Can a newborn baby be reimbursed for hospitalization?
1. The Bureau of Human Resources and Social Security stipulates that reimbursement can also be made if a newborn is treated within 3 months of birth and then insured.
2. Reimbursement process:
1. Use the name of the newborn when you are hospitalized. Try to avoid using the name of "son of so-and-so" or "daughter of so-and-so"; inform the doctor that you have Participate in resident medical insurance, try to use the drugs and treatments included in the medical insurance reimbursement catalog, and use less self-paid drugs.
2. After the newborn is insured, it is more convenient to use the medical insurance settlement system. If the newborn is not insured, the reimbursement procedure is relatively complicated. Therefore, cash reimbursement should be avoided as much as possible to reduce the personal burden of submitting materials and occupying funds. burden.
3. If cash reimbursement is required, the newborn’s hospitalization invoice, expense details, copy of the hospitalization medical record, copy of the guardian’s ID card, copy of the newborn’s birth certificate, and the newborn’s household registration book (household registration book) must be submitted. Home page, index page, newborn personal page) copies should be submitted to the district medical insurance office.
4. If the newborn needs to be hospitalized after being insured, he must take the "hospitalization certificate" to the insured human resources and social security service center to issue a card-free certificate and submit it to the hospital's medical insurance office. Please go through the hospitalization procedures with proof of no card. During discharge settlement, the medical insurance settlement system is used for settlement, and only the personal portion is paid.
Extended information:
Reimbursement process
Hospitalization is subject to open account settlement, and insured residents pay a certain fee in advance (including minimum payment standards and personal out-of-pocket expenses) Deposit) after hospitalization, the designated medical institution will calculate and determine the overall payment part and the individual payment part upon discharge.
The emergency hospitalization medical expenses incurred by insured residents in other places due to visiting relatives, vacations, etc. will be included in the payment scope of the medical insurance fund. When reimbursing, materials such as discharge summary, first page of medical records, copies of long-term and temporary medical orders, hospitalization expense breakdown sheet, hospitalization bills, disease diagnosis certificates and certificates of the hospital level where the patient is staying are required.
Startup area
Xincheng District, Beilin District, Lianhu District, Yanta District, Weiyang District, Baqiao District (including High-tech Zone, Economic Development Zone, Qujiang New District, Chanba District Ecological Zone) will be officially launched from now on; Chang'an District, Lintong District, and Yanliang District will be gradually launched before the end of June next year; Gaoling County, Zhouzhi County, Hu County, and Lantian will be gradually launched in 2009.
Insured objects
Resident medical insurance is applicable to the following people in Xi'an who are not included in the urban employee basic medical insurance: 1. Students in primary and secondary schools (including vocational high schools, technical secondary schools, technical schools students) and other children under the age of 18 (including children of migrant workers who have been studying and living in the city with their parents for a long time); 2. Urban non-employed residents who have urban household registration in this city and are over 18 years old.
Payment standards
Children and children: Fundraising is based on the standard of 100 yuan per person per year. The individual payment is 30 yuan, and the financial subsidy is 70 yuan.
Among them, children and adolescents who enjoy the minimum living security treatment for urban residents will pay an individual payment of 10 yuan and a financial subsidy of 90 yuan; those with severe disabilities (holders of Level 2 and above "Disabled Persons Certificate of the People's Republic of China and the People's Republic of China") 》), an individual payment of 10 yuan and a financial subsidy of 90 yuan (including a 50 yuan employment security subsidy for persons with disabilities).
Urban non-employed residents: raised at the standard of 250 yuan per person per year. The individual payment is 180 yuan and the financial subsidy is 70 yuan.
Among them, urban non-employed residents who enjoy the subsistence allowance and elderly people over 60 years old from low-income families will pay 20 yuan personally and receive a financial subsidy of 230 yuan; urban non-employed residents with severe disabilities will pay 20 yuan individually. , a financial subsidy of 230 yuan (including a 150 yuan employment security subsidy for persons with disabilities).
In addition, those who have participated in urban employee medical insurance can use the balance of their own medical insurance personal accounts to pay resident medical insurance premiums for their immediate family members.
Reimbursement amount
After participating in the insurance, the annual cumulative maximum payment limit for urban residents (total expenses for hospitalization and outpatient serious illness): 35,000 yuan for urban non-employed residents and 4 for teenagers and children Ten thousand yuan. If insured urban residents have paid contributions for 10 consecutive years, the maximum payment limit can be increased appropriately from the next year.
The co-ordination fund for medical expenses above the maximum payment limit of urban residents’ basic medical insurance and beyond the payment scope will no longer be borne, and can be solved by establishing large medical subsidies, commercial health insurance, etc.
Baidu Encyclopedia-Supplementary Medical Insurance