Proportion of social security reimbursement for hospitalized children

The hospitalization expenses are more than 20 thousand, and the social security card for primary school students can be reimbursed about 60%

For two consecutive years, the reimbursement rate of medical insurance payers increased by 5%. Reimbursement ratio of hospitals at all levels: tertiary hospitals pay 480 yuan by themselves, and the reimbursement ratio is 65%; The secondary hospital pays 240 yuan, and the reimbursement rate is 70%; The first-level hospital pays 120 yuan, and the reimbursement rate is 80%.

The new social security card for students and children only has social security function, and can go to designated medical institutions for medical treatment, medical treatment and settlement. The new social security card can be used normally after the social security function is issued.

Outpatient reimbursement process:

1. On-campus outpatient treatment: outpatient treatment pays 10%+ registration fee 4 yuan (90% can be reimbursed);

2. Off-campus hospital treatment: If you need to see a doctor from another hospital, you must refer it to the outpatient department of the campus for reimbursement. Drugs and medical treatment items within the scope of medical insurance can be reimbursed 50%.

Information required for reimbursement:

1) copy of the referral form of the school doctor's clinic (except emergency);

2) A copy of the current medical record;

3) Original invoice.

4) Original cost list.

Third, the hospitalization reimbursement process:

1. Show your medical insurance card when you are hospitalized (if you don't bring it, you will complete the formalities within 3 days);

2, medical insurance for two consecutive years, the proportion of reimbursement of insured payers increased by 5%. Reimbursement ratio of hospitals at all levels: tertiary hospitals pay 480 yuan by themselves, and the reimbursement ratio is 65%; The secondary hospital pays 240 yuan, and the reimbursement rate is 70%; The first-level hospital pays 120 yuan, and the reimbursement rate is 80%.

3. Materials required for reimbursement: copies of the first page of medical records and admission records, invoices, expense lists, discharge summaries, disease diagnosis certificates, and front and back copies of medical insurance cards; The college will issue a student certificate for Shunde campus and affix the official seal of the college; Victims of trauma or accidents need to be certified by the college or relevant units that there is no third-party responsible person and stamped with the official seal.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.