How are the newborns in Shenzhen? Children's medical insurance

1. Newborns (deep households) must apply for insurance within two months after birth in order to enjoy children's medical insurance benefits from the month of birth, otherwise there must be a waiting period of three months, that is, the fourth month after application.

2. Children aged 0-3 don't need to provide digital photo receipt, but they must provide birth certificate number and ID number as soon as possible before the children's medical insurance card can be used.

In September every year and within two months after the birth of a newborn, those who are not insured need to collect less medical insurance premiums from the fourth month after three months from the month of insurance, and enjoy treatment from the month of collection (except for school applications).

Qifubiaozhun for hospitalization: 300 yuan, a first-class hospital in the city, 400 yuan, a second-class hospital in the city, 500 yuan, a third-class hospital in the city, and 600 yuan, a hospital outside the city.

The deductible system is not implemented for outpatient expenses of serious illness.

The insured person's basic medical expenses above the deductible line for each hospitalization, or the basic medical expenses for each serious illness clinic, within the annual maximum payment limit, 80% of the part below 5,000 yuan will be paid by the children's medical insurance fund; 5000- 10000 yuan, 85% paid by children's medical insurance fund; Children's medical insurance fund pays 90% of the part above 10000 yuan.

Coverage:

1, hospitalization 2, critical illness clinic

Hospitalization security refers to the basic medical expenses incurred by children's medical insurance designated medical institutions.

Serious diseases: leukemia, hemophilia, aplastic anemia, malignant tumor, organ transplantation (seven categories)

Organ transplantation includes kidney, heart valve, cornea, skin, blood vessels, bone and bone marrow transplantation.

Insurance premium: per person per year 150 yuan, in which the children's families pay 75 yuan and the financial assistance is given to 75 yuan.

First, the handling place:

1. Students and kindergarten children in Shenzhen: schools and kindergartens shall handle the procedures of insurance and payment in a unified way;

2. Children under the age of 18 who are registered in Shenzhen but have not entered school, entered the park or settled outside the city: their parents or other legal guardians go to the municipal social security agency to handle the insurance and payment procedures, and the community neighborhood committee can handle the insurance and payment procedures on their behalf.

3. Children of families with the lowest household registration in Shenzhen shall be handled by the Civil Affairs Bureau. When applying for insurance, the insured person's household registration book and the minimum living guarantee card and other relevant certification materials shall be provided.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 12 The employing unit shall pay the basic old-age insurance premium according to the proportion of the total wages of employees stipulated by the state and record it in the basic old-age insurance pooling fund. Employees shall pay the basic old-age insurance premium in accordance with the proportion of wages stipulated by the state and record it in their personal accounts. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employing unit and other flexible employees who have participated in the basic old-age insurance shall pay the basic old-age insurance premiums in accordance with state regulations and record them in the basic old-age insurance pooling fund and individual accounts respectively.

Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.