How much can rural social security reimburse children?

First, how can children born under the new rural insurance be reimbursed?

Who participated in the new rural cooperative medical system, the annual outpatient and inpatient medical expenses can be reimbursed according to the prescribed compensation ratio. The way to enjoy compensation is as follows:

(1) outpatient service: there is no deductible line for outpatient service, and the reimbursement rate for outpatient service is not higher than 25%. Set the capping line to 150 yuan.

(2) Hospitalization: deductible line is set for hospitalization. The deductible line of township hospitals is not less than 100 yuan, and the reimbursement ratio is not less than 50%; The deductible line of county-level designated medical institutions is not less than that of 200 yuan, and the reimbursement ratio is not less than 40%; The deductible line of designated medical institutions at or above the county level is not less than that of 400 yuan, and the reimbursement ratio is not less than 30%. The deductible is the individual pays part. For example, if you are hospitalized in a township hospital, * * * pays 1.600 yuan's medical expenses. After deducting the self-paid part of 1.000 yuan, you will be reimbursed according to the reimbursement rate of 50%, at least you can reimburse 750 yuan. The capping line is not higher than 7000 yuan, that is, the total amount of personal reimbursement for the whole year does not exceed the capping line.

Who participated in the new rural cooperative medical system, the annual hospitalization expenses can be reimbursed according to the prescribed compensation ratio. The proportion of hospitalization can be reimbursed, and the reimbursement rate of township hospitals is 70%; The reimbursement rate of county-level designated medical institutions is not less than 40%.

Second, the reimbursement materials

1, generally must have a birth certificate (birth certificate);

2. The parturient participated in the new rural cooperative medical system that year;

legal ground

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. 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.

Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.