Newborn nicu reimbursement ratio

1. The hospitalization starting standard is 200 yuan for the threshold fee of the first-level hospital, which will be reimbursed according to 80 percent;

2. 500 yuan for the threshold fee of the second-level hospital, which will be reimbursed according to 80 percent;

3. 800 yuan for the threshold fee of the third-level hospital, which will be reimbursed according to 60 percent, and there is a reimbursement ceiling;

4. Newborns hospitalized due to hospitalization for major diseases, can be reimbursed seventy percent of the cost in accordance with the regulations.

Second, the newborn's health insurance process is as follows:

1. The guardian of the insured child goes to the social security agency in the place of household registration to obtain the declaration of participation.

2. The guardian of the insured child shall fill in the relevant forms and declare the information online according to the requirements of the insurance, and prepare the required information to declare to the social security organization in the place of domicile.

3. The social security agency accepts the information, examines the information, enters the information, establishes the social security collection account and collects the levied fees at the bank through the computer system.

4. After the collection of children's health insurance premiums, the guardians of the insured children can apply to the social security institutions for the production of children's health insurance cards, and after printing the list of cards at the children's insurance collection window, they will pay the card production fee at the social security card production window and go through the procedures of card production.

5. After 20 working days from the acceptance of the card-making procedure, the guardian of the insured child will collect the child medical insurance card from the social security collection agency and issue it to the insured person.

Third, the newborn's participation in the insurance is limited to the local household registration of the newborn, its participation and enjoyment of the benefits are divided into the following cases:

1. Within one month of the household for the insurance procedures, and can provide a copy of the birth certificate and mother's identity card, can be from the month of birth to pay the fees, and from the date of birth of the enjoyment of health insurance benefits;

2. Within one month of the household for the insurance procedures, and can not be provided with a copy of the birth certificate and the mother's identity card, from the birth of the payment of fees;

2. If the applicant applies for the insurance within 1 month from the date of entry into the household and does not provide a copy of his/her birth certificate and mother's ID card, he/she can start to pay from the month of his/her application and enjoy the health insurance benefits from the next month of payment;

3. If the applicant applies for the insurance after 1 month from the date of his/her entry into the household, he/she can start to pay from the month of his/her application and enjoy the health insurance benefits from the next month of payment.

Legal Basis: The Social Insurance Law of the People's Republic of China

Article 28 Medical expenses that are in accordance with the basic medical insurance drug list, diagnostic and therapeutic items, medical service facility standards, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 30 The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:

(1) those that should be paid from the Workers' Compensation Insurance Fund (2) those that should be borne by a third party (3) those that should be borne by the public ****health (4) those who seek medical treatment outside China.

Medical expenses shall be borne by the third party according to law, the third party does not pay or cannot determine the third party, the basic medical insurance fund to pay first. The basic medical insurance fund shall have the right to recover from the third party after the first payment.