How to handle and reimburse neonatal medical insurance

How to handle and reimburse neonatal medical insurance

Reimbursement:

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.

Handle:

You need to choose a place to participate in the insurance within three months from the date of birth of the newborn, and you can participate in the insurance at your parents' place (either parent participates in the insurance).

First, how to handle and reimburse newborn medical insurance

(1) reimbursement

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.

(2) treatment

You need to choose a place to participate in the insurance within three months from the date of birth of the newborn, and you can participate in the insurance at your parents' place (either parent participates in the insurance). Bring birth certificate, household registration book, insurance certificate of either parent and address certificate of the payer of one parent, and then fill in the insurance registration form, which can not only apply for medical insurance for newborns.

Two, the newborn insurance registration materials:

1, insurance registration form;

2. Birth medical certificate;

3. Household registration book;

4, any parents or guardians of the insurance certificate, any parents to participate in medical insurance for urban and rural residents in our city do not need to provide;

5. Proof of the address of the paying unit of the parent or guardian (copy of the business license of the unit, copy of the organization code certificate of the unit and other relevant certificates containing the detailed address of the unit). Only if both parents are insured by municipal employees or one parent is insured by municipal employees but the other parent is not insured by this city;

6. Medical certificate of death (required for neonatal death).

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. Newborn mothers or fathers who participate in medical insurance for local urban and rural residents can enjoy medical insurance benefits for urban and rural residents in the year of birth as mothers or fathers with their identity certificates and birth medical certificates.

Generally, the processing time is 28 days after the baby is born, but some places stipulate that it is 30 days or 90 days. As long as this time requirement is met, the medical expenses of the child from birth to getting the medical insurance card can also be reimbursed.

So it is very different to apply for one day every night. Dear mothers, you must take the time to apply for medical insurance for your baby. We all know that there are many kinds of medical insurance for newborns, but most commercial medical insurance and critical illness insurance require that children can not be insured until 28 days after birth.

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.