How to reimburse children for medical insurance reimbursement?

Medical insurance reimbursement process for children: when children seek medical treatment, individuals pay in advance, and the medical expenses incurred are accounted for by designated medical institutions. At the time of settlement, the part paid by the serious illness medical insurance fund shall be settled by designated medical institutions and social insurance agencies, and the rest of the medical expenses shall be settled by individuals and designated medical institutions.

How to handle children's medical insurance?

1. Children can apply for medical insurance within three months of birth. If you apply for a medical insurance card within three months of birth, you will enjoy medical insurance benefits from the date of birth. If it is more than three months and less than one year, then you will enjoy medical insurance benefits from the next month. Those over one year old will have to wait for 65438+ 10/month 1 next year to enjoy medical insurance benefits.

2. You can go to the local China Bank or social security agency for medical insurance.

3. To apply for a children's resident medical insurance card, you must be a child who has reported to the household registration. Bring the original and photocopy of the household registration book, the original and photocopy of the agent's (not limited to parents) ID card, and two one-inch photos of the child himself on a red background, and you can go to handle it.

4. First of all, you need to register, and the relevant personnel will review it. About 10 to 15 working days later, you will be informed to get your child's medical insurance card. You can pay the medical insurance fee for your child in any domestic bank, which is about 180 yuan a year. After the child got sick, he could see a doctor with his medical insurance card and medical record.

Children's medical insurance reimbursement standard

1, hospitalization reimbursement. Within one year, the first-class hospital (community health service center) will not set the deductible line for hospitalization medical expenses below 6.5438+0.8 million yuan, and will be reimbursed 65%; 300 yuan, the deductible line of the secondary hospital, reimbursed 60%; 500 yuan, the deductible line of tertiary hospital, will be reimbursed by 55%.

2, outpatient special disease reimbursement. The deductible line for outpatient special diseases within one year is 300 yuan, and the highest payment limit and reimbursement ratio are implemented according to the hospitalization reimbursement standard.

3. Emergency reimbursement. Within one year, the deductible line of emergency medical expenses in first-class hospitals (including community health service centers) is 800 yuan, with the maximum payment limit of 3000 yuan and 30% subsidy.

Legal basis:

Article 28 of the Social Insurance Law The medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth insured medical expenses should be paid by the basic medical insurance fund, by the social insurance agencies, medical institutions and pharmaceutical business units directly settled. 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.