How to use children's Beijing social security card

If the mother participates in the medical insurance for urban residents, the newborn within three months can enjoy the medical treatment of the mother; If the mother participates in the new rural cooperative medical system, the newborn can also enjoy the mother's medical insurance in the production payment year. Newborns share their mothers' medical insurance more than their own medical insurance cards. However, if the parents still fail to provide medical insurance for their children in time three months after the birth of the newborn, the medical expenses will not be reimbursed.

The medical insurance policy covers newborns and guarantees medical treatment. In medical care, newborns are the same as teenagers and college students. When the child is discharged from the hospital and has a medical insurance card, the report can be settled in time, just like the reimbursement procedure for adults.

How should newborns go through medical insurance procedures and enjoy what medical treatment? As long as the newborn is registered, it can enter medical insurance. You need to go to the street labor and social security service center where your household registration is located to go through the relevant formalities of paying insurance (you can consult the street labor and social security center). After paying the insurance, the agent came to the social security center with the original and photocopy of the newborn household registration book and the original and photocopy of the agent's ID card. The annual payment standard is 40 yuan.

Like children and college students, if newborns need hospitalization, their hospitalization expenses should be included in the basic medical insurance fund, and the reimbursement of accidental injuries should be approved. Qifubiaozhun for hospitalization expenses is established according to the standards of tertiary hospitals in 500 yuan and secondary and below medical institutions in 300 yuan. Within a medical year, the first hospitalization 100%, the second hospitalization 50%, and the third and above deductible lines are no longer set. For the part above Qifubiaozhun, the basic medical insurance fund shall be paid according to the following standards: the part below 5,000 yuan, 70% by tertiary medical institutions, and 75% by secondary and below medical institutions; 5000 yuan to 10000 yuan, 80% for tertiary medical institutions and 85% for secondary and below medical institutions; /kloc-90% of the part above 0/0000 yuan, regardless of the level of medical institutions. In a medical year, the maximum payment limit is 6.5438+0.2 million yuan, including the overall payment for serious illness and accidental injury in hospitalization and outpatient service.

In addition, if the patient needs outpatient treatment due to major diseases, the outpatient medical expenses will be included in the payment scope of the basic medical insurance fund after being examined and approved by the social insurance agency. The scope of outpatient serious diseases includes leukemia, uremia dialysis treatment, malignant tumor, anti-rejection treatment after organ transplantation, aplastic anemia, hemophilia, childhood diabetes and psychosis.

How to pay for children's social security card Details of children's social security

1. Clients: students registered in municipal universities, primary and secondary schools, secondary vocational schools (technical schools) and special education schools, children in kindergartens, infants over 1 month old with local household registration or residence permit for one parent, scattered preschool children and children who are not enrolled due to illness (disability) (hereinafter referred to as students and children);

2. Payment standard: 80 yuan per person per year.

3. Processing time:

A. within one month after the newborn enters the family.

B except a, it is concentrated from September 1 to February 20th 10 every year.

4. Where to buy:

A those who are not enrolled in the school are dealt with in the community.

B those who have enrolled in the school will be handled in a unified way.

5. Required information: Newborns need birth certificate and household registration book, others need one-year insurance card or ID number.

6. Validity period: the newborn is purchased in the same month and takes effect on the day of birth. Non-newborns take effect from June 65438+1 October1in the second year to the end of the year.

7. Payment principle: this insurance is paid for one year, and if you miss it, you will have to wait for the next year.

8. How to reimburse = (total cost-self-expense-threshold fee) * ratio

Insured hospitalization, the basic medical insurance fund Qifubiaozhun is:

50 yuan, a township health center, a community health service center, a first-class hospital cost 100 yuan, a second-class hospital in 200 yuan, a third-class hospital in 500 yuan.

The reimbursement rate for students and children is:

90% of township hospitals, 80% of community health service centers and first-class hospitals, 65% of second-class hospitals and 50% of third-class hospitals.

9. Total reimbursement: Children's Mutual Fund can cover diseases, and can only reimburse hospitalization expenses. Medical treatment in different places cannot be reimbursed. There is no limit to the number of times in the whole year, but the total reimbursement is limited to 6,543,800+0,250 yuan a year. Bring your household registration book and medical card when you leave the hospital, and settle the account directly at the discharge window.

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