Proportion of reimbursement for neonatal medical insurance in Zhengzhou city

Proportion of neonatal medical insurance reimbursement in Zhengzhou:

1. The minimum payment standard for township health centers (community health service institutions) is 150 yuan, 1500 yuan, and the reimbursement rate is 55% for those above 8,000 yuan, and 65% for those above 8,000 yuan.

2, for a class of designated medical institutions, Qifubiaozhun for 600 yuan, 600 yuan to 3000 yuan reimbursement rate is 65%, more than 3000 yuan reimbursement rate is 75%.

3. Designated secondary medical institutions, the minimum payment standard is 1 10,000 yuan, the reimbursement rate from 1 10,000 yuan to 5,000 yuan is 60%, and the reimbursement rate above 5,000 yuan is 70%.

4. The minimum qifubiaozhun of the three types of designated medical institutions is 1.500 yuan, and the reimbursement rate of 1.500 yuan to 8000 yuan is 55%, and the reimbursement rate of more than 8000 yuan is 65%.

The reimbursement process of newborn medical insurance in Zhengzhou;

1. The applicant shall prepare the newborn's hospitalization invoice, expense list, hospitalization medical records and other related materials.

2. If the newborn is hospitalized after being insured, the hospitalization formalities shall be handled with no card certificate.

3. When leaving the hospital for settlement, submit the above materials and use the medical insurance settlement system for settlement, and only pay the personal conceit.

To sum up, the reimbursement rate of neonatal medical insurance in Zhengzhou varies according to the different medical institutions and cost ranges. Parents or guardians should understand the specific reimbursement policies and procedures to ensure that medical expenses can be reimbursed for newborns in time.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and 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.