How to pay for the newborn medical insurance card

First, how to pay the newborn medical insurance?

There are two ways to pay: one is to pay the medical insurance fee with the employee social security card personal account of the newborn parents. Parents need to hold my employee social security card and a copy of the newborn household registration book, fill in the relevant application form in the residents' section of the municipal medical insurance center, and pay the medical insurance fee. The second is to use the Industrial Bank account to pay medical insurance premiums. Parents need to hold the Registration Form of Basic Medical Insurance for Urban Residents in Zhangzhou City, the household registration book and the Industrial Bank Card to fill in the relevant power of attorney at the Industrial Bank in the urban area and pay the medical insurance fee. After three months of enrollment, parents can take the newborn household registration book to the municipal medical insurance center to receive the newborn social security card. Newborns who are insured within three months of birth can enjoy medical insurance benefits from the date of birth; If you are insured after three months of birth, you will enjoy medical insurance benefits from the month after the insurance payment.

Second, how to reimburse neonatal medical insurance

1. After successful enrollment, the Social Security Bureau will make an exclusive social security card for children, and parents will collect it at the Social Security Bureau window 15 working days after successful payment.

2. After receiving the social security card, parents can take the social security card, the original medical invoice and other materials to the hospital where the child was born to re-settle, and then complete the reimbursement.

3. Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations. In order to get more newborns treated in time, the Human Resources and Social Security Bureau stipulates that newborns can be treated first within three months after birth, and then they can apply for medical insurance, and the expenses incurred from previous hospitalization can also be reimbursed. However, it should be noted that the expenses incurred during the hospitalization of newborns must be reimbursed. If the newborn is not hospitalized due to illness, it cannot enjoy the corresponding reimbursement.

If a newborn mother or father participates in the local medical insurance for urban and rural residents, he can enjoy the medical insurance benefits for urban and rural residents in the year of birth as a mother or father with the identity certificate of the mother or father and the medical certificate of birth of the newborn.

Third, what are the circumstances in which the hospital takes responsibility for neonatal medical accidents?

1. The defendant should choose cesarean section according to the diagnosis of the lying-in woman at the time of admission, and the hospital should give a trial delivery.

2. The newborn was diagnosed as fetal distress after birth, but the hospital did not check the ward according to the relevant regulations of high-risk newborns. When the baby suffers from hypoxia, the hospital did not take corresponding effective measures, which aggravated the seriousness of the consequences.

3. During the transfer of newborns, the hospital did not provide convenient and effective measures, let alone related medical measures, such as oxygen inhalation on the way.

4, responsible for the occurrence of medical accidents.

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

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.

Fourth, how to pay the child's medical insurance payment?

Unified collection by the school or one-time deduction from the passbook by the social security institution. Mainly depends on whether you are studying at school. Students in the park: pay medical insurance premiums in one lump sum according to the academic year, and the insured students should pay medical insurance premiums to the school, which will be uniformly collected by the school. Children who are not in school: the social security agency will deduct the annual fee from the passbook of the guardian or the child himself. This is usually confirmed by the local social security bureau. The child's social security card needs to be paid every year, and the individual and the government each pay a certain proportion. Pay according to different regulations in different regions. When you show your child's social security card when you are in hospital, you can directly deduct the expenses paid by medical insurance, and you only need to pay the rest. Outpatient medical treatment is usually not covered by medical insurance and needs to be paid at one's own expense. Some places can sign a contract with the community, and the commonly used medicine fees can be reimbursed in proportion, which can be much cheaper.

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

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.