How much can newborn medical insurance be reimbursed?

Newborn medical insurance can be reimbursed about 70%. First, the general outpatient fees are settled annually. For outpatient expenses within 300 yuan, the proportion of fund payment is 40%, that is, the maximum is 120 yuan/year. After one-time settlement, the above expenses in 300 yuan need to be paid by individuals;

Second, there is no minimum payment limit for outpatient expenses for serious diseases, such as hemophilia, aplastic anemia and systemic lupus erythematosus, and the medical insurance fund pays 75%;

Third, hospitalization expenses. According to the level of medical institutions, different hospitalization qifubiaozhun and fund payment ratio are set. Take the top three hospitals as an example. The standard is above 500 yuan, and the fund payment ratio is 80%.

All insured newborns can enjoy the basic medical security benefits of hospitalization and outpatient service, and the medical expenses can be written off immediately by holding a card for medical treatment. Newborns who are insured within 3 months after birth can enjoy corresponding medical treatment from birth.

Legal basis:

Article 27 of the Social Insurance Law of People's Republic of China (PRC): Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations if their accumulated contributions reach the fixed number of years stipulated by the state when they reach the statutory retirement age; 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.