Can the newborn medical insurance card reimburse the hospitalization expenses at birth?

Scope of reimbursement for newborn medical insurance: 1. General outpatient fees shall be settled annually. For outpatient expenses below 300 yuan, the fund pays 40%, that is, the maximum 1.20 yuan/year. After one-time settlement, some expenses above 300 yuan need to be paid by individuals. 2. For outpatient expenses for serious diseases, such as hemophilia, aplastic anemia and systemic lupus erythematosus, the fund has no deductible, and the medical insurance fund pays 75%; 3, hospitalization expenses, according to the level of medical institutions to set different hospitalization Qifubiaozhun and fund payment ratio, taking tertiary hospitals as an example, the standard is above 500 yuan, and the fund payment ratio is 80%.

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note:

1, it is best to apply for baby medical insurance within three months after the baby is born. This is because the sooner you apply for medical insurance for your child, the sooner you can enjoy the corresponding preferential treatment.

2. After the newborn is registered in the city's household registration, he/she will go to the medical insurance service point of the community affairs acceptance center of the street (town) to go through the insurance registration and payment procedures, and receive the social security card or medical insurance card and medical record as the medical certificate for outpatient and emergency treatment; Then, with the payment voucher, go to the street (town) community health service center where the household registration is located to receive the Medical Certificate of Children's Hospitalization Fund as the medical voucher for hospitalization.

3. Newborns enjoy medical insurance benefits from the date of birth. Therefore, after enrollment, parents can reimburse the medical expenses they paid before enrollment.

4. Newborns' medical insurance benefits can be reviewed and reimbursed at the medical insurance service point of the nearest street (town) community affairs acceptance center. After the residence permit reaches the standard score, the children of the residence permit holders in this city shall go through the registration payment and review and reimbursement procedures with reference to the newborns registered in this city.

5. If the newborn is hospitalized due to a major illness, 70% of the expenses can be reimbursed according to the regulations.

Legal basis: implementation

The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.