First, the children's rescue fund newborn baby insurance model
Newborn babies are insured in two situations:
1. The mother of the newborn baby has participated in the basic medical insurance for urban and rural residents in our city: according to the relevant regulations, the newborn baby will enjoy the basic medical insurance for urban and rural residents from the date of birth, and there is no need to go through the insurance formalities separately, and her mother will go through the registration formalities with the insurance social security agency;
2. The mother of a newborn baby did not participate in the basic medical insurance for urban and rural residents in our city. If one of the parents has a residence permit or residence permit in this city, she can apply for the basic medical insurance for urban and rural residents at the medical insurance agency where the newborn baby is registered within 60 days after birth, and will not apply for it after the deadline.
Second, the scope of reimbursement for children's relief funds
Overall payment amount of reimbursement expenses for basic medical care (children's mutual assistance) = [total amount of one-time hospitalization expenses-all at their own expense-Qifubiaozhun] * reimbursement ratio (total amount of expenses-self-expense-threshold fee) * Proportion The threshold fee of basic medical insurance fund (commonly known as threshold fee, not reimbursed) is: 50 yuan, township hospitals, community health service centers and first-class hospitals 100 yuan. The reimbursement rate of students and children is 90% in township hospitals, 80% in community health service centers and first-class hospitals, 65% in second-class hospitals and 50% in third-class hospitals.
Third, the method of issuing children's assistance funds
1, registered students, voluntary payment at school.
2. Eligible scattered preschool children and children who are not enrolled due to illness or disability shall go to the community health service center or township (town) hospital, children's health care and planned immunization institution at the domicile or residence with the residence booklet or residence permit.
3. In that year, the newborn baby voluntarily attended the above places with birth medical certificate, household registration book or residence permit within 1 month after the full moon. The charging standard and time limit are charged according to the academic year, and the validity period is from 0: 00 on September 1 year to 24: 00 on August 3 1 day of the following year. Effective on the date of payment. Everyone pays 40 yuan every academic year. The maximum accumulated reimbursement amount is 80,000 yuan.
To sum up, the reimbursement cost of the basic medical co-ordination payment (children's mutual fund) = [total amount of one-time hospitalization expenses-all at their own expense-Qifubiaozhun] * reimbursement ratio (total amount of expenses-all at their own expense-threshold fee) * hospitalization ratio of the insured, and the threshold fee of the basic medical insurance fund (commonly known as threshold fee, which is not reimbursed) is: township hospital 50 yuan, community health service center, first-class hospital1. )