Zhengzhou social security children medical insurance payment

Insurance Bian Xiao helps you answer, and more questions can be answered online.

First, how to pay for children's medical insurance for urban residents

The annual fund-raising standard for students and children is 100 yuan. Individuals pay medical insurance premiums in 60 yuan, and the rest in 40 yuan are subsidized by the government. Students and children from severely disabled, low-income families and families with special difficulties do not pay fees, and all medical insurance premiums are subsidized by the government.

Second, how to reimburse children's medical insurance for urban residents

In a settlement year, medical expenses below RMB 6,543,800+0,800 yuan that meet the scope of reimbursement occurred. The threshold for tertiary hospitals is 500 yuan, and the reimbursement ratio is 55%; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.

The following expenses incurred by the insured in designated medical institutions and retail pharmacies are included in the reimbursement scope of the basic medical insurance fund for urban residents:

(a) hospitalization expenses;

(two) medical expenses within 7 days before emergency observation and hospitalization;

(three) the medical expenses for special diseases in urban residents' outpatient clinics;

(4) Other expenses that meet the requirements.