Children's social security card reimbursement hospitalization

If the mother participated in the urban residents medical insurance, within three months of the newborn is able to enjoy the mother's medical treatment; if the mother participated in the new rural medical insurance, in the year of payment of the birth, the newborn can also enjoy the mother's medical insurance. Compared with the use of their own medical insurance card, the newborn baby shares the mother's medical insurance is quite a lot. But if the newborn is born three months later, parents still have not timely apply for the child's health insurance, then the medical expenses will not be reimbursed.

Medicare policies cover newborns, making access to medical care secure. In terms of medical treatment, newborns are the same as children, teenagers and college students. When the child is discharged from the hospital, he or she can take the health insurance card and make a timely settlement, which is the same as the procedure for adult reimbursement.

How do newborns apply for health insurance and what kind of medical treatment do they receive? As long as the newborn has a household registration, he or she can be enrolled in the medical insurance. You need to take the household register first to the street labor security service center where the household register is located to handle the formalities related to the payment of insurance (you can consult the street labor security center), after the payment of insurance, and then by the operator with the newborn's original household register and a copy of the original ID card of the operator and a copy of the original ID card to the social security center to apply for the social security card, the annual contribution standard is 40 yuan.

Like children, teenagers and college students, newborns who are sick and need to be hospitalized, their hospitalization medical expenses are included in the scope of payment of the basic medical insurance fund, of which the reimbursement of hospitalization for accidental injuries need to be approved. The starting standard for hospitalization costs is set at 500 yuan for tertiary hospitals and 300 yuan for secondary and lower medical institutions. In a medical year, the first hospitalization is 100%, the second 50%, and the third and above no longer have a starting standard. Above the starting payment standard, the basic medical insurance fund pays for the part of hospitalization above the starting payment standard according to the following criteria: 70% for the part below 5,000 RMB in tertiary medical institutions, and 75% for the part below secondary medical institutions; 80% for the part between 5,000 RMB and 10,000 RMB in tertiary medical institutions, and 85% for the part above 10,000 RMB regardless of the level of medical institutions; and 90% for the part above 10,000 RMB, regardless of the level of medical institutions. Medical institution level, a unified payment of 90%. In a medical year, the maximum payment limit is 120,000 yuan, including hospitalization, outpatient major diseases, accidental injury outpatient emergency coordinated payment.

Additionally, if you need outpatient treatment for a major disease, the outpatient medical fees will be included in the basic medical insurance fund's scope of payment, as determined by the social insurance agency. The scope of outpatient major diseases include leukemia, uremia dialysis treatment, malignant tumors, organ transplantation anti-rejection treatment, aplastic anemia, hemophilia, children's diabetes, mental illness, eight kinds of diseases.

Children's social security card how to pay children's social security details

1, for the object: municipal colleges and universities, primary and secondary schools, secondary vocational schools (technical schools), special education schools enrolled in the students, child care institutions in the park young children as well as with the city's household registration or one of the parents has the city's household registration or residence permit of the age of one month or more infants, the diaspora preschool-age children and due to disease (disability) did not go to school Children and adolescents (hereinafter referred to as student children);

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

3. Processing time:

A newborns within one month after the household.

B in addition to A focused on September 1 to December 20 each year.

4, where to buy:

A unenrolled in the community,

B enrolled in the school unified application,

5, the required information: newborns want a birth certificate and hukou, the rest of the people want the previous year's participation card or ID card number.

6, validity: newborns buy that month, effective from the day of birth. Non-newborns in the second year on January 1, effective until the end of the year.

7, the principle of payment: this insurance to pay a year tube a year, if you miss the purchase, only to wait for the next year.

8, how to reimbursement = (total cost - out-of-pocket expenses - threshold fee) * proportion

Participants hospitalized, the basic medical insurance fund starting standard:

Township health centers 50 yuan, community health service centers and the first level of hospitals 100 yuan, the second level of hospitals 200 yuan, the third level of hospitals 500 yuan.

The reimbursement rate for students and children is:

90 percent for township health centers, 80 percent for community health service centers and first-level hospitals, 65 percent for second-level hospitals and 50 percent for third-level hospitals.

9, the total amount of reimbursement: Children's Mutual Aid can be insured with the disease, only reimbursement of hospitalization costs. The medical treatment of other places can not be reimbursed. There is no limit to the number of times a year, but the total amount of reimbursement is limited to 125,000 a year. When you are discharged from the hospital, bring your family register and medical card, and settle the bill directly at the discharge window.

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