, diagnosis certificate, receipt of medical expenses, prescription and treatment fee details. Did not apply for a birth certificate, the first pregnancy certificate issued by the street family planning commission, the original and photocopy of the ID card.

Reimbursement standard: 500 yuan for abortion less than four months (maternity insurance pays 14 days maternity leave salary), 700 yuan for abortion more than four months (maternity insurance pays 42 days maternity leave salary), and the individual who exceeds the limit bears 15%.

(2) When receiving the maternity allowance and maternity medical expenses for female employees, the following documents are required: the personal endowment insurance number of female employees in the enterprise, the original and photocopy of the maternity certificate, the original and photocopy of the honor certificate of the only child, the original and photocopy of the maternity medical certificate, the original and photocopy of the identity card of the maternity employee, the diagnosis certificate and the contact telephone number. To receive the nursing allowance for male employees, you need to provide the following documents: the personal endowment insurance number of male employees in the enterprise, the original and photocopy of birth certificate, and the original and photocopy of resident ID card.

Reimbursement standard: 800 yuan for outpatient prenatal examination, 2,200 yuan for natural delivery, 3,000 yuan for dystocia and 4,000 yuan for cesarean section. Multiple births increase 500 yuan with each additional birth.

(three) the settlement time is before the 20th of each month.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.